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The Prevalence and Context of Alcohol Use, Problem Drinking and Alcohol-Related Harm among Youth Living in the Slums of Kampala, Uganda

Author

Listed:
  • Monica H. Swahn

    (School of Public Health, Georgia State University, P.O. Box 3984, Atlanta, GA 30302, USA)

  • Rachel Culbreth

    (School of Public Health, Georgia State University, P.O. Box 3984, Atlanta, GA 30302, USA)

  • Laura F. Salazar

    (School of Public Health, Georgia State University, P.O. Box 3984, Atlanta, GA 30302, USA)

  • Nazarius Mbona Tumwesigye

    (School of Public Health, Makerere University, Kampala P.O. Box 7062, Uganda)

  • David H. Jernigan

    (Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, MD 21205, USA)

  • Rogers Kasirye

    (Uganda Youth Development Link, Sir Apollo Kaggwa Rd, Kampala P.O. Box 12659, Uganda)

  • Isidore S. Obot

    (Department of Psychology, University of Uyo, Uyo 520003, Nigeria)

Abstract

Background. The purpose of this paper is to investigate the prevalence and context of alcohol use, problem drinking and alcohol-related harm among boys and girls in the slums of Kampala, Uganda. Methods. The Kampala Youth Survey is a cross-sectional study conducted in 2014 among youth (ages 12–18 years) living in the slums of Kampala ( n = 1133) who were participating in Uganda Youth Development Link (UYDEL) centers. Chi-square tests were used to determine differences in alcohol use behaviors between 1) gender (boys vs. girls), and 2) alcohol use behaviors between problem drinkers and non-problem drinkers, stratified by gender. Results. Among all participants ( n = 1133), the prevalence of any alcohol use in the past 12 months was 31% ( n = 346). A higher percentage of girl drinkers reported having sex in the past month, without a condom (57.9%) due to alcohol consumption, compared to boy drinkers (41.9%) ( χ 2 = 8.09, df = 1, p = 0.005). For girl and boy drinkers, nearly half (49.5% and 44.1%, respectively) met the criteria for problem drinkers, measured using the Cut-Annoyed-Guilty-Eye-Opener (CAGE) questionnaire. Conclusions. The high prevalence of alcohol use and problem drinking among youth, as well as alcohol-related harm, warrant urgent alcohol prevention and intervention strategies, particularly among these underserved girls.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2451-:d:341178
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    References listed on IDEAS

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    1. Rachel Culbreth & Monica H. Swahn & David Ndetei & Lynnette Ametewee & Rogers Kasirye, 2018. "Suicidal Ideation among Youth Living in the Slums of Kampala, Uganda," IJERPH, MDPI, vol. 15(2), pages 1-10, February.
    2. Hennessy, M. & Romer, D. & Valois, R.F. & Vanable, P. & Carey, M.P. & Stanton, B. & Brown, L. & Ralph DiClemente & Salazar, L.F., 2013. "Safer sex media messages and adolescent sexual behavior: 3-year follow-up results from project iMPPACS," American Journal of Public Health, American Public Health Association, vol. 103(1), pages 134-140.
    3. 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.
    4. 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.
    5. Alan D. Lopez & Colin D. Mathers & Majid Ezzati & Dean T. Jamison & Christopher J. L. Murray, 2006. "Global Burden of Disease and Risk Factors," World Bank Publications - Books, The World Bank Group, number 7039.
    6. Monica H. Swahn & Jane B. Palmier & Rogers Kasirye & Huang Yao, 2012. "Correlates of Suicide Ideation and Attempt among Youth Living in the Slums of Kampala," IJERPH, MDPI, vol. 9(2), pages 1-14, February.
    7. Helen A. Weiss & Judith Vandepitte & Justine N. Bukenya & Yunia Mayanja & Susan Nakubulwa & Anatoli Kamali & Janet Seeley & Heiner Grosskurth, 2016. "High Levels of Persistent Problem Drinking in Women at High Risk for HIV in Kampala, Uganda: A Prospective Cohort Study," IJERPH, MDPI, vol. 13(2), pages 1-15, January.
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    Cited by:

    1. Matthew J. Lyons & Monica H. Swahn & Rachel Culbreth & Dennis Reidy & Tina Musuya & Paul Bukuluki, 2022. "A Comparative Analysis of Gender Discrepancy Stress, Attitudes toward Intimate Partner Violence, and Perpetration among Young Adults in the USA and Uganda," IJERPH, MDPI, vol. 19(20), pages 1-13, October.
    2. Lucía Moure-Rodríguez & Francisco Caamano-Isorna, 2020. "We Need to Delay the Age of Onset of Alcohol Consumption," IJERPH, MDPI, vol. 17(8), pages 1-6, April.
    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. 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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