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Problem Drinking, Alcohol-Related Violence, and Homelessness among Youth Living in the Slums of Kampala, Uganda

Author

Listed:
  • Monica H. Swahn

    (Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University, P.O. Box 3984 Atlanta, GA 30302-3984, USA)

  • Rachel Culbreth

    (Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University, P.O. Box 3984 Atlanta, GA 30302-3984, USA)

  • Nazarius Mbona Tumwesigye

    (Department of Epidemiology and Biostatistics, School of Public Health, Makerere University, Kampala 00256, Uganda)

  • Volkan Topalli

    (Department of Criminal Justice and Criminology, Andrew Young School of Policy Studies, Georgia State University, P.O. Box 3992, Atlanta, GA 30302-3992, USA)

  • Eric Wright

    (Department of Sociology, College of Arts and Science, Georgia State University, P.O. Box 5020, Atlanta, GA 30302-5020, USA)

  • Rogers Kasirye

    (Uganda Youth Developmental Link, P.O. Box 12659, Kampala 00256, Uganda)

Abstract

This paper examines problem drinking, alcohol-related violence, and homelessness among youth living in the slums of Kampala—an understudied population at high-risk for both alcohol use and violence. This study is based on a cross-sectional survey conducted in 2014 with youth living in the slums and streets of Kampala, Uganda ( n = 1134), who were attending Uganda Youth Development Link drop-in centers. The analyses for this paper were restricted to youth who reported current alcohol consumption ( n = 346). Problem drinking patterns were assessed among youth involved in alcohol-related violence. Mediation analyses were conducted to examine the impact of homelessness on alcohol-related violence through different measures of problem drinking. Nearly 46% of youth who consumed alcohol were involved in alcohol-related violence. Problem drinkers were more likely to report getting in an accident (χ 2 = 6.8, df = 1, p = 0.009), having serious problems with parents (χ 2 = 21.1, df = 1, p < 0.0001) and friends (χ 2 = 18.2, df = 1, p < 0.0001), being a victim of robbery (χ 2 = 8.8, df = 1, p = 0.003), and going to a hospital (χ 2 = 15.6, df = 1, p < 0.0001). For the mediation analyses, statistically significant models were observed for frequent drinking, heavy drinking, and drunkenness. Interventions should focus on delaying and reducing alcohol use in this high-risk population.

Suggested Citation

  • Monica H. Swahn & Rachel Culbreth & Nazarius Mbona Tumwesigye & Volkan Topalli & Eric Wright & Rogers Kasirye, 2018. "Problem Drinking, Alcohol-Related Violence, and Homelessness among Youth Living in the Slums of Kampala, Uganda," IJERPH, MDPI, vol. 15(6), pages 1-13, May.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:6:p:1061-:d:148668
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    References listed on IDEAS

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    1. Eric R. Wright & Brandon K. Attell & Erin Ruel, 2017. "Social Support Networks and the Mental Health of Runaway and Homeless Youth," Social Sciences, MDPI, vol. 6(4), pages 1-16, September.
    2. Monica H. Swahn & LeConté J. Dill & Jane B. Palmier & Rogers Kasirye, 2015. "Girls and Young Women Living in the Slums of Kampala," SAGE Open, , vol. 5(2), pages 21582440155, April.
    3. de Brauw, Alan & Mueller, Valerie & Lee, Hak Lim, 2014. "The Role of Rural–Urban Migration in the Structural Transformation of Sub-Saharan Africa," World Development, Elsevier, vol. 63(C), pages 33-42.
    4. Robert J. Sampson, 2009. "Racial Stratification and the Durable Tangle of Neighborhood Inequality," The ANNALS of the American Academy of Political and Social Science, , vol. 621(1), pages 260-280, January.
    5. Greene, J.M. & Ennett, S.T. & Ringwalt, C.L., 1997. "Substance use among runaway and homeless youth in three national samples," American Journal of Public Health, American Public Health Association, vol. 87(2), pages 229-235.
    6. Monica H. Swahn & Rachel E. Culbreth & Catherine A. Staton & Shannon R. Self-Brown & Rogers Kasirye, 2017. "Alcohol-Related Physical Abuse of Children in the Slums of Kampala, Uganda," IJERPH, MDPI, vol. 14(10), pages 1-13, September.
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    Cited by:

    1. David A. Sleet, 2018. "The Global Challenge of Child Injury Prevention," IJERPH, MDPI, vol. 15(9), pages 1-7, September.
    2. John Friesen & Victoria Friesen & Ingo Dietrich & Peter F. Pelz, 2020. "Slums, Space, and State of Health—A Link between Settlement Morphology and Health Data," IJERPH, MDPI, vol. 17(6), pages 1-28, March.
    3. Monica H. Swahn & Rachel E. Culbreth & Amanda K. Gilmore & Dominic J. Parrott & Leah E. Daigle & Rogers Kasirye & Paul Bukuluki, 2022. "Sexual Victimization, Self-Efficacy to Refuse Sex While Drinking, and Regretting Alcohol-Involved Sex among Underserved Youth in Kampala, Uganda," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    4. Monica H. Swahn & Rachel Culbreth & Laura F. Salazar & Nazarius Mbona Tumwesigye & David H. Jernigan & Rogers Kasirye & Isidore S. Obot, 2020. "The Prevalence and Context of Alcohol Use, Problem Drinking and Alcohol-Related Harm among Youth Living in the Slums of Kampala, Uganda," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    5. Yunia Mayanja & Onesmus Kamacooko & Daniel Bagiire & Gertrude Namale & Janet Seeley, 2020. "Epidemiological Findings of Alcohol Misuse and Dependence Symptoms among Adolescent Girls and Young Women Involved in High-Risk Sexual Behavior in Kampala, Uganda," IJERPH, MDPI, vol. 17(17), pages 1-13, August.

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