Alcohol use and abuse among rural Zimbabwean adults: a test of a community-level intervention.
Alcohol use and abuse among rural Zimbabwean adults: a test of a community-level intervention.
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DOI：
10.1016/j.drugalcdep.2012.02.002
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发表时间：
2012-08-01
影响因子：
4.2
通讯作者：
Woelk, Godfrey
中科院分区：
文献类型：
--
作者：
Cubbins, Lisa A.;Kasprzyk, Danuta;Montano, Daniel;Jordan, Lucy P.;Woelk, Godfrey
鉴于酗酒对健康的不利影响，了解哪些因素导致资源贫乏国家的酗酒十分重要。过去的研究表明，社会同龄人会影响药物滥用，这表明社会环境可能是减少人群中酒精滥用的有效目标。本研究调查了津巴布韦农村地区酒精使用和滥用的决定因素，并测试了社区民意领袖（CPOL）以社区为基础的干预措施，部分旨在减少酒精滥用。从2003年到2007年，在津巴布韦农村的三个浪潮中，对CPOL干预对酒精使用模式的影响进行了测试，包括社区和个人层面的测试，使用的数据基于对成年男性和女性（18至30岁; N = 5 543）的面对面访谈。使用配对样本t检验以及具有随机效应的逻辑回归和普通最小二乘回归分析数据。较高的饮酒量（任何使用，更频繁的使用，更大的数量，和/或经常醉酒）通常与男性，年龄较大，未婚，受过更高教育，绍纳族，经常离家，就业，没有宗教信仰，或生活在粗死亡率较高或人口密度较低的地区有关。在研究期间，在干预和控制地点发现酒精使用和滥用的显着下降相对平等的水平。虽然没有发现支持CPOL研究在减少酒精滥用方面的有效性，但津巴布韦在社会人口和文化因素对酒精使用和滥用的影响方面与其他国家相似。
Understanding what factors contribute to alcohol abuse in resource-poor countries is important given its adverse health consequences. Past research shows that social peers influence substance abuse, suggesting that the social environment may be an effective target for reducing alcohol abuse across a population. This study investigates the determinants of alcohol use and abuse in rural Zimbabwe and tests a Community Popular Opinion Leader (CPOL) community-based intervention partly directed at reducing alcohol abuse. Tests were conducted on the impact of the CPOL intervention on alcohol use patterns across communities in rural Zimbabwe over three waves from 2003 to 2007, including community- and individual-level tests using data based on in-person interviews of adult men and women (ages 18 to 30; N = 5,543). Data were analyzed using paired-sample t-tests, as well as logistic and ordinary least-squares regression with random effects. Higher drinking (any use, more frequent use, greater quantity, and/or frequent drunkenness) was generally associated with being male, older, not married, more highly educated, of Shona ethnicity, away from home frequently, employed, having no religious affiliation, or living in areas with a higher crude death rate or lower population density. Over the study period, significant declines in alcohol use and abuse were found in intervention and control sites at relatively equal levels. Although no support was found for the effectiveness of the CPOL study in reducing alcohol abuse, Zimbabwe is similar to other countries in the impact of socio-demographic and cultural factors on alcohol use and abuse.
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影响因子：
4.2
作者：
Camlin, Carol S.;Snow, Rachel C.
通讯作者：
Snow, Rachel C.
影响因子：
12.7
作者：
KELLY, JA;LAWRENCE, JSS;ANDREW, ME
通讯作者：
ANDREW, ME
影响因子：
3.5
作者：
Lundborg, P
通讯作者：
Lundborg, P
影响因子：
12.7
作者：
KELLY, JA;STLAWRENCE, JS;MORGAN, MG
通讯作者：
MORGAN, MG
影响因子：
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作者：
KELLY, JA;MURPHY, DA;YAFFE, DM
通讯作者：
YAFFE, DM