Delaying Underage Drinking and HIV Risks

延缓未成年人饮酒和艾滋病毒风险

• 批准号: 8729465
• 负责人: Monica H Swahn
• 金额: $ 20.64万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-05 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8729465
• 关键词: 18 year old; Address; Africa; Africa South of the Sahara; African; Age; Alcohol abuse; Alcohol consumption; Alcoholic Intoxication; Alcohols; Area; Communication; Communities; Consumption; Country; Coupled; Data; Development; Evaluation; Focus Groups; Future; Goals; Grant; HIV; HIV risk; Health; International; Intervention; Link; Marketing; Measures; Media Campaign; Methods; Metric; Mission; National Institute on Alcohol Abuse and Alcoholism; Prevalence; Prevention; Production; Public Health; Recommendation; Research; Research Methodology; Research Personnel; Risk; Risk Factors; Role; Scanning; Slum; Surveys; Testing; Uganda; Unsafe Sex; Work; Youth; Zambia; alcohol exposure; alcohol research; base; cost effective; design; drinking; early alcohol use; evidence base; high risk; high risk sexual behavior; innovation; literacy; member; public health priorities; public health relevance; response; therapy design; transmission process; underage drinking

DESCRIPTION (provided by applicant): An important and previously largely unaddressed issue in Sub-Saharan Africa, and in Uganda specifically, is the role of alcohol marketing and early alcohol use among youth in their path towards HIV acquisition. Alcohol use in Uganda is of particular concern since the country has one of the highest per capita consumption levels world-wide. While alcohol research in Africa has been scarce, alcohol use in primarily Sub-Saharan Africa has been found to be associated with unprotected sex and other health concerns. Research also shows that alcohol marketing, specifically through the provision of free alcohol to youth (ages 13-15), is relatively common in Zambia (30%) and that this form of marketing in turn is associated with problem drinking and drunkenness. However, there is a dearth of information about alcohol marketing practices and their influence specifically on youth in Uganda. Previous research shows that youth who are exposed to alcohol marketing are also more likely to initiate alcohol use early, and in turn, that initiation leads to more problem drinking and drunkenness. However, these findings based on data available primarily in Zambia, have not yet been empirically examined in Uganda. The current mixed-methods project will develop a structural intervention designed to reduce the extent to which early alcohol use exacerbates risk for HIV transmission among youth ages 12-18 years of age. The project will include conducting an environmental scan of alcohol, conducting formative research (surveys and focus groups) with youth and leaders of community based organizations and the development of communication messages and materials to devise a counter marketing campaign. The project will be guided by an interdisciplinary and international Project Advisory Board comprised of distinguished alcohol researchers, that serve vulnerable and urban youth in Kampala, Uganda. The goals of the project is to better pioneers in the field of alcohol marketing, and valued leaders of community based organizations understand the prevalence and types of alcohol marketing that youth are exposed to and to develop counter marketing messages that will seek to delay and reduce early alcohol use and alcohol-related risky sexual behaviors that increase risk for HIV transmission.

描述（由申请人提供）：在撒哈拉以南非洲，特别是在乌干达，一个重要的和以前基本上没有解决的问题是酒精营销和年轻人早期饮酒在艾滋病毒感染过程中的作用。乌干达的酒精使用情况特别令人关切，因为该国是世界上人均消费水平最高的国家之一。 虽然非洲的酒精研究很少，但在撒哈拉以南非洲，酒精使用与无保护性行为和其他健康问题有关。研究还表明，酒类销售，特别是通过向青年（13-15岁）提供免费酒类销售，在赞比亚相对普遍（30%），这种形式的销售反过来又与酗酒和醉酒有关。 然而，关于酒类销售做法及其对乌干达青年的具体影响的资料很少。以前的研究表明，接触酒精营销的年轻人也更有可能很早就开始饮酒，反过来，这种开始导致更多的饮酒和醉酒问题。 然而，这些研究结果主要是基于赞比亚的现有数据，尚未在乌干达进行实证检验。目前的混合方法项目将制定一项结构性干预措施，旨在减少过早饮酒加剧12-18岁青年艾滋病毒传播风险的程度。该项目将包括对酒精进行环境扫描，与青年和社区组织领导人一起进行形成性研究（调查和重点小组），以及编写宣传信息和材料，以设计反营销运动。该项目将由一个跨学科的国际项目咨询委员会指导，该委员会由杰出的酒精问题研究人员组成，为乌干达坎帕拉的弱势青年和城市青年提供服务。该项目的目标是使酒类营销领域的先驱和社区组织的重要领导人更好地了解青年人所面临的酒类营销的普遍性和类型，并制定反营销信息，以寻求延迟和减少过早饮酒和与酒精有关的危险性行为，这些行为增加了艾滋病毒传播的风险。

项目成果

Psychosocial correlates of self-reported HIV among youth in the slums of Kampala.

坎帕拉贫民窟青年自我报告的艾滋病毒的心理社会相关性。

• DOI: 10.1186/s12889-019-7480-z
• 发表时间: 2019
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Swahn,MonicaH;Culbreth,Rachel;Salazar,LauraF;Tumwesigye,NazariusM;Kasirye,Rogers
• 通讯作者: Kasirye,Rogers

The interrelationships of child maltreatment, alcohol use, and suicidal ideation among youth living in the slums of Kampala, Uganda.

生活在乌干达坎帕拉贫民窟的青少年中虐待儿童、酗酒和自杀意念之间的相互关系。

• DOI: 10.1016/j.chiabu.2020.104904
• 发表时间: 2021-03
• 期刊: Child abuse & neglect
• 影响因子: 4.8
• 作者: Culbreth R;Masyn KE;Swahn MH;Self-Brown S;Kasirye R
• 通讯作者: Kasirye R

Heavy drinking and problem drinking among youth in Uganda: A structural equation model of alcohol marketing, advertisement perceptions and social norms.

• DOI: 10.1111/dar.13497
• 发表时间: 2022-09
• 期刊: DRUG AND ALCOHOL REVIEW
• 影响因子: 3.8
• 作者: Swahn, Monica H.;Culbreth, Rachel;Fodeman, Ari;Cottrell-Daniels, Cherell;Tumwesigye, Nazarius Mbona;Jernigan, David H.;Kasirye, Rogers;Obot, Isidore
• 通讯作者: Obot, Isidore

The Intersection of Alcohol Use, Gender Based Violence and HIV: Empirical Findings among Disadvantaged Service-Seeking Youth in Kampala, Uganda.

• DOI: 10.1007/s10461-021-03301-0
• 发表时间: 2021-10
• 期刊: AIDS and behavior
• 影响因子: 4.4
• 作者: Swahn MH;Culbreth R;Masyn KE;Salazar LF;Wagman J;Kasirye R
• 通讯作者: Kasirye R

Features of alcohol advertisements across five urban slums in Kampala, Uganda: pilot testing a container-based approach.

• DOI: 10.1186/s12889-022-13350-2
• 发表时间: 2022-05-09
• 期刊: BMC PUBLIC HEALTH
• 影响因子: 4.5
• 作者: Swahn, Monica H.;Palmier, Jane B.;May, Alicia;Dai, Dajun;Braunstein, Sarah;Kasirye, Rogers
• 通讯作者: Kasirye, Rogers