Social–Contextual Factors Associated with Alcohol Use among Adolescents of Traditional Alcohol User and Nonuser Ethnic Groups of Nepal

Parajuli, Vandana Joshi; Macdonald, Scott; Jimba, Masamine

doi:10.1080/15332640.2014.973624

Cited by 17 publications

(10 citation statements)

References 25 publications

(28 reference statements)

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“…Alcohol use amongst the Nepali population is becoming very common [29]. Parajuli et al [30]) argue that globalisation, Western consumer culture and economic liberalization have resulted in normalisation of alcohol usage within the wider Nepali society. The cultural acceptance of alcohol consumption within the Nepali community has created a blurred line between acceptable levels of drinking and excessive alcohol consumption [31].…”

Section: Discussionmentioning

confidence: 99%

Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population

Simkhada

Sah

Mercel-Sanca³

et al. 2020

J Immigrant Minority Health

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With the growing UK Nepali community, understanding their health and social careneeds is an essential to reduce health and social care inequalities. However, very littleis known about the health, wellbeing and utilisation of health and social care servicesamong the Nepali population in the UK. Therefore, this study set out to identify healthand social care needs of Nepali community. The mixed-methods study was conducted with the Nepali population living in London. Itconsists of a semi-structured survey (N = 345); three focus group discussions and threekey informant interviews. The mean age of the participants was 40.6 (± 17.6). About 28% of our sample reportedhaving chronic health problems. About 60% currently consume alcohol and 21% weresmokers. Male participants (35%) more likely to be physically active than females(21%). Registration with a family doctor/general practitioner (GP) was high (96%).However, uptake of disease screening was very low (28%). In the preceding year, 17%had experienced poor mental or emotional health. The findings also suggest language is a key barrier to utilise health and social careamong UK Nepali. We suggest removing the language barrier is essential step to improve access toavailable health and social care services. A culturally sensitive educational initiativecreating awareness about the structure of UK health and social care services isrequired to offer to this community.

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Section: Discussionmentioning

confidence: 99%

Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population

Simkhada

Sah

Mercel-Sanca³

et al. 2020

J Immigrant Minority Health

View full text Add to dashboard Cite

show abstract

“…The evidence is clear that smoking in fact increases stress in part as a result of cravings [38,39]. Widespread use of tobacco and alcohol products were facilitated by many factors including the social and cultural acceptability of such products in Nepalese society [40,41]. However, key reasons for the wider use of such products was mainly due to easy availability of such products, commercial in uences in policy and delays in administering widespread and effective preventive strategies and policies.…”

Section: Discussionmentioning

confidence: 99%

The role of tobacco and alcohol use in the interaction of social determinants of non-communicable diseases in Nepal: a systems perspective

Sharma¹,

Matheson

Lambrick

et al. 2020

Preprint

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Background: Tobacco and alcohol use are major behavioural risks in developing countries like Nepal, which are contributing to a rapid increase in non-communicable diseases (NCDs). This causal relationship is further complicated by the multi-level social determinants such as socio-political context, socio-economic factors and health systems. The systems approach has potential to facilitate understanding of such complex causal mechanisms. The objective of this paper is to describe the role of tobacco and alcohol use in the interaction of social determinants of NCDs in Nepal. Method: The study adopted a qualitative study design guided by the Systemic Intervention methodology. The study involved key informant interviews (n=63) and focus group discussions (n=12) at different levels (national, district and/or community) and was informed by the adapted Social Determinants of Health Framework . The data analysis involved case study-based thematic analysis using framework approach and development of causal loop diagrams. The study also involved three sense-making sessions with key stakeholders. Results: Three key themes and causal loop diagrams emerged from the data analysis. Widespread availability of tobacco and alcohol products contributed to the use and addiction of tobacco and alcohol. Low focus on primary prevention by health systems and political influence of tobacco and alcohol industries were the major contributors to the problem. Gender and socio-economic status of families/communities were identified as key social determinants of tobacco and alcohol use. Conclusion: Tobacco and alcohol use facilitated interaction of the social determinants of NCDs in the context of Nepal. Socio-economic status of families was both driver and outcome of tobacco and alcohol use. Health system actions to prevent NCDs were delayed mainly due to lack of system insights and commercial influence. A multi-sectoral response led by the health system is urgently needed.

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“…The evidence is clear that smoking in fact increases stress in part as a result of cravings [38,39]. Misconceptions about the benefits of smoking and alcohol use were reinforced because of how socially and culturally acceptable these addictive products are in much of Nepalese society [40,41]. However, one of the key reasons for the widespread use of such products was mainly due to availability of such products and the influence of big tobacco and alcohol companies, and in conjunction with delays in administering widespread and effective preventive strategies and policies.…”

Section: Discussionmentioning

confidence: 99%

The role of tobacco and alcohol use in the interaction of social determinants of non-communicable diseases in Nepal: a systems perspective

Sharma¹,

Matheson

Lambrick

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Tobacco and alcohol use are major behavioural risks in developing countries like Nepal, which are contributing to a rapid increase in non-communicable diseases (NCDs). This causal relationship is further complicated by the multi-level social determinants such as socio-political context, socio-economic factors and health systems. The systems approach has potential to facilitate understanding of such complex causal mechanisms. The objective of this paper is to describe the role of tobacco and alcohol use in the interaction of social determinants of NCDs in Nepal. Method: The study was a qualitative study design guided by the Systemic Intervention methodology. The study involved key informant interviews (n=63) and focus group discussions (n=12) at different levels (policy, district and/or community) and was informed by the adapted Social Determinants of Health Framework . The data analysis involved case study-based thematic analysis using framework approach and development of causal loop diagrams. The study also involved three sense-making sessions with key stakeholders. Results: Three key interacting themes emerged during the data analysis. Widespread availability of tobacco and alcohol products contributed to the use and addiction of tobacco and alcohol. Low focus on prevention by health systems and policy influence of tobacco and alcohol companies were the major contributors to the problem. Gender and socio-economic status of families/communities were identified as key social determinants of tobacco and alcohol use. These interacting themes were utilised to develop causal loop diagrams and system archetypes. Conclusion: Tobacco and alcohol use facilitated interaction of the social determinants of NCDs in the context of Nepal. Socio-economic status of families was both driver and outcome of tobacco and alcohol use. Health system actions to prevent NCDs were delayed mainly due to lack of system insights and policy influence. A multi-sectoral response led by the health system is urgently needed.

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Social–Contextual Factors Associated with Alcohol Use among Adolescents of Traditional Alcohol User and Nonuser Ethnic Groups of Nepal

Cited by 17 publications

References 25 publications

Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population

Perceptions and Experiences of Health and Social Care Utilisation of the UK-Nepali Population

The role of tobacco and alcohol use in the interaction of social determinants of non-communicable diseases in Nepal: a systems perspective

The role of tobacco and alcohol use in the interaction of social determinants of non-communicable diseases in Nepal: a systems perspective

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