Stress and Alcohol Use Among College Students: A Case of Molepolole College Students

Mphele, Seipone

doi:10.9790/0837-0830106

Cited by 10 publications

(6 citation statements)

References 14 publications

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“…Not surprisingly, both alcohol and drug use are more prevalent among male adolescents compared to female adolescents in our study. This is concordant with studies of older individuals in Botswana [31, 32]. Although not the focus of this study, the high rates of suicidal ideation among older female adolescents presented a concerning glimpse at a different type of risk in the female students.…”

Section: Discussionsupporting

confidence: 91%

“…Within peer-reviewed literature, our findings are consistent with several other studies demonstrating the high prevalence of substance use in Botswana and Southern Africa, including among young adults and college students [28–31]. This study broadens the evidence base by specifically investigating a younger school-going adolescent population.…”

Section: Discussionsupporting

confidence: 90%

“…Most remarkably, adolescents with easy access to alcohol, whether at home or in their community, were 3.5 times more likely to drink hazardously or use drugs (see Table 3). This finding is consistent with studies examining adult populations, which likewise found that easy availability of alcohol, including home-brewed alcohol, and its use in gatherings and community activities, contributes to alcohol abuse in Botswana [31–33]. Interventions aimed at reducing the availability of alcohol and drugs for secondary school students could include increased funding for enforcement of underage drinking laws to ensure that businesses or individuals are not selling alcohol to minors.…”

Section: Discussionsupporting

confidence: 86%

“…There were in fact slight differences in how students from Gaborone versus peri-urban areas answered some questions. Substance use may also be more of a social norm in urban areas, perhaps explaining greater substance use among urban adolescents [31].…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and predictors of alcohol and drug use among secondary school students in Botswana: a cross-sectional study

et al. 2018

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BackgroundAlcohol and illicit drug use has been recognized as a growing problem among adolescents in Botswana. Little is known about factors affecting alcohol and drug use among Botswana’s secondary school students. To aid the design and implementation of effective public health interventions, we sought to determine the prevalence of alcohol and drug use in secondary school students in urban and peri-urban areas of Botswana, and to evaluate risk and protective factors for substance use.MethodsWe performed a 72-item cross-sectional survey of students in 17 public secondary schools in Gaborone, Lobatse, Molepolole and Mochudi, Botswana. The World Health Organization’s (WHO) Alcohol Use Disorder Identification Test (AUDIT) was used to define hazardous drinking behavior. Using Jessor’s Problem Behavior Theory (PBT) as our conceptual framework, we culturally-adapted items from previously validated tools to measure risk and protective factors for alcohol and drug use. Between-group differences of risk and protective factors were compared using univariate binomial and multinomial-ordinal logit analysis. Relative risks of alcohol and drug use by demographic, high risks and low protections were calculated. Multivariate ordinal-multinomial cumulative logit analysis, multivariate nominal-multinomial logit analysis, and binominal logit analysis were used to build models illustrating the relationship between risk and protective factors and student alcohol and illicit drug use. Clustered data was adjusted for in all analyses using Generalized Estimating Equations (GEE) methods.ResultsOf the 1936 students surveyed, 816 (42.1%) reported alcohol use, and 434 (22.4%) met criteria for hazardous alcohol use. Illicit drug use was reported by 324 students (16.7%), with motokwane (marijuana) being the most commonly used drug. Risk factors more strongly associated with alcohol and drug use were reported alcohol availability, individual and social vulnerability factors, and poor peer modeling. Individual and social controls protections appear to mitigate risk of student alcohol and drug use.ConclusionsAlcohol and illicit drug use is prevalent among secondary school students in Botswana. Our data suggest that interventions that reduce the availability of alcohol and drugs and that build greater support networks for adolescents may be most helpful in decreasing alcohol and drug use among secondary school students in Botswana.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6263-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

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Prevalence and predictors of alcohol and drug use among secondary school students in Botswana: a cross-sectional study

et al. 2018

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“…Botswana ranks among the top 4 countries affected by HIV, with approximately 20% living with the infection and 3 in every ten new infections occurring among adolescents and young people; 11 despite, studies of drugs and alcohol in youth, who are the most vulnerable to addiction 12 and HIV spread, 13 have been limited. 14,15 Current studies have explored the pat terns of psychoactive substance use and use disorders among other populations such as university students, 8,15 college stu dents, 15 school teachers, 16 and mentally ill patients. 17 A recent report amongst adolescent learners in Botswana found a high rate of substance use, with 31% meeting the DSM criteria for substance use disorder and alcohol being the most used sub stance.…”

Section: Introductionmentioning

confidence: 99%

Psychoactive Substance Use Disorder in HIV-Infected Adolescents in Botswana: A Comparison Between the Congenitally Infected and Behaviorally Infected Adolescents

et al. 2023

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Substance use is a major obstacle to preventing and managing HIV among adolescents, who account for 30% of new infections in many parts of the world, including Botswana. Unfortunately, there is a paucity of data on adolescent substance use, especially in the region. Therefore, this study aimed to determine the pattern of psychoactive substance use in adolescents living with HIV (ALWHIV). It also aimed to compare and explore the pattern of substance use disorders and associated factors between congenitally infected adolescents (CIAs) and behaviorally infected adolescents (BIAs). Six hundred and thirty-four ALWHIV were interviewed using a sociodemographic questionnaire, the WHO drug questionnaire, and DSM-5 criteria for substance use disorder. The participants’ mean age (SD) was 17.69 (1.6) years, with a male predominance (n = 336, 53%), and the majority (n = 411, 64.8%) were CIAs. Alcohol was the most used substance among the participants, with 15.8% admitting to its current use. The BIAs were more likely to have SUD (χ2 = 17.2, P < .01), use more than one substance (χ2 = 20.3, P < .01), and more likely to use all psychoactive substances except for inhalants. In the CIAs, regular participation in religious activities was negatively associated with SUD (AOR = 0.36; 95% CI: 0.17-0.77), while struggling with HIV status acceptance was positively associated with SUD (AOR = 2.54; 95% CI: 1.15-5.61) in the BIAs. This study showed a huge burden and similar pattern of substance use disorders among the ALWHIV in Botswana, as reported elsewhere. It also identified the dissimilarities between the BIAs and CIAs regarding substance-related issues and suggested the need for differentiated care.

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Acculturative stress and binge drinking among international students in the United States: Resilience and vulnerability approaches

Kim

Cronley

2018

Journal of American College Health

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Stress and Alcohol Use Among College Students: A Case of Molepolole College Students

Cited by 10 publications

References 14 publications

Prevalence and predictors of alcohol and drug use among secondary school students in Botswana: a cross-sectional study

Prevalence and predictors of alcohol and drug use among secondary school students in Botswana: a cross-sectional study

Psychoactive Substance Use Disorder in HIV-Infected Adolescents in Botswana: A Comparison Between the Congenitally Infected and Behaviorally Infected Adolescents

Acculturative stress and binge drinking among international students in the United States: Resilience and vulnerability approaches

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