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'We shall drink until Lake Victoria dries up': Drivers of heavy drinking and illicit drug use among young Ugandans in fishing communities.
- Source :
- Global Public Health; Apr2022, Vol. 17 Issue 4, p538-554, 17p
- Publication Year :
- 2022
-
Abstract
- We investigated patterns and drivers of alcohol misuse and illicit drug use among young fisherfolk. We undertook this study in fishing communities on Koome Island, Lake Victoria, Uganda, from December 2017–July 2018. We conducted six group discussions with men (3) and women (3) and 33 in-depth interviews with: young people [users (n = 10); non-users (n = 2)], local leaders (n = 3), health workers (n = 2), parents (n = 5), alcohol/illicit drugs sellers/distributors (n = 5), law enforcement officers (n = 5). We sampled participants using purposive and snowball strategies. Interview themes included: knowledge, experiences and perceptions of alcohol use/illicit drug use, HIV risk behaviour and harm reduction. We mapped alcohol/illicit drug use outlets using a Geographic Information System to capture density, distribution and proximity to young people's homes. We coded and analysed qualitative data using thematic content analysis. Motivations for heavy drinking and illicit drug use were multifaceted and largely beyond individual control. Key contextual determinants included social norms around consumption (acceptability), price (affordability), and ease of purchase (availability). Prevention and harm reduction interventions to tackle alcohol misuse and illicit drug use should be aimed at the structural rather than individual level and must be conducted in tandem with strategies to control poverty and HIV. [ABSTRACT FROM AUTHOR]
- Subjects :
- SUBSTANCE abuse risk factors
HIV infection risk factors
UGANDANS
RISK-taking behavior
DISCUSSION
SOCIAL determinants of health
CROSS-sectional method
SOCIAL norms
SOCIAL networks
BINGE drinking
INTERVIEWING
PEOPLE with alcoholism
FISHING
RISK assessment
EXPERIENCE
HARM reduction
SURVEYS
QUALITATIVE research
INTER-observer reliability
SOCIOECONOMIC factors
DISEASE prevalence
RESEARCH funding
JUDGMENT sampling
STATISTICAL sampling
THEMATIC analysis
POVERTY
DRUG abusers
ADULTS
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 17
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 155632023
- Full Text :
- https://doi.org/10.1080/17441692.2021.1873399