Suchergebnisse

Many young people in Western countries are abstaining from alcohol consumption, but their Nigerian counterparts are adopting lifestyles that valorize alcohol use and heavy drinking rituals. This study explored heavy drinking practices and alcohol-related harms among young Nigerians (students and nonstudents) who use alcohol. Although participants were highly knowledgeable about the harms associated with heavy drinking, they reported heavy drinking and normalized intoxication. Most participants consumed between 3 and 12 bottles of beer, stout and other alcoholic beverages on a single occasion and suffered multiple incidents of intoxication and loss of control with adverse outcomes. Many participants suffered more than one health-related consequence, like vomiting, hangovers, and abdominal pain, while others fell sick, which incapacitated them for many days/weeks. Heavy drinking and intoxication also adversely impacted training and studies, as some participants could not go to work or attend lectures as planned. The findings highlighted the need for prevention and intervention strategies that seek to reduce heavy drinking and associated harms by targeting the social norms around heavy drinking specifically. Lessons learned in regions with youth drinking decline may inform public health strategies that can be implemented in Nigeria.

Introduction. Underage drinking can have profoundly negative impacts on childhood development. This study compares 4 categories of known underage drinking risk factors with alcohol consumption. The social indicators in these categories will be compared in the 10 most-at-risk (MAR) counties and the 10 least-at-risk (LAR) counties identified in Georgia. Methods. Independent 2-tailed t-tests were conducted to compare group means among MAR and LAR counties for all identified risk factors. Results. Significant differences were observed in all factors included in the poverty and alcohol outlet density categories. Discussion. The findings underscore the importance of better understanding youth drinking, poverty, and alcohol outlet density. However, our findings, supported by previous individual and aggregated level research, support strategies for researchers and policy makers to more proactively respond to poverty-stricken and high-density alcohol outlet indicators. The current ecological evaluation of underage drinking risk assessed on a macrolevel offers insights into the demographic features, social structures, and cultural patterns of counties that potentially predispose youth to greater health risks specifically associated with underage drinking.

This study determined the prevalence and correlates of victimization among girls and young women in Kampala. The study population, a convenience sample of youth living in the slums, were 14 to 24 years of age, and participants in community-based drop-in centers ( N = 313). Overall, the prevalence of physical fights (37%), being threatened or injured with a weapon (28%), and being raped (30%) was high and increased with age. Multivariate analyses revealed that sadness, drunkenness, and hunger were associated with multiple forms of victimization. Findings suggest that additional services are needed to address the cumulative impact of victimizations, depression, and living conditions.

BACKGROUND: Youth living in the slums of Kampala face many adversities, such as dire environmental conditions, poverty, and lack of government infrastructure. OBJECTIVE: The purpose of this study is to examine the interplay of alcohol use and child maltreatment on suicidal ideation among youth living in the slums of Kampala, Uganda. PARTICIPANTS AND SETTING: The study sample includes service-seeking youth who were attending Uganda Youth Development Link (UYDEL) drop-in centers in spring 2014 (n=1,134). METHODS: Indicators of child maltreatment included parental physical abuse, parental neglect, and sexual abuse. Problematic alcohol use was specified using a hybrid structural equation mixture model that distinguished current drinking status with the frequency and intensity of use among current drinkers. This novel approach is more flexible than restricting our analysis to only drinkers or analyzing only current drinking status. The primary outcome of interest was suicidal ideation. All associations controlled for gender and age, and all associations were estimated simultaneously. All analyses were conducted in SAS 9.4 and Mplus 7.4. RESULTS: The overall prevalence of suicidal ideation was 23.5% (n=266). Overall, current drinking status (OR: 1.80; 95% CI: 1.31, 2.46), the child maltreatment sum score (OR: 1.88; 95% CI: 1.48, 2.39), and sexual abuse (OR: 2.88; 95% CI: 1.52, 5.47) were statistically significantly associated with reporting suicidal ideation. CONCLUSIONS: This study highlights a population that would potentially benefit from prevention efforts not only aimed at suicide prevention but also harm reduction in terms of alcohol use and experiences of child maltreatment.