Introduction: A descriptive cross sectional study was conducted to assess the knowledge & practice regarding alcohol consumption among adolescents residing at a community.

Objective: The objective of this study was to identify the Knowledge & practice regarding alcohol consumption among respondents.

Methods: A descriptive cross sectional study with 138 respondents was carried out at Devinagar-11, Butwal Sub-metropolitan city of Rupandehi District. A pretested semi structured interview schedule was used to collect data. The data was analyzed by using descriptive statistical method.

Results: The results indicated that majority (76.8%) of the adolescents knew meaning of alcohol. More than half (59.4%) adolescents didn’t know how the alcohol is produced. More than half (36.2%) adolescents said drunker can be identified by their body gesture. Majority (48.5%) adolescents knew the affected organ by alcohol consumption was liver whereas 23.9% adolescent’s known complication of alcohol consumption was vision loss and 56.5% said its side effect was nausea/vomiting. Only (28.2%) of the respondents knew about community and education intervention can be given to prevent from consuming alcohol. Less than half (39.8%) adolescents said they consume alcohol and 70.9% adolescents consumed alcohol at the age between 17-19 years. More than half (56.3%) adolescents said they get alcohol from their friends and 56.3% adolescents consumed because of their curiosity. Majority (71.0%) adolescents said they have family history of alcohol consumption and all the family use distillery alcohol. Less than half (45.1%) had knowledge on alcohol consumption and about (39.8%) adolescents practices alcohol consumption.

Conclusion: The study findings concluded that less than half of the respondents had knowledge on alcohol consumption and practices alcohol consumption. Therefore knowledge is lacking in some. Hence, adolescents should be educated about side effects, cause, complication and preventive measures for further management of alcohol consumption.