Early alcohol use and problem drinking among students in Zambia and Uganda

Swahn, Monica H.; Ali, Bina; Palmier, Jane B.; Tumwesigye, Nazarius Mbona; Sikazwe, George; Twa-Twa, Jeremiahs; Kasirye, Rogers

doi:10.4081/jphia.2011.e20

Cited by 29 publications

(26 citation statements)

References 29 publications

(34 reference statements)

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“…For example, cultural and community norms such as acceptance and ease of obtaining alcohol (Swahn et al, 2011) are demonstrated by the fact that 90% of Zambian youth report that alcohol is “very easy” to obtain in their community (Nkowane et al, 2004). In general, community level risk factors have been linked to HIV infection in young women (Gabrysch, Edwards, & Glynn, 2008).…”

Section: Literature Reviewmentioning

confidence: 99%

Risk factors for HIV among Zambian street youth

Tyler

Handema

Schmitz

et al. 2016

Journal of HIV/AIDS & Social Services

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The sub-Saharan African region has been disproportionately affected by Human Immunodeficiency Virus (HIV) and Zambia has one of the highest HIV prevalence rates within this region. Moreover, new incidences of HIV infection are increasing most rapidly among those 15 to 24 years of age. Though young people are at high risk for HIV infection, street youth are even more vulnerable given their exposure to high risk behaviors. The current study examines multiple levels of social influence on HIV infection among 250 street youth in Zambia. Results reveal that though the majority of youth understand what behaviors increase their risk for HIV, youth still hold many misconceptions about HIV/AIDS. Additionally, youth who do not have a home to return to and those who report parental drug misuse were significantly more likely to be HIV positive. This study underscores the need for further education among street youth regarding HIV knowledge.

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Section: Literature Reviewmentioning

confidence: 99%

Risk factors for HIV among Zambian street youth

Tyler

Handema

Schmitz

et al. 2016

Journal of HIV/AIDS & Social Services

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“…The prevalence of income was three to five minimum wages and the socioeconomic status was C. In other studies (1,2,5) students who reported higher income consumed more alcohol.…”

Section: Discussionmentioning

confidence: 99%

Consumo de bebidas alcóolicas entre estudantes de enfermagem

et al. 2015

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Objective: To compare the consumption of alcohol among freshmen and senior nursing students of an undergraduate course. Methods: Cross-sectional study with 154 nursing students. The research instrument was a questionnaire with socio-demographic data and academic life and the Alcohol Use Disorders Identification Test (AUDIT). In the data analysis, we used descriptive statistics, Pearson chi-square test, Fisher's exact test and linear trend. A statistical significance of 5% was adopted. Results: Most participants were female, aged 20-24 years old, single, who were black and from the C socioeconomic class. A total of 57.1% of the sample consumed alcohol. We found a higher frequency of consumption and alcohol doses for undergraduate students and greater proportion of these in AUDIT risk level zone II, III and IV. There was no statistically significant difference in analysis between zone and year of study. Conclusion: Senior students had higher harmful alcohol consumption. ResumoObjetivo: Comparar o consumo de bebida alcóolica entre estudantes de Enfermagem ingressantes e concluintes do curso. Métodos: Estudo transversal, com 154 estudantes de enfermagem. O instrumento de pesquisa foi um questionário com dados sociodemográficos e da vida acadêmica, e o Alcohol Use Disorders Identification Test (AUDIT). Na análise dos dados, empregaram-se estatísticas descritivas, teste Qui-quadrado de Pearson, exato de Fischer e de tendência linear. Adotou-se significância estatística de 5%. Resultados: Predominaram mulheres, na faixa etária de 20 a 24 anos, solteiros, da raça negra e classe socioeconômica C. Consumiam bebida alcoólica 57,1% da amostra. Constatou-se maior frequência de consumo e de doses de bebida alcoólica para estudantes concluintes e maior proporção destes nas Zonas AUDIT II, III e IV. Não houve diferença estatisticamente significante na análise entre zonas e ano em curso. Conclusão: Estudantes concluintes apresentaram maior consumo prejudicial de bebidas alcoólicas.

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“…3 In Zambia, it is estimated that 49.3% of the population above age 15 indulge in heavy drinking (five or more drinks) on at least one occasion in the past 30 days (60.1% for men and 24.8% for women) 4 , and problem drinking is greater among teen girls than teen boys. 5,6 Studies conducted in Zambia and the Republic of South Africa (RSA) found misperceptions about alcohol use during pregnancy. 7,8 Alcohol use during pregnancy has been found to be correlated with many negative health outcomes for the neonate (e.g., physical and cognitive defects 9 and neurodevelopmental abnormalities), 10 and for the mother (e.g., decreased production of breast milk).…”

Section: Introductionmentioning

confidence: 99%

Alcohol use, pregnancy and associated risk factors: a pilot cross-sectional study of pregnant women attending antenatal care in an urban city

Moise¹

2019

Preprint

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Background Alcohol consumption during pregnancy is associated with adverse pregnancy outcomes such as preventable alcohol-related developmental disability fetal alcohol syndrome. In Zambia, alcohol use and associated risk factors have not been investigated, and screening in prenatal care is nonexistent. This study determined individual correlates and the prevalence of alcohol use in pregnant women attending prenatal care at two health clinics in Lusaka, Zambia. Methods A study adopted a cross-sectional design and recruited 188 pregnant women after seeking their informed consent from July 19 to 31, 2017. Participants aged 18 or over completed the T-ACE (Tolerance, Annoyance, Cut Down and Eye Opener) screening tool and validated alcohol-screening questionnaires on self-reported alcohol use periconceptional and during conception period while at their regular prenatal visit. The T-ACE screening tool assessed the risk of alcohol dependence in four short questions. The questionnaires included demographic questions. Bivariate analyses were performed using the χ2 test for dichotomous variables and the t-test for continuous variables. Mixed-effects linear models were used to evaluate the effect of outcome variables with patient-level variables. Results About 40 (21.2%) pregnant women were identified by the T-ACE as at-risk for problem drinking during pregnancy. Except for regular prenatal care and distance, there was no difference in the demographic factors between pregnant women who scored <2 on the T-ACE and those that scored > 2 points (all p’s > 0.05). A small proportional of women at both clinics reported binge drinking during the periconceptional period (12.7% vs. 3.2%, p=0.003) and beyond periconception period. Excluding employed women, no significant relationships were observed between alcohol use and demographic factors. Conclusion These findings underscore the need for targeted screening and intervention for alcohol use in all pregnant women in Zambia.

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Early alcohol use and problem drinking among students in Zambia and Uganda

Cited by 29 publications

References 29 publications

Risk factors for HIV among Zambian street youth

Risk factors for HIV among Zambian street youth

Consumo de bebidas alcóolicas entre estudantes de enfermagem

Alcohol use, pregnancy and associated risk factors: a pilot cross-sectional study of pregnant women attending antenatal care in an urban city

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