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 due to increased parental vigilance, levels remain high, 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, etc. Aggressive marketing strategies by the alcohol industry (attractive packaging, product availability) and their lobbying against restrictive public policies also play a role. Alcohol prevention efforts are being organized on several fronts, with initiatives targeting young people. Programs are being implemented, for example, in schools in the Loiret and Cher departments to strengthen psychosocial skills, 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, 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 drink less eight months later. General practitioners, for their part, are encouraged to identify risky drinking patterns early on in their patients. 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. Report on alcohol prevention, structured around three key areas: 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.); the links in the prevention chain (target audiences, key moments, collective or individual actions, etc.).