Social acceptance of alcohol use in Uganda.

Ssebunnya, Joshua; Kituyi, Caroline; Nabanoba, Justine; Nakku, Juliet; Bhana, Arvin; Kigozi, Fred

doi:10.21203/rs.2.12941/v5

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…In western cultures, funerary rites explicitly include alcohol consumption [34]. This expectation is present in cultures worldwide [35,36]. These paradoxes require evaluation and re nement to support the development of population-level interventions to diminish bereavement-related alcohol injury.…”

Section: Discussionmentioning

confidence: 99%

Estimating prevalence of bereavement, its contribution to risk for binge drinking, and other high-risk health states in a state population survey, 2019 Georgia Behavioral Risk Factor Surveillance Survey

Miles¹,

Li²,

Khan³

et al. 2023

Preprint

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Background: This report examines the cross-sectional association between new bereavement and binge drinking. Bingeing is defined as 4 or more drinks (women) or 5 or more drinks (men) in a 2-to-4-hour setting. In the 2019 Georgia Behavioral Risk Factor Surveillance Survey (BRFSS), bereavement is a defined as a ‘Yes’ answer to ‘Have you experienced the death of a family member or close friend in the years 2018 or 2019?’. Methods: Georgia BRFSS is a complex sampling survey administered annually. It is designed to represent the 8.1 million persons in the U.S. state of Georgia aged 18 years and older. Alcohol consumption is routinely measured in the common core. In 2019, the state added a new item probing for bereavement in the prior 24 months predating the pandemic of COVID-19. Imputation and weighting techniques were applied to yield population prevalence rates of new bereavement, bingeing, and their co-occurrence with other high-risk health states. Models, adjusted for age, gender, and race were used to estimate the risk for other unhealthy behaviors posed by the co-occurrence of bereavement and bingeing. Results: In Georgia, bereavement is common (45.8 %), and alcohol consumption is common (48.8 %). Bereavement and alcohol use co-occurred among 1,796,817 persons (45 % of all drinkers). The subset of co-occurring bereavement and binging totaled 608,282 persons. Within this group, the highest rates of bereavement were associated with death of a friend / neighbor (30.7%) or 3 plus deaths (31.8%). Conclusions: While bingeing is a known risk to public health, its co-occurrence with new bereavement is a new observation. Public health surveillance systems need to monitor this co-occurrence to protect both individual and societal health.

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Section: Discussionmentioning

confidence: 99%

Estimating prevalence of bereavement, its contribution to risk for binge drinking, and other high-risk health states in a state population survey, 2019 Georgia Behavioral Risk Factor Surveillance Survey

Miles¹,

Li²,

Khan³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…In western cultures, funerary rites explicitly include alcohol consumption [34]. This expectation is present in cultures worldwide [35,36]. These paradoxes require evaluation and refinement to support the development of population-level interventions to diminish bereavement-related alcohol injury.…”

Section: Discussionmentioning

confidence: 99%

Estimating Prevalence of Bereavement, Its Contribution to Risk for Binge Drinking, and Other High-Risk Health States in a State Population Survey, 2019 Georgia Behavioral Risk Factor Surveillance Survey

Miles¹,

Li²,

Khan³

et al. 2023

Preprint

View full text Add to dashboard Cite

Binge drinking is a pattern of alcohol abuse. Its prevalence and associated risk factors are not well documented. Heavy drinking, on the other hand, has a well-studied association with bereavement . This report uses a cross-sectional, population-based survey to estimate prevalence of bingeing and its association with new bereavement. Bingeing is defined as 4 or more drinks (women) or 5 or more drinks (men) in a 2-to-4-hour setting. For the first time, the Georgia Behavioral Risk Factor Surveillance Survey (BRFSS) included a bereavement item, ‘Have you experienced the death of a family member or close friend in the years 2018 or 2019?’. Methods: Georgia BRFSS is a complex sampling survey administered annually. It is designed to represent the 8.1 million persons in the U.S. state of Georgia aged 18 years and older. Alcohol consumption patterns are routinely measured in the common core. In the 2019 field survey, the state added a new item probing for bereavement in the prior 24 months predating the pandemic of COVID-19. Imputation and weighting techniques were applied to yield population prevalence rates of new bereavement, bingeing, and their co-occurrence with other high-risk health states. Models, adjusted for age, gender, and race were used to estimate the risk for other unhealthy behaviors posed by the co-occurrence of bereavement and bingeing. Results: In Georgia, bereavement is common (45.8 %), and alcohol consumption is common (48.8 %). Bereavement and alcohol use co-occurred among 1,796,817 persons (45 % of all drinkers). The subset of co-occurring bereavement and binging totaled 608,282 persons. Within this group, the highest rates of bereavement were associated with death of a friend / neighbor (30.7%) or 3 plus deaths (31.8%). Conclusions: While bingeing is a known risk to public health, its co-occurrence with recent bereavement is a new observation. Public health surveillance systems need to monitor this co-occurrence to protect both individual and societal health. In a time of global bereavement, documenting its influence on binge drinking can support the work towards Sustainable Goal #3 – Good health and Well-Being. Keywords: BRFSS, Binge Drinking, Population Survey, Bereavement, SDG#3. Mental Health

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“…Often, they would offer alcohol to their children, or the children would steal the alcohol. Another study from Uganda showed how some parents administered alcohol to children as medicine, with a belief that it cures coughs, u, malaria and kills intestinal germs [20]. Parents could proudly introduce their children to alcohol, especially the boys, and were happy to have their sons drink, just like them.…”

Section: Major Ndingsmentioning

confidence: 99%

A qualitative study about Explanatory Models of alcohol use disorder among Ugandans

Rudenstrand¹,

Bäärnhielm

2022

Preprint

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Background Alcohol use disorder (AUD) is a growing clinical problem in Uganda. The alcohol consumption is among the most voluminous worldwide. Explanatory models (EMs) of illness are important as they have consequences for treatment. Clinicians´ knowledge about patients´ EMs can improve understanding of the latter´s perspectives and adapting treatments. There is a lack of African studies about EMs of AUD. The aim of this study was to explore EMs for AUD among hospitalized patients and their relatives at the alcohol and drug unit (ADU) at Butabika hospital in Uganda. Methods An adapted version of the Explanatory Model Interview Catalogue (EMIC) was used for interviews with ten patients and five relatives to investigate how both hospitalized patients with AUD and their relatives understand the disease. Data were analysed for themes with a qualitative content analysis and support of the software program, OpenCode 4.03. Results Five major themes were identified from the patient interviews: “Context promotes AUD”; “Alcohol is part of culture”; “Spiritual causes of AUD in the community”; “Help through Western medicine and religious sources is preferred” and “Social problems and stigmatization”. Six major themes identified from the interviews with relatives were: “Numerous causes of drinking alcohol”; “Devastating consequences of drinking alcohol”; “Exploiting persons with AUD”; “Others’ suffering”; “Relatives struggling for help” and “Suggested solutions”. Conclusions Patients’ EMs of AUD included social and spiritual explanations. Alcohol is seen as an important part of the Ugandan culture among both patients and their relatives. The results indicate it is important in clinical contexts to investigate the EMs of the patients and relatives.

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Social acceptance of alcohol use in Uganda.

Cited by 4 publications

References 9 publications

Estimating prevalence of bereavement, its contribution to risk for binge drinking, and other high-risk health states in a state population survey, 2019 Georgia Behavioral Risk Factor Surveillance Survey

Estimating prevalence of bereavement, its contribution to risk for binge drinking, and other high-risk health states in a state population survey, 2019 Georgia Behavioral Risk Factor Surveillance Survey

Estimating Prevalence of Bereavement, Its Contribution to Risk for Binge Drinking, and Other High-Risk Health States in a State Population Survey, 2019 Georgia Behavioral Risk Factor Surveillance Survey

A qualitative study about Explanatory Models of alcohol use disorder among Ugandans

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