IDEAS home Printed from https://ideas.repec.org/a/spr/chinre/v15y2022i4d10.1007_s12187-022-09913-9.html
   My bibliography  Save this article

Youths’ Perceptions Of The Relation Between Alcohol Consumption And Risky Sexual Behaviour in the Western Cape, South Africa: A Qualitative Study

Author

Listed:
  • Cassandra Carels

    (University of the Western Cape)

  • Maria Florence

    (University of the Western Cape)

  • Sabirah Adams

    (University of Cape Town)

  • Deborah Louise Sinclair

    (University of the Western Cape
    Ghent University)

  • Shazly Savahl

    (University of the Western Cape)

Abstract

The purpose of this study is to explore the factors that youth identify as contributing to alcohol consumption, and more specifically its relation to risky sexual behaviour among youth. We employed an exploratory qualitative method using focus group discussions with 34 young people between the ages of 18-25-years-old in low socio-economic status communities in the Western Cape province of South Africa. Data were analyzed thematically utilizing Braun and Clarke’s (2006) six-step thematic analysis process. We identified two thematic domains pertaining to alcohol consumption and risky sexual behaviour, namely individual and social factors, each comprising three themes. The individual factors thematic domain comprises intrapersonal influences, employment and educational attainment; while the social factors thematic domain includes interpersonal influences, social influences, and hope for the future. Youth living in low socio-economic status communities were thought to be at greater risk of alcohol misuse and subsequent risky behaviour, given the political and social history of marginalisation, systematic oppression, and social inequality. To address alcohol use and risky sexual behavior among youth, we recommend interventions with adolescents, parents or guardians, and the community. More specifically, interventions aimed at adolescents should focus on the transition to young adulthood. Interventions with parents should focus on their role in modelling and potentially regulating alcohol consumption. Finally, community interventions should centre on drinking behaviors, levels of drinking, what constitutes harmful drinking, and how to identify when treatment and recovery support is likely to be required.

Suggested Citation

  • Cassandra Carels & Maria Florence & Sabirah Adams & Deborah Louise Sinclair & Shazly Savahl, 2022. "Youths’ Perceptions Of The Relation Between Alcohol Consumption And Risky Sexual Behaviour in the Western Cape, South Africa: A Qualitative Study," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(4), pages 1269-1293, August.
    • Handle: RePEc:spr:chinre:v:15:y:2022:i:4:d:10.1007_s12187-022-09913-9
    DOI: 10.1007/s12187-022-09913-9
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s12187-022-09913-9
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s12187-022-09913-9?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Bauer, Greta R., 2014. "Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity," Social Science & Medicine, Elsevier, vol. 110(C), pages 10-17.
    2. Morojele, Neo K. & Kachieng'a, Millicent A. & Mokoko, Evodia & Nkoko, Matsobane A. & Parry, Charles D.H. & Nkowane, Annette M. & Moshia, Kgaogelo M. & Saxena, Shekhar, 2006. "Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa," Social Science & Medicine, Elsevier, vol. 62(1), pages 217-227, January.
    3. Carpenter, Christopher, 2005. "Youth alcohol use and risky sexual behavior: evidence from underage drunk driving laws," Journal of Health Economics, Elsevier, vol. 24(3), pages 613-628, May.
    4. O'Hara, Ross E. & Gibbons, Frederick X. & Li, Zhigang & Gerrard, Meg & Sargent, James D., 2013. "Specificity of early movie effects on adolescent sexual behavior and alcohol use," Social Science & Medicine, Elsevier, vol. 96(C), pages 200-207.
    5. Daniel Demant & Oscar Oviedo-Trespalacios & Julie-Anne Carroll & Jason A. Ferris & Larissa Maier & Monica J. Barratt & Adam R. Winstock, 2018. "Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 621-630, June.
    6. Bowleg, L., 2012. "The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1267-1273.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Daniel Demant & Oscar Oviedo-Trespalacios & Julie-Anne Carroll & Jason A. Ferris & Larissa Maier & Monica J. Barratt & Adam R. Winstock, 2018. "Do people with intersecting identities report more high-risk alcohol use and lifetime substance use?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 621-630, June.
    2. Alvarez, Camila H. & Evans, Clare Rosenfeld, 2021. "Intersectional environmental justice and population health inequalities: A novel approach," Social Science & Medicine, Elsevier, vol. 269(C).
    3. Silvia Loi & Peng Li & Mikko Myrskylä, 2022. "At the intersection of adverse life course pathways: the effects on health by nativity," MPIDR Working Papers WP-2022-018, Max Planck Institute for Demographic Research, Rostock, Germany.
    4. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    5. Sangaramoorthy, Thurka & Benton, Adia, 2022. "Intersectionality and syndemics: A commentary," Social Science & Medicine, Elsevier, vol. 295(C).
    6. Tyler D. Harvey & Ijeoma Opara & Emily A. Wang, 2022. "Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Crimi," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    7. Evans, Clare R. & Erickson, Natasha, 2019. "Intersectionality and depression in adolescence and early adulthood: A MAIHDA analysis of the national longitudinal study of adolescent to adult health, 1995–2008," Social Science & Medicine, Elsevier, vol. 220(C), pages 1-11.
    8. Evans, Clare R. & Williams, David R. & Onnela, Jukka-Pekka & Subramanian, S.V., 2018. "A multilevel approach to modeling health inequalities at the intersection of multiple social identities," Social Science & Medicine, Elsevier, vol. 203(C), pages 64-73.
    9. Tuyet-Mai H. Hoang & Ainslee Wong, 2022. "Exploring the Application of Intersectionality as a Path toward Equity in Perinatal Health: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-25, December.
    10. Evans, Clare R., 2019. "Adding interactions to models of intersectional health inequalities: Comparing multilevel and conventional methods," Social Science & Medicine, Elsevier, vol. 221(C), pages 95-105.
    11. Scott J. Fitzpatrick & Bronwyn K. Brew & Donna M. Y. Read & Kerry J. Inder & Alan Hayes & David Perkins, 2019. "Rethinking Suicide in Rural Australia: A study Protocol for Examining and Applying Knowledge of the Social Determinants to Improve Prevention in Non-Indigenous Populations," IJERPH, MDPI, vol. 16(16), pages 1-13, August.
    12. Preety Srivastava & Ou Yang & Xueyan Zhao, 2022. "Equal Tax for Equal Alcohol? Beverage Types and Antisocial and Unlawful Behaviours," The Economic Record, The Economic Society of Australia, vol. 98(323), pages 354-372, December.
    13. Beccia, Ariel L. & Agénor, Madina & Baek, Jonggyu & Ding, Eric Y. & Lapane, Kate L. & Austin, S. Bryn, 2024. "Methods for structural sexism and population health research: Introducing a novel analytic framework to capture life-course and intersectional effects," Social Science & Medicine, Elsevier, vol. 351(S1).
    14. Bridget Gorman & Justin Denney & Hilary Dowdy & Rose Medeiros, 2015. "A New Piece of the Puzzle: Sexual Orientation, Gender, and Physical Health Status," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1357-1382, August.
    15. Park, In Young & Speer, Rachel & Whitfield, Darren L. & Kattari, Leo & Walls, Eugene N. & Christensen, Candace, 2022. "Predictors of bullying, depression, and suicide attempts among youth: The intersection of race/ethnicity by gender identity," Children and Youth Services Review, Elsevier, vol. 139(C).
    16. Tristen Hall & Ronica Rooks & Carol Kaufman, 2020. "Intersections of Adverse Childhood Experiences, Race and Ethnicity and Asthma Outcomes: Findings from the Behavioral Risk Factor Surveillance System," IJERPH, MDPI, vol. 17(21), pages 1-19, November.
    17. Duncan, Dustin T. & Cook, Stephanie H. & Wood, Erica P. & Regan, Seann D. & Chaix, Basile & Tian, Yijun & Chunara, Rumi, 2023. "Structural racism and homophobia evaluated through social media sentiment combined with activity spaces and associations with mental health among young sexual minority men," Social Science & Medicine, Elsevier, vol. 320(C).
    18. Daniel Holman & Alan Walker, 2021. "Understanding unequal ageing: towards a synthesis of intersectionality and life course analyses," European Journal of Ageing, Springer, vol. 18(2), pages 239-255, June.
    19. Ning Hsieh & Deirdre Shires & Hui Liu & Sam Safford & Kryssia J. Campos, 2024. "Unequal Access to Primary Care Providers at the Intersection of Race/Ethnicity, Sexual Orientation, and Gender," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 43(4), pages 1-12, August.
    20. Antoinette L. Spector & Emily Matsen & Leonard E. Egede, 2022. "Trends and Racial/Ethnic Differences in Health Care Spending Stratified by Gender among Adults with Arthritis in the United States 2011–2019," IJERPH, MDPI, vol. 19(15), pages 1-12, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:chinre:v:15:y:2022:i:4:d:10.1007_s12187-022-09913-9. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.