As with other behaviors of people, the approach to alcohol use and cultural and environmental predisposition of the community in which one lives are the main factors that closely affect alcohol use attitudes. In traditional social structures, traditions and customs may have a more dominant role on the behavior of the person. It is possible to see this interaction in the example of the Gypsies, who maintain their cultural patterns and traditional structures through intergenerational transmission and develop a unique attitude due to their commitment to tradition. In particular, this situation can be observed by examining the attitudes and alcohol use behaviors of women and adolescents in this group. At this point, it is important to determine to what extent traditionalist approaches that show a protective approach against alcohol use by women, who are considered to be disadvantaged groups in the society, as well as the exposure of children and adolescents to alcohol and the tolerant approach to alcohol use in this community. In this study, a mixed group of Roman communities, which stand out with an effort to preserve their traditions, was chosen as a sample in order to determine the role of culture in alcohol consumption. Among the prominent results of the research conducted in the Selami Ali neighborhood of Üsküdar, which is one of the historical districts of Istanbul, the sexist approaches in the alcohol use attitudes of men and women of the community, which continue to adhere strictly to their traditions, continue to be fed by customs and traditions, the prevalence of use in the neighborhood leads to children and adolescents found to be adversely affected.