Determinants of harmful use of alcohol among urban slum dwelling adults in Kenya
Determinants of harmful use of alcohol among urban slum dwelling adults in Kenya
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DOI：
10.4314/ahs.v19i4.12
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发表时间：
2019-12-01
影响因子：
1
通讯作者：
Okube, Okubatsion
中科院分区：
文献类型：
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作者：
Gitatui, Mariam;Kimani, Samuel;Okube, Okubatsion
背景：有害饮酒是一个与负面健康和社会经济影响相关的公共卫生问题。然而，人们对肯尼亚贫民窟居民的饮酒模式和动态知之甚少。目的：确定肯尼亚城市贫民窟环境中成年人有害饮酒的决定因素。材料和方法：横断面研究，涉及来自内罗毕吉图拉伊的连续选定样本（N = 215）。预先测试的问卷，收集有关社会人口统计、饮酒模式、类型、原因、发起者和支持系统的数据。结果：在受访者中，31 岁以上、已婚、分居/离婚/丧偶、受过高等教育、收入超过 50 美元以及来自功能失调的家庭的人饮酒量较多。低收入者的饮酒量 (p < 0.05) 未记录，而高收入者的饮酒量 (p < 0.001) 则有记录。父亲和兄弟姐妹酗酒的家庭的成年人饮酒量更多 (p=0.001)。单身、低教育程度/收入者以及功能失调家庭的人 (p < 0.05) 因压力而饮酒，并报告了与酒精相关的问题。年轻、未婚和临时工是通过朋友介绍喝酒的（p < 0.05）。结论：社会人口、经济、家庭、社会交往和压力与贫民窟成年人有害饮酒有关，呼吁针对这些因素采取干预措施。
Background: Harmful alcohol use is a public health problem associated with negative health and socio-economic impacts. However, patterns and dynamics of alcohol use among slum-dwellers in Kenya are poorly understood.Objective: To establish determinants of harmful alcohol use among adults in an urban slum setting in Kenya.Materials and methods: Cross-sectional study involving a consecutively selected sample (N=215) from Githurai, in Nairobi. A pre-tested questionnaire that captured data on socio-demographics, drinking patterns, type, reasons, initiator, and support system.Results: Of the respondents, those above 31 years, married, separated/divorced/widowed, of high education, earning above 50 USD, and from dysfunctional families consumed more alcohol. Low earners consumed (p < 0.05) unrecorded while high earners drank (p < 0.001) recorded alcohol. Adults from families with a drinking father and sibling consumed more alcohol (p=0.001). Single, low educational attainment/earners, and those in dysfunctional families (p < 0.05) drank due to stress and reported alcohol-related problems. Young, unmarried, and casual laborers were introduced (p < 0.05) to alcohol by friends.Conclusion: Socio-demographic, economic, familial, social interactions, and stress are associated with harmful alcohol use among adults from slums calling for interventions targeting these factors.