Information about Primary Prevention

In medicine, prevention is any activity which reduces the burden of mortality or morbidity from disease. This takes place at primary, secondary and tertiary prevention levels.
  1. Primary prevention avoids the development of a disease. Most population-based health promotion activities are primary preventive measures.
  2. Secondary prevention activities are aimed at early disease detection, thereby increasing opportunities for interventions to prevent progression of the disease and emergence of symptoms.
  3. Tertiary prevention reduces the negative impact of an already established disease by restoring function and reducing disease-related complications.

Prevention of substance use

In the area of substance-related harms, a number of prevention typologies have been proposed.

Gordon (1987) in the area of disease prevention, and later Kumpfer and Baxley (1997) in the area of substance use proposed a three-tiered preventive intervention classification system: universal, selective and indicated prevention. Amongst others, this typology has gained favour and is used by a.o. the US Institute of Medicine, the NIDA and the European Monitoring Centre for Drugs and Drug Addiction.
  1. Universal prevention addresses the entire population (national, local community, school, district) and aim to prevent or delay the abuse of alcohol, tobacco, and other drugs. All individuals, without screening, are provided with information and skills necessary to prevent the problem.
  2. Selective prevention focuses on groups whose risk of developing problems of alcohol abuse or dependence is above average. The subgroups may be distinguished by characteristics such as age, gender, family history, or economic status. For example, drug campaigns in recreational settings.
  3. Indicated prevention involves a screening process, and aims to identify individuals who exhibit early signs of substance abuse and other problem behaviours. Identifiers may include falling grades among students, known problem consumption or conduct disorders, alienation from parents, school, and positive peer groups etc.


Outside the scope of this three-tier model is Environmental prevention. Environmental prevention approaches are typically managed at the regulatory or community level, and focus on interventions to deter drug consumption. Prohibition and bans (e.g. smoking workplace bans, alcohol advertising bans) may be viewed as the ultimate environmental restriction. However, in practice environmental preventions programmes embrace various initiatives at the macro and micro level, from government monopolies for alcohol sales, through roadside sobriety or drug tests, worker/pupil/student drug testing, increased policing in sensitive settings (near schools, at rock festivals), and legislative guidelines aimed at precipitating punishments (warnings, penalties, fines).

References

  • Gordon, R. (1987), ‘An operational classification of disease prevention’, in Steinberg, J. A. and Silverman, M. M. (eds.), Preventing Mental Disorders, Rockville, MD: U.S. Department of Health and Human Services, 1987.
  • Kumpfer, K. L., and Baxley, G. B. (1997), 'Drug abuse prevention: What works?', National Institute on Drug Abuse, Rockville.

See also





Alliance for Consumer Education [1]
Medicine is the science and "" of maintaining and/or restoring human health through the study, diagnosis, and treatment of patients. The term is derived from the Latin ars medicina meaning the art of healing.
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disease is an abnormal condition of an organism that impairs bodily functions. In human beings, "disease" is often used more broadly to refer to any condition that causes discomfort, dysfunction, distress, social problems, and/or death to the person afflicted, or similar problems
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Health promotion as defined by the World Health Organization is the process of enabling people to increase control over, and to improve, their health. WHO Europe . In the USA, health promotion is much more narrowly conceived as "the science and art of helping people change their
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The term symptom (from the Greek σύμπτωμα meaning 'chance', 'mishap' or 'casualty', itself derived from συμπιπτω
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Institute of Medicine (IOM) is one of the four United States National Academies, and is a not-for-profit, non-governmental American organization chartered in 1970 as a part of the National Academy of Sciences; its purpose is to provide national advice on issues relating to
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The acronym NIDA stands for:
  1. The National Institute of Design & Analysis, in Lahore, Punjab, Pakistan
  2. The National Institute of Dramatic Art, in Sydney, New South Wales, Australia

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The European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) is an agency of the European Union. Established in 1993, the EMCDDA is located in Lisbon, Portugal.
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Alcohol Abuse
Classification & external resources

ICD-10 F 10.
ICD-9 305.0

Alcohol abuse, as described in the DSM-IV, is a psychiatric diagnosis describing the use of alcoholic beverages despite negative consequences.
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Drug abuse has a wide range of definitions related to taking a psychoactive drug or performance enhancing drug for a non-therapeutic or non-medical effect. Some of the most commonly abused drugs include alcohol, amphetamines, barbiturates, benzodiazepines, cocaine, methaqualone,
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Conduct disorder
Classification & external resources

ICD-10 F 91.
ICD-9 312

In psychiatry, conduct disorder is a pattern of repetitive behavior where the rights of others or the social norms are violated.
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Smoking bans are public policies, including legal sumptuary prohibitions and occupational safety and health regulations, that restrict tobacco smoking in workplaces and public spaces.
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Alcohol advertising is the promotion of alcoholic beverages by alcohol producers through a variety of media. Along with tobacco advertising, it is one of the most highly-regulated forms of marketing.
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Generally speaking, preventive medicine is the part of medicine engaged with preventing disease rather than curing it. It can be contrasted not only with curative medicine, but also with public health methods (which work at the level of population health rather than individual
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