Alcohol consumption remains a major problem in France, responsible for 41,000 deaths annually (from cancer, cardiovascular disease, and digestive disorders) and linked to mental health issues (depression, early-onset dementia) as well as violence. Despite an overall decline in consumption—particularly among young people, thanks to increased parental vigilance—consumption levels remain high and are deeply rooted in French culture. There has been an increase in risky behaviors among women, particularly college graduates. Multiple factors are at play: gender inequalities, socioeconomic factors, the workplace, childhood trauma, and more. Aggressive marketing strategies by the alcohol industry (attractive packaging, product availability) and its lobbying against restrictive public policies also play a role. Alcohol prevention efforts are being organized on several fronts, with initiatives targeting young people. For example, programs are being implemented in schools in the Loiret and Cher departments to strengthen psychosocial skills, which serve as a protective factor against addiction. At Lille University Hospital, 15- to 25-year-olds admitted for severe intoxication receive support for several weeks to prevent relapse. Within this network, nonprofit organizations play an essential role alongside healthcare professionals. They are the driving force behind the “January Challenge” (inspired by Dry January), which encourages a month of sobriety, with compelling results: 58% of participants are drinking less eight months later. General practitioners, for their part, are encouraged to identify risky drinking patterns among their patients at an early stage. While prevention is everyone’s responsibility, it must also be supported by ambitious public policies aimed at making our environment less conducive to alcohol consumption. This report on alcohol prevention is structured around three main themes: the significant health and social impact of alcohol consumption (physical and mental health, violence, etc.); the numerous and complex determinants of alcohol consumption (cultural, socioeconomic, alcohol industry marketing, etc.); and the links in the prevention chain (target audiences, key moments, collective or individual actions, etc.).