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Epidemiological Findings of Alcohol Misuse and Dependence Symptoms among Adolescent Girls and Young Women Involved in High-Risk Sexual Behavior in Kampala, Uganda

Author

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  • Yunia Mayanja

    (Medical Research Council/ Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, P.O. Box 49, Plot 51-59 Nakiwogo Road, Entebbe 256, Uganda)

  • Onesmus Kamacooko

    (Medical Research Council/ Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, P.O. Box 49, Plot 51-59 Nakiwogo Road, Entebbe 256, Uganda)

  • Daniel Bagiire

    (Medical Research Council/ Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, P.O. Box 49, Plot 51-59 Nakiwogo Road, Entebbe 256, Uganda)

  • Gertrude Namale

    (Medical Research Council/ Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, P.O. Box 49, Plot 51-59 Nakiwogo Road, Entebbe 256, Uganda)

  • Janet Seeley

    (Medical Research Council/ Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine (MRC/UVRI & LSHTM) Uganda Research Unit, P.O. Box 49, Plot 51-59 Nakiwogo Road, Entebbe 256, Uganda
    Department of Global Health and Development, London School of Hygiene and Tropical Medicine (LSHTM), Keppel Street London, London WC1E 7HT, UK)

Abstract

Alcohol-related harms may be increased among adolescent girls and young women (AGYW) involved in sex work, yet data on alcohol misuse among AGYW in sub-Saharan Africa are still scarce. We conducted a cross-sectional study among 15–24-year-old AGYW from January 2013 to December 2018 in Kampala, Uganda and used the Alcohol Use Disorder Identification Test (AUDIT) to study alcohol use patterns and dependence symptoms (dependence score ≥4). Of 1440 participants (median age 21 years), 83.1% had less than secondary education, 79.8% reported ≥10 paying sexual partners in the past month, 46.0% had ever experienced intimate partner violence (IPV), and 20.6% were living with HIV. Overall, 59.9% scored ≥8 and 29.4% scored ≥16 on the AUDIT. Of 277 (15.8%) with dependence symptoms, 69.1% were screened alcohol dependent. An AUDIT score ≥8 was associated with older age, illicit drug use, experiencing IPV, inconsistent condom use with paying partners, and HIV sero-negativity. All factors remained associated with a higher score ≥16 except HIV status. Similarly, illicit drug use, experiencing IPV and inconsistent condom use were associated with dependence symptoms and, in addition, a higher number of paying sexual partners. Alcohol misuse is high in this population, they urgently need harmful substance use reduction interventions.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6129-:d:402964
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    References listed on IDEAS

    as
    1. Monica O. Kuteesa & Helen A. Weiss & Sarah Cook & Janet Seeley & Josephine N. Ssentongo & Robert Kizindo & Paul Ngonzi & Moses Sewankambo & Emily L. Webb, 2020. "Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15–24 Years in Fishing Communities in Uganda," IJERPH, MDPI, vol. 17(7), pages 1-21, April.
    2. 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.
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