Heavy drinking and contextual risk factors among adults in South Africa: findings from the International Alcohol Control study

Trangenstein, Pamela J.; Morojele, Neo K.; Lombard, Carl; Jernigan, David H.; Parry, Charles D. H.

doi:10.1186/s13011-018-0182-1

Cited by 34 publications

(44 citation statements)

References 32 publications

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“…The finding is in line with recent studies, suggesting that underreporting of alcohol use is common in studies conducted in SSA (Bajunirwe et al., ; Murray et al., ; Vellios and Van Walbeek, ; Vinikoor et al., ). In Zambia, as in other countries in SSA (Thakarar et al., ; Trangenstein et al., ), consumption of homebrewed alcohol is common, which may contribute to inaccurate reporting. A recent qualitative study by Crane and colleagues () in Zambia also found that there may be differences in alcohol consumption reporting and treatment seeking between men and women.…”

Section: Discussionmentioning

confidence: 99%

Concordance of Self‐ and Partner‐Reported Alcohol Consumption Among Couples Experiencing Intimate Partner Violence in Zambia

Kane

Murray

Vinikoor

et al. 2019

Alcoholism Clin & Exp Res

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Background: Hazardous alcohol use is a predictor of intimate partner violence (IPV), and both are increasingly prevalent in sub-Saharan Africa. The accurate measurement of alcohol consumption is therefore critical in IPV intervention studies that target hazardous drinking. Collecting a collateral report in addition to self-report is one convergent validity approach to improve alcohol measurement. We investigated concordance between self-and partner-reported alcohol use among women who reported recent IPV and their male partners in Zambia.Methods: Data were from the baseline of a randomized IPV intervention trial of 247 heterosexual couples in which a woman has reported recent IPV and her male partner has recent hazardous alcohol use. Both partners completed the Alcohol Use Disorders Identification Test (AUDIT) in reference to their own drinking and in reference to their partner's drinking. We calculated percent agreement across a range of outcomes: any use, quantity, frequency, and hazardous use. We also compared self-and partner-reported AUDIT scores using t-tests.Results: Concordance was poor across most outcomes. Percent agreement with respect to the women's drinking ranged from 60% to 65% across outcomes and with respect to the men's drinking from 51% to 89%. Women's average partner-reported AUDIT score (20.7) was statistically significantly (p < 0.0001) higher than men's average self-reported score (15.8).Conclusions: In contrast to collateral report studies conducted in the United States, concordance between self-and partner-reported alcohol consumption was poor among families experiencing IPV in Zambia. Given the possible biases associated with self-reported alcohol use, findings suggest that a convergent validity approach is useful in this research context.

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Section: Discussionmentioning

confidence: 99%

Concordance of Self‐ and Partner‐Reported Alcohol Consumption Among Couples Experiencing Intimate Partner Violence in Zambia

Kane

Murray

Vinikoor

et al. 2019

Alcoholism Clin & Exp Res

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“…To address this unmet need, future studies should consider expanding the intervention to include extended support for change. Given that hazardous drinking is normative among those who drink in many parts of South Africa, including Tshwane [7], this modification may be necessary to help participants sustain initial reductions to their alcohol use.…”

Section: Discussionmentioning

confidence: 99%

“…Rates of hazardous are high in South Africa [7], where about 50% more alcohol is consumed than in the rest of Africa [8]. For people who drink, heavy episodic drinking is the norm − 71% of men and 34% of women report this pattern of drinking [8].…”

Section: Introductionmentioning

confidence: 99%

“Moving forward with life’: Perceived acceptability and benefits of a brief alcohol-focused intervention for people receiving antiretroviral therapy in South Africa.

Myers¹,

Parry²,

Morojele³

et al. 2020

Preprint

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Background: In South Africa, like other low-and middle-income countries, interventions are needed to address the impact of hazardous drinking on adherence to antiretroviral therapy among people living with HIV (PLWH). Participant feedback about these interventions can identify ways to enhance their acceptability and potential impact. As part of a randomized controlled trial of a brief motivational interviewing and problem-solving therapy (MI-PST) intervention among PLWH who report hazardous drinking, we interviewed participants about their perceptions of this alcohol-reduction intervention.Methods: The trial was conducted in HIV treatment clinics operating from 6 hospitals in the Tshwane region of South Africa. In the trial, 305 participants were randomly assigned to the intervention comprising four modules of MI-PST delivered over two sessions. We conducted qualitative in-depth interviews of participants’ views about the acceptability and usefulness of the intervention for facilitating behaviour change on completion of the last intervention session and at the six-month study end-point. Twenty-four participants were interviewed after the final intervention session and 25 at the six-month follow up. Data were analysed using the framework approach. Results: Three themes emerged from the interviews that reflect participants’ perceptions of the acceptability and usefulness of this intervention. The first theme describes participants’ perceptions of the acceptability of screening and brief alcohol-focused interventions for PLWH. The second theme describes participants’ views of the usefulness of the intervention for reducing alcohol use and addressing life stressors. The third theme reflects participants’ views on how the intervention could be modified for greater reach and impact.Conclusion: Findings suggest that participants considered this intervention to be acceptable and useful for facilitating reductions in alcohol consumption. This study is the first to describe how PLWH applied the skills taught in the MI-PST intervention to manage and cope with daily problems instead of drinking heavily.

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“…The rate of perinatal depression is thus high [36] . In an international alcohol control study involving household survey in South Africa, 53% of the participants were heavy drinkers, defined as "consuming ≥120 ml (96 g) of absolute alcohol (AA) for men and ≥ 90 ml (72 g) AA for women at any location at least monthly" [37] . The use of a validated short-version depression screening scale contributed to the strength of this study.…”

Section: Roc Curve For Selected M Odelmentioning

confidence: 99%

Depression Predictors among Older Persons in a Rural Community in South Africa

Oni¹,

Amoran²

2019

IRJPH

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Background: Depression is a very important part of global mental health concerns. Many of the studies on correlates of depression stopped short of finding the predictors. Predictive models will empower preventative efforts by healthcare providers and policy makers. The purpose of this study was to determine the factors predicting depressive symptoms among a population of older men and women in rural South Africa. Methods: Data were obtained from "Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI) in the INDEPTH Health and Demographic Surveillance System (HDSS) site of Agincourt" in rural Mpumalanga province, South Africa. Previously validated short-version Center for Epidemiologic Studies Depression Scale (CES-D 8) was used to assess for depressive symptoms. Multivariable logistic regression model with stepwise selection, and receiver operating curve were used to examine the predictors of depression. Results: Of the 4027 participants included in this study, 743 (18.5%) met the criterion for depression (CES-D 8 score ≥3). Older age (OR 1.025, CI 1.016-1.034), diabetes (OR 1.467, CI 1.152-1.868), and alcohol consumption (OR 1.536, CI 1.261-1.872) predicted depression. Being male (OR 0.734, CI 0.588-0.915) and homemaker rather than not working (OR 0.513, CI 0.372-0.707) were protective. Compared to those who were married, depressive symptoms were significantly higher among the separated/divorced (OR 1.372, CI 1.027-1.834) and the widowed (OR 1.468, CI 1.172-1.839). Conclusions: It is possible to predict the development of depression in this community, and findings are generalizable to other communities and countries. Healthcare workers and policy makers should use the findings for preventative care and policies.

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Heavy drinking and contextual risk factors among adults in South Africa: findings from the International Alcohol Control study

Cited by 34 publications

References 32 publications

Concordance of Self‐ and Partner‐Reported Alcohol Consumption Among Couples Experiencing Intimate Partner Violence in Zambia

Concordance of Self‐ and Partner‐Reported Alcohol Consumption Among Couples Experiencing Intimate Partner Violence in Zambia

“Moving forward with life’: Perceived acceptability and benefits of a brief alcohol-focused intervention for people receiving antiretroviral therapy in South Africa.

Depression Predictors among Older Persons in a Rural Community in South Africa

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