Social determinants of hazardous alcohol use in a Ugandan population cohort
Bibliographic Data
BACKGROUND: There is a limited population-based data on hazardous alcohol use and associated social determinants in many African countries. OBJECTIVES: To examine patterns of hazardous alcohol use across a range of social determinants of health in Uganda, with a particular focus on gender differences. METHODS: This cross-sectional study used data collected in 2021-2022 from an open population cohort spanning urban, semi-urban, and rural communities. Alcohol use was assessed with the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C). Covariates were selected according to the WHO's Social Determinants of Health framework. Poisson regression with robust variance was used for data analysis. RESULTS: Of the 3459 participants, 2085 (60%) were women. Overall, the prevalence of hazardous alcohol use was 5% among women and 18% among men. Strong positive associations with hazardous use were found for individuals residing in semi-urban areas (female aPR 2.1 [95% CI 1.3-3.3], male aPR 1.8 [95% CI 1.4-2.5]), past-year perpetration of intimate partner violence (female aPR 2.2 [95% CI 0.8-5.6], male aPR 1.4 [95% CI 0.9-2.2]), smoking, middle age for men (aPR 1.6 [95% CI 1.2-2.2]), and employment as a vendor in a restaurant or bar for women (aPR 1.5 [95% CI 1.0-2.2]). Strong negative associations were found for high educational attainment, Muslim or Pentecostal religion, and living in a marriage or union for women (aPR 0.7 [95% CI 0.5-1.0]). CONCLUSIONS: Hazardous alcohol use was prevalent, especially among men, in a representative Ugandan population sample. Specific target groups for public health and clinical interventions were identified, such as women working in the hospitality sector. Residents of semi-urban communities may encounter unique risks for hazardous alcohol use, compared with rural and highly urban populations
Environmental health · Geography · Hazardous waste · Population · Public health · Social determinants of health · Socioeconomics · Sociology · Demography · Engineering · HIV, Drug Use, Sexual Risk · Homelessness and Social Issues · Medicine · Nursing · Psychology · Substance Abuse Treatment and Outcomes
The relationship between different dimensions of alcohol use and the burden of disease—an update
Global, regional, and national prevalence estimates of physical or sexual, or both, intimate partner violence against women in 2018
The role of alcohol use and drinking patterns in socioeconomic inequalities in mortality
The Alcohol Use Disorders Identification Test
The effect of alcohol advertising, marketing and portrayal on drinking behaviour in young people
Comparing performance between log-binomial and robust Poisson regression models for estimating risk ratios under model misspecification
Alcohol and intimate partner violence
Alternatives for logistic regression in cross-sectional studies
Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019
Advancing alcohol research in low-income and middle-income countries
Heavy drinking and problem drinking among youth in Uganda
Alcohol consumption, harms and policy developments in sub‐Saharan Africa
Mainstreaming nature-based solutions for climate resilient infrastructure in peri-urban sub-Saharan Africa
Research note
Alcohol use among adults in Uganda
Community perspectives on the extent to which transactional sex is viewed as sexual exploitation in Central Uganda
Alcohol use and intimate partner violence among women and their partners in sub-Saharan Africa
Prevalence of Alcohol Consumption and Hazardous Drinking, Tobacco and Drug Use in Urban Tanzania, and Their Associated Risk Factors
Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15–24 Years in Fishing Communities in Uganda
Hazardous alcohol use and associated factors in a rural Ethiopian district
Prevalence and socio-demographic correlates of tobacco and alcohol use in four sub-Saharan African countries
Gender differences and gender convergence in alcohol use over the past three decades (1984–2008), The Hunt Study, Norway
As soon as they can hold a glass, they begin taking alcohol’
What factors are associated with recent intimate partner violence? findings from the WHO multi-country study on women's health and domestic violence
Mapping of outdoor food and beverage advertising around primary and secondary schools in Kampala city, Uganda
Alcohol use among adults in Kenya
Adapting the Risk Environment Framework to Understand Substance Use, Gender-Based Violence, and HIV Risk Behaviors Among Female Sex Workers in Tanzania
Gender Differences in Risk Markers for Perpetration of Physical Partner Violence
Age of first drinking and adult alcohol problems
Development of the Alcohol Use Disorders Identification Test (Audit)
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |