Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa.
Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa.
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DOI：
10.3390/ijerph19148661
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发表时间：
2022-07-16
影响因子：
--
通讯作者：
Washio, Yukiko
中科院分区：
文献类型：
--
作者：
Wechsberg, Wendee M.;van der Drift, Isa;Howard, Brittni N.;Myers, Bronwyn;Browne, Felicia A.;Bonner, Courtney Peasant;Carney, Tara;Ndirangu, Jacqueline;Washio, Yukiko
大量饮酒和其他药物使用在整个非洲都很突出，并增加了遭受暴力、感染艾滋病毒和其他危及生命的伤害的风险。本综述综合了有关非洲酒精和其他药物干预措施的证据；评估针对和不针对使用消耗臭氧层物质人群的干预措施之间的差异；并强调综合干预与简短干预的影响，以及从性别和背景角度解决综合症问题的影响。进行文献检索，以确定2010年1月至2022年5月期间发表的关于非洲使用AOD的随机干预措施的研究结果。本综述收录了35篇全文文章。大多数已查明的研究都集中在少数几个国家。大多数研究是在南非进行的。许多研究包括简短的干预。然而，最全面的干预措施对AOD结果最有效。几项研究表明，必须同时解决基于性别的暴力、心理健康需求、性别角色和其他影响健康结果的社会决定因素。从性别和与具体情况相关的角度干预使用非消耗性药物和处理社会决定因素，对于确保非洲人民的长期健康和福祉至关重要。
Heavy alcohol consumption and other drug use are prominent across Africa and increase the risk of exposure to violence, HIV acquisition, and other life-threatening injuries. This review synthesizes evidence on alcohol and other drug (AOD) interventions in Africa; evaluates the differences between interventions that do and do not specifically target populations that use AODs; and highlights the impact of comprehensive vs. brief interventions and those that address syndemic issues from a gender and contextualized lens. Literature searches were conducted to identify research outcomes of randomized interventions published between January 2010 and May 2022 that address AOD use in Africa. Thirty-five full-text articles were included in this review. Most of the identified research studies were concentrated in a few countries. Most studies were conducted in South Africa. Many of the studies comprised brief interventions. However, the most comprehensive interventions were the most effective for AOD outcomes. Several studies indicated the importance of addressing AOD use alongside gender-based violence, mental health needs, gender roles, and other social determinants that affect health outcomes. Intervening on AOD use and addressing social determinants from a gender and contextually relevant perspective is essential to ensuring the long-term health and well-being of people in Africa.
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影响因子：
1.7
作者：
Bhana A;Mellins CA;Petersen I;Alicea S;Myeza N;Holst H;Abrams E;John S;Chhagan M;Nestadt DF;Leu CS;McKay M
通讯作者：
McKay M
DOI：
10.21542/gcsp.2018.11
发表时间：
2018-06-30
期刊：
Global cardiology science & practice
影响因子：
--
作者：
Cooper DKC
通讯作者：
Cooper DKC
DOI：
10.1080/09540121.2019.1595512
发表时间：
2019-03-27
影响因子：
1.7
作者：
Bonner, Courtney Peasant;Browne, Felicia A.;Wechsberg, Wendee M.
通讯作者：
Wechsberg, Wendee M.
影响因子：
4.2
作者：
Cubbins, Lisa A.;Kasprzyk, Danuta;Montano, Daniel;Jordan, Lucy P.;Woelk, Godfrey
通讯作者：
Woelk, Godfrey
影响因子：
4.2
作者：
Gichane MW;Wechsberg WM;Ndirangu J;Browne FA;Bonner CP;Grimwood A;Shaikh N;Howard B;Zule WA
通讯作者：
Zule WA