Patterns of alcohol consumption and factors influencing problematic drinking among Angolan soldiers

Cheng, Karen G.; Ortiz, Daniel J.; Weiss, Robert E.; Shi, Lu; Ovalle-Bahamón, Ricardo E.; Ernesto, Francisco; Grillo, Michael; Bing, Eric G.

doi:10.3109/14659891.2010.538462

Cited by 7 publications

(22 citation statements)

References 43 publications

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“…Seventeen papers had samples from the US [ 6 , 20 , 21 , 23 , 25 , 26 , 28 , 31–38 , 43 , 44 ], six from the UK [ 2 , 8 , 19 , 27 , 29 , 39 ], three from Germany [ 40–42 ], one from Norway [ 24 ], one from Nigeria [ 30 ] and one from Angola [ 22 ]. Six papers looked at alcohol in the military for male personnel only [ 19 , 26 , 27 , 41–43 ], whereas 21 papers considered male and female personnel [ 2 , 6 , 8 , 20 , 23–25 , 28–40 , 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…Ten papers considered National Guard/Reserve personnel [ 21 , 25 , 26 , 31 , 32 , 34 , 36 , 37 , 43 ] and four papers considered all serving personnel [ 33 , 40–42 ]. Five papers did not specify the enlistment type of the military personnel in their sample [ 20 , 22 , 27 , 29 , 44 ]…”

Section: Resultsmentioning

confidence: 99%

“…Fifteen papers considered military characteristics associated with alcohol use in their military samples [ 2 , 19 , 20 , 22–25 , 27 , 29 , 30 , 33–35 , 40 , 41 ]. Hooper et al [ 29 ] surveyed 1382 military personnel and reported they had a higher number of units of alcohol consumed per week than the suggested ‘low risk’ drinking threshold.…”

Section: Resultsmentioning

confidence: 99%

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Military service and alcohol use: a systematic narrative review

Osborne

Wilson

McGill

et al. 2022

Occupational Medicine

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Background Despite research highlighting the role of alcohol in military life, specifically in relation to mental health and certain combat experiences, there is no synthesised evidence looking at the relationship between military service and alcohol use. Aims To synthesize and examine evidence exploring the relationship between military service and alcohol use. Methods Six databases were examined across a 10-year period. Papers were included if they involved a military population and focused on alcohol use. From 4046 papers identified, 29 papers were included in the review. Results Military characteristics and experience were linked to high levels of alcohol use across military populations. Societal and cultural factors also played a role in alcohol use in military populations. Predatory behaviour of alcohol establishments, pressures to conform, an acceptance of alcohol use, and the role of religious services and militarys has expraffiliated social networks were all considered. Excessive drinking impacted physical and mental health. Those diagnosed with PTSD and associated symptoms appeared to have greater alcohol use. Conclusions This review identified certain characteristics and experiences of military service that are associated with higher levels of alcohol use. It is important to identify risk factors for alcohol misuse to develop appropriate policy, targeting prevention.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Military service and alcohol use: a systematic narrative review

Osborne

Wilson

McGill

et al. 2022

Occupational Medicine

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“…Miller & Yeager, 1995). Studies have reported risky behaviors in military personnel including unprotected sex with female sex workers (Nwokoji & Ajuwon, 2004), multiple sexual partners (Anastario et al, 2011), and alcohol abuse (Cheng et al, 2012). Additionally, while correct and consistent condom use is highly effective against HIV (Pinkerton & Abramson, 1997), use among soldiers is lower than ideal (Bing et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

An intervention study examining the effects of condom wrapper graphics and scent on condom use in the Botswana Defence Force

et al. 2013

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Free condoms provided by the government are often not used by Botswana Defence Force (BDF) personnel due to a perceived unpleasant scent and unattractive wrapper. Formative work with the BDF found that scented condoms and military inspired (camouflage) wrapper graphics were appealing to personnel. A non-randomized intervention study was implemented to determine if condom wrapper graphics and scent improved condom use in the BDF. Four military sites were selected for participation. Two sites in the south received the intervention condom wrapped in a generic wrapper and two sites in the north received the intervention condom wrapped in a military inspired wrapper; intervention condoms were either scented or unscented. 211 male soldiers who ever had sex, aged 18–30 years, and stationed at one of the selected sites consented to participate. Sexual activity and condom use were measured pre- and post-intervention using sexual behavior diaries. A condom use rate (CUR; frequency of protected sex divided by total frequency of sex) was computed for each participant. Mean CURs significantly increased over time (85.7% baseline vs. 94.5% post-intervention). Adjusted odds of condom use over time were higher among participants who received the intervention condom packaged in the military wrapper compared with the generic wrapper. Adjusted odds of condom use were also higher for participants who reported using scented versus unscented condoms. Providing scented condoms and condoms packaged in a miltiary inspired wrapper may help increase condom use and reduce HIV infection among military personnel.

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“…Hazardous and harmful alcohol use, and possible alcohol dependence, was measured with the Alcohol Use Disorders Identification Test (AUDIT), a screening tool developed by the World Health Organization [29]. This tool has been validated among men and women and previously used in other African military populations [13, 14, 20, 30]. The AUDIT has also been translated to many different languages; the French version was used in the FAC SABERS.…”

Section: Methodsmentioning

confidence: 99%

Alcohol use and its association with sexual risk behaviors in the Armed Forces of the Republic of the Congo

et al. 2019

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BackgroundPrevious research has shown alcohol misuse amplifies the risk of acquiring sexually transmitted infections [STIs], including HIV, by increasing high risk sexual behaviors. Military populations are particularly vulnerable to both alcohol misuse and STIs due to the unique conditions of military service. This study estimated the prevalence of probable hazardous and harmful alcohol use and examined associations with transactional sex, sex with a sex worker, and multiple sexual partners among military personnel in the Armed Forces of the Republic of the Congo (FAC).MethodsA secondary analysis of data collected from a 2014 seroprevalence and behavioral epidemiology risk survey was performed. Participants included 703 active duty male service members 18 years of age or older who reported ever having sex. Patterns of harmful and hazardous drinking were measured with the Alcohol Use Disorders Identification Test (AUDIT). Participants with an AUDIT score ≥ 8 (indicative of probable hazardous and harmful alcohol use, and possible alcohol dependence) were compared to those with an AUDIT score ≤ 7.ResultsA total of 15.8% received a score of 8 or higher on the AUDIT. These participants were more likely to be lower educated and of lower military rank. In separate multivariable models, an AUDIT score ≥ 8 was significantly associated with higher odds of sex with a commercial sex worker and having multiple sexual partners.ConclusionsStudy results emphasize the need to address patterns of harmful and hazardous alcohol use in the FAC and integrate alcohol misuse education into the HIV prevention program. The development of military-specific interventions to reduce alcohol-related risky sexual behaviors are also needed. Lastly, implementing policies such as restricting alcohol availability and sales on military bases, and adding warning labels to advertisements and containers may provide a more comprehensive response to reduce problematic alcohol use.

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Patterns of alcohol consumption and factors influencing problematic drinking among Angolan soldiers

Cited by 7 publications

References 43 publications

Military service and alcohol use: a systematic narrative review

Military service and alcohol use: a systematic narrative review

An intervention study examining the effects of condom wrapper graphics and scent on condom use in the Botswana Defence Force

Alcohol use and its association with sexual risk behaviors in the Armed Forces of the Republic of the Congo

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