Co-design of an intervention to address alcohol use among adolescent boys and young men in Tanzania

共同设计一项干预措施，解决坦桑尼亚青春期男孩和年轻男性的饮酒问题

• 批准号: MR/V032380/1
• 负责人: Angela Obasi
• 金额: $ 19.31万
• 依托单位: Liverpool School of Tropical Medicine
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FV032380%2F1
• 关键词: Co; design; intervention; address; alcohol

The project addresses a critical evidence gap in how to comprehensively address alcohol initiation, use and abuse amongst adolescent boys and young men (ABYM) in sub Saharan Africa (SSA). The most recent survey of global health found that alcohol is the biggest risk factor for death among 15-49 year old men in the world. Death from preventable causes in Africa, such as interpersonal violence among male adolescents (aged 10-19 years) is higher than in any other region. Adolescent alcohol use is an important cause of these problems and predominantly amongst boys and young men. Drinking at an early age makes it more likely that you will be an alcoholic in adulthood, and causes poor adult health and bad effects on family, employment, and society. Interventions to decrease alcohol use among male adolescents could decrease death and illness in Africa and let boys reach their full potential. Some studies in rich countries have shown that these interventions might work, but very few have been tested in sub Saharan Africa. The way young people drink in Tanzania is like many other places in East and Central Africa. Our research will therefore be useful to other African settings. Also, our research team has experience and skill in adolescent health research in Tanzania with in-country partnerships and networks already in place. Local teachers, people who work with young people and key people from the ministries of health and education have asked us to help develop interventions for their male adolescents, in recognition that current international focus has been on the girl-child. Our research also supports the World Health Organisation (WHO) Global Strategy to Reduce the Harmful Use of Alcohol and will help fill gaps in alcohol policy in East Africa.The project is a partnership between two leading UK and Tanzanian research and learning institutes, a Tanzanian referral hospital and research centre, three Tanzanian based community based organisation, and local government authorities nationally and within two districts of Tanzania. Our overall aim is to co-create a package of school and community interventions and develop strategies to optimise the interplay between them in order to prevent, delay and reduce alcohol use among adolescent males in high alcohol use settings in Tanzania. This will be achieved through 4 specific objectives:OBJECTIVE 1: To understand what people in the community think about what makes adolescent boys and young men drink and how and where that drinking happensOBJECTIVE 2: To work with people in the community do design activities in the community and schools that will prevent and decrease alcohol use among adolescent boys and young men. OBJECTIVE 3: To assess the whether the relevant people like the intervention and believe that it will workOBJECTIVE 4: To collect information to help design a bigger study that will see if the intervention actually works.Our research project will directly benefit Tanzanian adolescent boys and young men, their communities, teachers and school officials as well as local and national government. We will discover new ways to develop complex interventions to decrease drinking amongst young people, especially those who are vulnerable. What we learn will be shared with politicians, people who work with with young people and researchers. It will also help us plan a larger study to test how the intervention works on a large scale.

该项目解决了在如何全面解决撒哈拉以南非洲(SSA)青春期男孩和青年男子(ABYM)中酒精的启动、使用和滥用方面的一个关键证据缺口。最新的全球健康调查发现，酒精是世界上15-49岁男性死亡的最大风险因素。在非洲，可预防的死因，如男性青少年(10-19岁)的人际暴力，比任何其他地区都要高。青少年饮酒是造成这些问题的一个重要原因，而且主要发生在男孩和青年男子中。早年饮酒使你更有可能在成年后成为酒鬼，并导致成年人健康状况不佳，对家庭、就业和社会造成不良影响。减少男性青少年饮酒的干预措施可以减少非洲的死亡和疾病，并让男孩充分发挥潜力。富裕国家的一些研究表明，这些干预措施可能会奏效，但很少在撒哈拉以南非洲进行过测试。坦桑尼亚年轻人的饮酒方式和东非和中非的许多其他地方一样。因此，我们的研究将对其他非洲环境有用。此外，我们的研究团队在坦桑尼亚的青少年健康研究方面拥有经验和技能，在国内已经建立了合作伙伴关系和网络。当地教师、与年轻人打交道的人以及卫生部和教育部的关键人员要求我们帮助为他们的男性青少年制定干预措施，因为他们认识到目前国际社会一直把重点放在女童身上。我们的研究还支持世界卫生组织(WHO)减少酒精有害使用的全球战略，并将有助于填补东非酒精政策的空白。该项目是两家领先的英国和坦桑尼亚研究和学习机构、一家坦桑尼亚转诊医院和研究中心、三家坦桑尼亚社区组织以及全国和坦桑尼亚两个地区的地方政府当局合作的项目。我们的总体目标是共同创建一套学校和社区干预措施，并制定战略，优化它们之间的相互作用，以便在坦桑尼亚的高酒精使用环境中预防、推迟和减少青少年男性的酒精使用。这将通过4个具体目标来实现：目标1：了解社区中的人们对青少年饮酒的原因以及饮酒的方式和地点的看法目标2：与社区中的人们合作，在社区和学校中设计预防和减少青少年饮酒的活动。目标3：评估相关人员是否喜欢并相信干预措施会奏效。目标4：收集信息，帮助设计一项更大规模的研究，看看干预措施是否真的有效。我们的研究项目将直接造福坦桑尼亚青少年男孩和年轻人、他们的社区、教师和学校官员以及地方和国家政府。我们将发现新的方法来开发复杂的干预措施，以减少年轻人，特别是那些易受伤害的人饮酒。我们所学到的将与政治家、与年轻人共事的人和研究人员分享。它还将帮助我们计划一项更大规模的研究，以测试大规模干预是如何发挥作用的。

项目成果

Promotive, preventive, and treatment interventions for adolescent mental health in sub-Saharan Africa: A protocol for two scoping reviews including systematic analyses of intervention effectiveness.

• DOI: 10.1371/journal.pone.0279424
• 发表时间: 2022
• 期刊: PLOS ONE
• 影响因子: 3.7
• 作者: Steel, James;Twagira, Fantacy;Seekles, Maaike L.;Obasi, Angela, I
• 通讯作者: Obasi, Angela, I

Promotive and preventive interventions for adolescent mental health in Sub-Saharan Africa: a combined scoping and systematic review

撒哈拉以南非洲青少年心理健康的促进和预防干预措施：综合范围界定和系统评价

• DOI: 10.1136/bmjph-2023-000037
• 发表时间: 2023
• 期刊: BMJ Public Health
• 作者: Seekles M