Interplay Between Substance Use and Health: Behavioural Dynamics Among Female Adolescents in Butterworth, South Africa

Bala, Samkelo; Kang’ethe, S.M.

doi:10.15270/56-4-886

Cited by 5 publications

(11 citation statements)

References 19 publications

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“…Furthermore, approximately 19 million new Sexually Transmitted Infections (STIs) cases are reported each year, with half of these cases occurring in youth aged 15–24 years [ 8 ]. It shows that the cause of this critical health condition in young people is their involvement in risky sexual behaviours [ 9 , 10 ]. These behaviours include unprotected sex (non-condom use), inter-generational sex, early sexual debut, having multiple sexual partners and transactional sex.…”

Section: Introductionmentioning

confidence: 99%

A multilevel mixed effect analysis of neighbourhood and individual level determinants of risky sexual behaviour among young people in South Africa

Odimegwu

Ugwu

2022

Reprod Health

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Background Despite national and international commitments and efforts to prevent risky sexual behaviours, a high proportion of young people in South Africa are engaged in risky sexual behaviour. However, most efforts are currently directed toward addressing individual-level factors at the expense of not addressing neighbourhood-level determinants such as social disorganisation, contributing to risky sexual behaviour among young people in South Africa. This study investigated the multilevel factors of risky sexual behaviours among young people by gender in South Africa, using the lens of socio-ecological and social disorganisation frameworks. Methods Data from a nationally representative sample of 1268 males and 2621 females aged 15–24 years, giving a total of, 3889 never-married youths, were drawn from the 2016 South Africa Demographic and Health Survey. Analysis was conducted using multilevel mixed-effect logistic regressions with random community-level effects. Results Findings show that youth who were from a heterogeneous ethnic group (AOR = 0.49, CI: 0.35–0.67), household size of 5 + members (AOR = 0.78, CI: 0.54–1.15), community education (AOR = 0.97, CI: 0.72–1.32) were associated with low engagement in multiple sexual partnerships. Youths who were employed (AOR = 0.84, CI: 0.59–1.18), and from high-level community poverty (AOR = 0.76, CI: 0.58–1.00) were also associated with reduced odds of unprotected sex. In addition, older youth aged 20–24 years (AOR = 12.6, CI: 9.93–16.00); secondary education attainment (AOR = 1.01, CI 0.58–1.77); family structure (AOR = 1.37, CI: 0.75–1.15); Gauteng province (AOR = 1.45 CI: 0.92–2.28); residential mobility (AOR = 1.25, CI: 1.02–1.53), community media exposure to contraceptives (unprotected sex) (AOR = 1.38, CI: 1.09–1.76) were more likely to engage in risky sexual behaviour. Conclusion The study revealed that neighbourhood and individual-level factors were important in explaining the factors associated with risky sexual behaviour among young people in South Africa. In addition, engagement in risky sexual behaviour was high, with minimal variation among young females and males in South Africa. It specifies that the practice of risky sexual behaviour is significantly associated with multilevel factors of social disorganisation that cut across gender. These results imply that there is a need to review policies of sexual risks reduction for each gender, which might help mitigate the adverse effects of social disorganisation for women and men youths in South Africa.

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Section: Introductionmentioning

confidence: 99%

A multilevel mixed effect analysis of neighbourhood and individual level determinants of risky sexual behaviour among young people in South Africa

Odimegwu

Ugwu

2022

Reprod Health

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“…Obviously, the above creates a fertile ground for drug abuse among female adolescents who seek comfort and attempt to escape the strain (Bala, 2017). The South African government, especially in the Eastern Cape, has discriminated against children with special needs who are not coping in mainstream education through its slow and poor implementation of equivalent education, which has contributed to drug abuse among female adolescents (Bala & Kang'ethe, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Wogen and Restrepo (2020) note that labelling with terms such as "junkie and "addict" is the most negative form of discriminating and isolating individuals who abuse substances. Specifically, in South Africa, those who use Nyaope are the most stigmatised of all, which means that they are prevented from accessing their right to health care and protection (Bala & Kang'ethe, 2020). In corroboration of the above, the UN human rights bodies and the European Court of Human Rights have raised concerns regarding the increasing denial of harm reduction services to people who use drugs (International Drug Policy Consortium (IDPC), 2015).…”

Section: Substance Abuse and Human Rightsmentioning

confidence: 99%

“…Moreover, it quickly puts its users to sleep immediately after consumption (Mokwena, 2016). In cognisance of the above, the literature highlights that the blackout caused by Nyaope consumption among female adolescents increases their vulnerability to sexual victimisation (Bala & Kang'ethe, 2020). Predatory men look for vulnerable females to rape, and drug-consuming female adolescents are often viewed as sexually available.…”

Section: Nyaope Consumption Among Female Adolescents and Vulnerability To Sexually Related Crimesmentioning

confidence: 99%

“…This quagmire, which has long existed in developed countries, has spread extensively to developing parts of the world. Currently, Africa is confronted by the problem of uncontrollable and overlooked drug abuse among female adolescents (Bala & Kang'ethe, 2020). Since 1994, South Africa has been overwhelmed by a constant increase in the consumption of several drugs, with Nyaope leading the pack.…”

Section: Introductionmentioning

confidence: 99%

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The Dangers Associated with Female Adolescents Consuming Nyaope Drug in Butterworth, South Africa

Bala

Kang’ethe

2021

J. Hum. Rights Soc. Work

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Nyaope is a potent drug that is currently challenging South Africa; its ramifications have destroyed the country’s youth. The study described in this paper sought to explore the dangers associated with the consumption of Nyaope in Butterworth, South Africa. This study adopted an explorative and descriptive qualitative approach that involved the facilitation of focus group discussions and one-on-one interviews with twenty-six participants. An analysis of the findings of the study revealed the health hazards associated with consuming Nyaope and the tendency of Nyaope consumption to induce hallucinations and delusions in young people. Moreover, the study showed that Nyaope stimulated mood swings among female adolescents, its consumption created a fertile ground for conflict, and the addiction to Nyaope led to the destruction of the future of female adolescents. The researchers recommend the application of multiple approaches to preventing the initiation of Nyaope consumption. These approaches include attempts to control the peddling of Nyaope in schools and communities as well as the introduction of pro-active educational interventions regarding the dangers of Nyaope on the part of relevant institutions and government.

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Exploring the Synergy Between Government and Business Entities in the Fight Against Substance Abuse in East London. A 2018-2021 Study

Bala

Kangethe

2022

SWORK

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South Africa’s public sector is resource deficient and that justifies the need for the government and business entities to fight synergistically against substance abuse. This study adopted a qualitative approach to explore the working synergy between government and business entities in the fight against substance abuse. The research population for this study was comprised of participants from business entities and government and non-government organisations based in East London in the Eastern Cape province. One-on-one interviews and focus group discussions were conducted to gather information from the purposively selected participants. The findings identified intermittent contributions from business entities that could be utilised in the fight against substance abuse, as well as a weak policy nexus with national policies, weak campaign synergy between government and business entities, and poor mobilisation of business entities by the government. This study encourages South African business entities to include addressing substance abuse in their corporate social investment activities. Resource mobilisation is one of the important roles in social work practice and social workers need to coordinate and facilitate the synergy between government and business entities in the fight against substance abuse.

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Interplay Between Substance Use and Health: Behavioural Dynamics Among Female Adolescents in Butterworth, South Africa

Cited by 5 publications

References 19 publications

A multilevel mixed effect analysis of neighbourhood and individual level determinants of risky sexual behaviour among young people in South Africa

A multilevel mixed effect analysis of neighbourhood and individual level determinants of risky sexual behaviour among young people in South Africa

The Dangers Associated with Female Adolescents Consuming Nyaope Drug in Butterworth, South Africa

Exploring the Synergy Between Government and Business Entities in the Fight Against Substance Abuse in East London. A 2018-2021 Study

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