Intervention efforts should be targeted toward adolescents and young adults, particularly males. The factors associated with drinking and driving may be organized according to PRECEDE or Predisposing, Reinforcing, and Enabling Causes in Educational Diagnosis and Evaluation, a framework for health education diagnosis. Intervention planning is conceptualized using MATCH, a Multi-level Approach To Community Health intervention. The four phases of this program are: health goals selection, intervention planning, intervention, and evaluation. A review of the literature following these guidelines shows that drinking and driving is a problem which is complex, prevalent, and requires multidimensional solutions. It is necessary for health promotion interventions to target education, formal legal and informal social sanctions against drinking and driving, as well as environmental protection. Educational approaches are important for influencing both populations at risk and decision makers in organizations and governments who can establish policies and practices. The successful prevention of morbidity and mortality due to drinking and driving will depend on the ability to implement a number of interventions simultaneously which influence numerous intervention targets and accomplish a variety of injury control objectives. 71 references, 2 tables, 1 figure.