‘Drinking with respect’: Drinking constructions of men who live in a Cape Winelands farm community in South Africa

Lesch, Elmien; Casper, Rozanne

doi:10.1177/1359105315603476

Cited by 6 publications

(3 citation statements)

References 43 publications

(62 reference statements)

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“…Finally, the cravings results demonstrated that only alcohol-specific reward was significantly associated with cravings. In this sample, alcohol was consumed on average 30% of the past 14 days, with majority of drinking days occurring on weekends, which is common in South Africa (Lesch & Casper, 2017; Parry et al, 2005). Weekend drinking often happens in this setting because people get paid from work on Fridays and prior evidence shows that having money can be a trigger for substance use (Dobkin & Puller, 2007; Swartz et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

The role of reward and reinforcement in understanding alcohol use among adults living with HIV in South Africa.

Belus¹,

Rose²,

Andersen³

et al. 2021

Psychology of Addictive Behaviors

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Objective: Most research investigating reinforcement in alcohol use is from high-income countries. The current study sought to understand the association of different reinforcement types (alcohol-specific reward, environmental reward, behavioral activation) with multiple measures of alcohol use and cravings among individuals living with HIV in South Africa. Method: Baseline data were obtained from a substance use clinical trial in Cape Town (N = 65). Unhealthy alcohol use was measured using the biomarker phosphatidylethanol (PEth), Alcohol Use Identification Test (AUDIT-C), average number of drinks from the timeline follow back (TLFB), and self-reported cravings. Reinforcement was measured using the proportion of income spent on alcohol (alcohol-specific reward), both subscales of the Reward Probability Index (environmental reward), and the Behavioral Activation Depression Scale (activation). Poisson and linear regression analyses were conducted. Results: Each percentage point increase in income spent on alcohol was significantly associated with PEth, RR = 1.004 [95% CI (1.001, 1.007)], which translates to a 13.6% increase in the relative risk of unhealthy alcohol use for the average person in the study. More alcohol-specific reward was significantly associated with higher scores on the AUDIT-C, higher average number of drinks on the TLFB, and more cravings. Higher activation was associated with lower scores on the AUDIT-C. Neither subscale of environmental reward was associated with model outcomes. Conclusion: Greater alcohol-specific reward and less behavioral activation were associated with more frequent and unhealthy alcohol use in this setting, but not environmental reward. Findings highlight how different reinforcement types potentially influence alcohol use in a low-resource global setting. Public Health Significance StatementMore money spent on alcohol and less goal-directed behavior were associated with more alcohol use in adult drinkers living with HIV in South Africa. Identifying readily available rewarding opportunities outside of alcohol is needed in a population with very few financial resources and comorbid HIV in South Africa.

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Section: Discussionmentioning

confidence: 99%

The role of reward and reinforcement in understanding alcohol use among adults living with HIV in South Africa.

Belus¹,

Rose²,

Andersen³

et al. 2021

Psychology of Addictive Behaviors

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“…15 Ekipe hitnih medicinskih pomoći imaju znatno više poziva oko dva sata noću i trostruko više poziva krajem meseca zbog konzumacije alkohola i zadobijenih povreda. 16 Ovo se objašnjava povećanom konzumacijom alkohola tokom vikenda 17,18 što sledstveno dovodi do nasilnog ponašanja. 19 Prema podacima iz ESTP, nasilje je zabeleženo već u adolescentnom uzrastu.…”

Section: Diskusijaunclassified

EuReCa_Serbia - Trauma Program: EMS interventions in-field and in emergency room in Serbia

Fišer¹,

Randelović²,

Obradović³

2019

J Resuscitatio Balcan

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CILJCilj rada je ispitati vremensku i polnu distribuciju trauma događaja, te utvrditi učestalost zbrinjavanja traume na terenu i ambulantno. MATERIJAL I METODEObrađivani su podaci iz registra EuReCa_Srbija-Trauma Programa (ESTP), opservacione prospektivne studije formirane i postavljene od strane Resuscitacionog Saveta Srbije. Analizirani podaci su o pacijentima koji su doživeli trauma događaj i zbrinuti su od strane hitne medicinske pomoći (HMP) ambulantno i na terenu u 10 centara iz Srbije u periodu 1. 09.2018. -31.12.2018. Analiza podataka rađena sa IBM SPSS Statistics 20. REZULTATIESTP beleži ukupno 3396 intervencija od kojih se 35.8% odnosilo na intervencije na terenu, a 64.3% na ambulantne preglede. Muškaraca je bilo statistički značajno više (58.8%) nego žena (41.2%).Nije postojala značajna polna distribucija intervencija na terenu i u ambulanti. Žene su bile starije životne dobi (Z=-10,843; p = 0,000). Postojala je značajna razlika po polu u vremenskom periodu intervencija na terenu i ambulanti (χ2=23.310; df = 3; p = 0,000). Kod muškaraca se više intervenisalo na terenu noću (10,1% vs. 6%), a kod žena prepodne (35% vs. 30,1%). ZAKLJUČAKHitna medicinska pomoć zbrinjava više pacijenata sa traumom u ambulantnim uslovima nego na terenu. Postoji razlika po polovima i intervencijama tokom dana i noći. Osobe muškog pola se češće povređuju noću.Najveći broj trauma događaja se registruje u prepodnevnim i ranim popodnevnim satima.Žene starije životne dobi su izloženije povređivanju. Potrebno je dalje praćenje epidemioloških podataka kako bi pratili uzroke i faktore rizika koji dovode do navedenih nejednakosti. ABSTRACT Aim:Aim of this paper is to investigate the time and gender distribution of trauma events and to determine incidence of trauma management under out-of-hospital and emergency room settings.Zoran Fišer, Zavod za hitnu medicinsku pomoć Novi Sad, Novi Sad, Srbija, Journal Resuscitatio Balkanica -godina V • broj 13. |

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“…Em outros continentes, não é diferente: na África do Sul, o consumo abusivo de álcool entre homens é o maior problema psicossocial que o país enfrenta (Gossage et al, 2014), pois esse consumo é considerado como um ícone da perpetuação da hegemonia masculina no decorrer da história, sempre atrelado à socialização entre pares do mesmo sexo (Lesch, 2017).…”

Section: Apsunclassified

Intervenção breve grupal para a redução do padrão de uso de álcool em homens: ensaio clínico randomizado

Ramírez¹

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Ao universo, e todas as forças superiores a mim nele contidas, que permitiram que eu chegasse até aqui em meio de dificuldades e momentos maravilhosos, que sem dúvida trouxeram grandes aprendizados. Ao professor Divane de Vargas, pela orientação, por ter me acolhido, e depositado sua confiança em mim desde o primeiro momento, quando cheguei no Brasil sem falar português direito; pelos conhecimentos compartilhados além da academia, por ser meu porto seguro nos momentos mais difíceis, por esse seu sorriso e seu jeito de ser, pelo seu apoio e preocupação constante durante a elaboração desse trabalho. Minha eterna admiração e gratidão. A Mily Moreno, minha companheira nesta caminhada, agradeço a você por estar junto, em cada crise, nas alegrias, nos momentos de dúvida. Você fez com que o caminho percorrido até a finalização desse trabalho fosse mais agradável e feliz. Aos meus colegas, amigos e cúmplices, Janaina, Marina,

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‘Drinking with respect’: Drinking constructions of men who live in a Cape Winelands farm community in South Africa

Cited by 6 publications

References 43 publications

The role of reward and reinforcement in understanding alcohol use among adults living with HIV in South Africa.

The role of reward and reinforcement in understanding alcohol use among adults living with HIV in South Africa.

EuReCa_Serbia - Trauma Program: EMS interventions in-field and in emergency room in Serbia

Intervenção breve grupal para a redução do padrão de uso de álcool em homens: ensaio clínico randomizado

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