Alcohol Availability, Marketing, and Sexual Health Risk Amongst Urban and Rural Youth in South Africa

Letsela, Lebohang; Weiner, Renay; Gafos, Mitzy; Fritz, Katherine

doi:10.1007/s10461-018-2250-y

Cited by 44 publications

(45 citation statements)

References 23 publications

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“…The age group has a significant effect on alcohol drinking. The odds of alcohol drinking when compared with people 15-20 years of age or older (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49) increase by 30% and 38% (AOR = 1.30, 95% CI 1.08, 1.56 and AOR = 1.38, 95% CI 1.10, 1.74). Being Muslim, Protestant, and other religion follower decreases the odds of alcohol drinking 99.4%, 95%, and 64% (AOR = 0.006, 95% CI 0.005, 0.008; AOR = 0.05, 95% CI 0.039, 0.062; and AOR = 0.36, 95% CI 0.24, 0.55) as compared to Orthodox religion followers respectively.…”

Section: Fixed Effects Analysis Resultsmentioning

confidence: 99%

“…In Sri Lanka, the study participants were mentally ill individuals. When compared with people 15-20 years of age or older (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49), individuals have a higher risk alcohol use. This finding is consistent with other studies that have found an association of alcohol use with increasing age [24] and of being aged 30 and over [25,26].…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and predictors of alcohol use among adult males in Ethiopia: multilevel analysis of Ethiopian Demographic and Health Survey 2016

Tessema

Amare

2020

Trop Med Health

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Background Alcohol is a psychoactive substance that is widely consumed in the world. Alcohol use is one of the world’s leading risk factors for disease and disability. It affects individuals’ physical, mental, economic, and social issues. To our knowledge, there is limited study on alcohol consumption and associated factors. Therefore, this study aimed to determine the prevalence and predictors of alcohol use in Ethiopia by using the 2016 Ethiopian Demographic and Health Survey. Methods This study was based on the most recent Ethiopian Demographic and Health Survey 2016. A total of 12,594 men at the age of 15 to 59 were included in this study. Considering the hierarchical nature of EDHS data, a multilevel logistic regression model was applied. The ICC, MOR, and the LR test were done to assess the presence of a significant clustering effect. Besides, deviance was used for model comparison since the models were nested models. Variables with a p value ≤ 0.2 in the bivariable analysis were considered for the multivariable analysis. In the multilevel logistic regression, the adjusted odds ratio (AOR) with 95% confidence interval (CI) was reported to declare the strength and significance of the association between the dependent variable and independent variables. Results The prevalence of alcohol drinking in this study was 46.64% with a 95% CI of 45.00 to 47.00%. Age groups 30–44 (AOR = 1.30, 95% CI 1.08, 1.56) and 45–59 (AOR = 1.38, 95% CI 1.10, 1.74), Orthodox religion follower (AOR = 0.36, 95% CI 0.24, 0.55), media exposure (AOR = 1.67, 95% CI 1.41, 2.20), khat chewing (AOR = 3.08, 95% CI 2.54, 3.74), smoking (AOR = 2.18, 95% CI 1.71, 2.79), having no occupation (AOR = 0.34, 95% CI 0.22, 0.51), and region were the predictors of alcohol use in Ethiopia. Conclusions Nearly half of the Ethiopian population reported alcohol use at least once in their lifetime. Old age, Orthodox religion followers, media exposure, khat chewing, smoking, and having no occupation were predictors of alcohol use in Ethiopia. Therefore, health education about the risk of alcohol used is highly recommended. In addition, khat chewing and smoking control mechanisms should be designed and given special attention. Advertising alcohol through media is better to be controlled. Job opportunities should also be created for those who have no occupation to mitigate alcohol use in Ethiopia.

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Section: Fixed Effects Analysis Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence and predictors of alcohol use among adult males in Ethiopia: multilevel analysis of Ethiopian Demographic and Health Survey 2016

Tessema

Amare

2020

Trop Med Health

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“…However, there is evidence that the industry flouts its own regulatory codes, and adolescents are not only regularly exposed to different forms of advertisements but also seem to be specifically targeted, as evidenced by the existence of alcohol advertisements very close to the perimeter of school grounds and other places frequented by young people, and young people's perceptions that they are targeted. [19,20] Globally, evidence on the association between alcohol consumption and exposure to alcohol marketing has generally been very consistent for adolescents. Specifically, numerous systematic reviews of longitudinal studies have indicated that exposure to alcohol advertising is associated with earlier alcohol initiation and heavier drinking per drinking occasion among adolescents.…”

Section: Researchmentioning

confidence: 99%

Alcohol marketing and adolescent alcohol consumption: Results from the International Alcohol Control study (South Africa)

et al. 2018

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Background.A complete ban on alcohol advertisements has been proposed for South Africa (SA), but there has been limited local research on the association between exposure to alcohol advertisements and alcohol consumption. Objectives. To examine the role of demographic factors, exposure to alcohol marketing and liking of alcohol advertisements in predicting use of alcohol in the past 6 months among older adolescents in Tshwane, Gauteng Province, SA. Methods. Participants comprised the adolescent sub-sample (N=869) of the International Alcohol Control study survey that was conducted in SA. They consisted of 408 males and 461 females aged 16 and 17 years who took part in structured interviews on their alcohol consumption and various alcohol-related attitudes and behaviours. A multiple survey logistic regression analysis of the dependent variable alcohol use in the past 6 months on the independent variables age, gender, educational status, socioeconomic status, exposure to alcohol brand marketing and liking of alcohol advertisements was used. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated. Results. The prevalence of drinking in the past 6 months was 10.6% (95% CI 5.9 -18.3). The number of modes of alcohol brand/product advertising to which the adolescents were exposed was positively associated with alcohol use in the past 6 months. An additional mode of alcohol brand/product advertising exposure led to a relative increase of 1.13 (95% CI 1.01 -1.28) in the odds of alcohol use in the past 6 months (e.g. a participant who was exposed to advertisements via seven different channels was 2.08 times more likely to have used alcohol in the past 6 months than a participant with exposure via a single channel). Having a strong dislike of alcohol advertisements was associated negatively (protective) with alcohol use in the past 6 months, with the odds ratio being 0.35 (95% CI 0.19 -0.64). Having only a moderate dislike or a liking of alcohol advertisements was positively associated with alcohol use in the past 6 months among the study participants (OR 2.90 and 2.84, respectively). Age, gender, educational status and socioeconomic status were not independently associated with alcohol consumption. Conclusions. Exposure to alcohol marketing and not being strongly averse to advertisements of alcohol brands and products were associated with alcohol use among adolescents. The results have implications for policies on alcohol marketing in SA.

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“…Likewise, in a study carried out with women in India, it was demonstrated that the pattern of alcohol use was higher in women who lived in areas of geographic isolation, social and economic backwardness (6) . A study conducted in Africa, with women living in different rural and urban areas, showed that the social environment and isolation are reflected in alcohol consumption (19) .…”

Section: Discussionmentioning

confidence: 99%

Alcohol consumption among women living in rural contexts

Ebling

Silva

2020

Rev. Bras. Enferm.

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Objective: to identify the reasons associated with alcohol consumption in women living in rural contexts. Method: a descriptive study with a qualitative approach, whose data were obtained from semi-structured interviews, conducted between March and August 2018, with a total of 23 women in alcohol consumption who live in rural areas in Central Western Rio Grande do Sul. We used a discursive textual analysis, marked by the Bioecological Theory of human development. Results: The reasons associated with alcohol consumption are: leisure time, transportation, territorial and cultural characteristics, but they differ between women living in rural areas and those living in settlements. Final considerations: The context in which rural women live influences alcohol consumption. Therefore, it is necessary to include guidelines in public policies that address the problematic of rural women.

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Alcohol Availability, Marketing, and Sexual Health Risk Amongst Urban and Rural Youth in South Africa

Cited by 44 publications

References 23 publications

Prevalence and predictors of alcohol use among adult males in Ethiopia: multilevel analysis of Ethiopian Demographic and Health Survey 2016

Prevalence and predictors of alcohol use among adult males in Ethiopia: multilevel analysis of Ethiopian Demographic and Health Survey 2016

Alcohol marketing and adolescent alcohol consumption: Results from the International Alcohol Control study (South Africa)

Alcohol consumption among women living in rural contexts

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