Development of an Intervention Program to Reduce High-risk Alcohol Consumption in Ongjin.

Objectives: In 2022, Ongjin-gun, Incheon City, recorded the highest rate of high-risk drinking among metropolitan areas. In light of the region's unique characteristics, this study aimed to develop an intervention program to reduce high-risk drinking. Methods: We conducted a literature review, consulted with adults, and performed on-site monitoring to develop an intervention model aimed at reducing high-risk drinking. To ensure practical feedback and validity, the program was implemented over six visits to the island. This study specifically focused on designing an intervention program to address high-risk drinking in the Ongjin-gun. Results: Considering the region's unique characteristics, including policy gaps arising from its island setting, support under the Special Act for the Five West Sea Islands, limited healthcare and service infrastructure, the nation's only off-site public health center, and a high proportion of older adults, an intervention program was developed to reduce high-risk drinking in Ongjin-gun. Consequently, the program comprised the following components: "door-to-door alcohol reduction education," "physical activity as an alternative to drinking," "community-based moderation education," "alcohol-awareness education for middle and high school students," and "public campaigns on reducing alcohol use." Conclusions: Pilot implementation indicated that Ongin-gun has substantial potential to reduce high-risk drinking with sustained support. As an underserved region within the core programs of the Ongjin-gun government, Ongjin-gun requires ongoing policy support for healthcare and recreational services. Given the limited availability and effectiveness of alternative activities and sociocultural infrastructure, comprehensive and multifaceted support for the prevention of high-risk drinking is essential.