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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

Bibliographic Data

ID15540601
AuthorsMonica Kuteesa (0000-0003-4296-1398, Uganda Virus Research Institute, corresponding author), Emily L Webb (0000-0002-4019-7456, London School of Hygiene & Tropical Medicine), Racheal Kawuma (Uganda Virus Research Institute), Josephine Naluwugge (Uganda Virus Research Institute), Thadeus Kiwanuka (Uganda Virus Research Institute), Denis Ndekezi (0000-0002-9875-1667, Uganda Virus Research Institute), Janet Seeley (0000-0002-0583-5272, Uganda Virus Research Institute)
Year2021
Volume17
Issue4
Pages538-554
Publication date2021-01-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2021.1873399
PMID33460355
OpenAlexW3123122273
LanguageEN
Citations received5
References cited45

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

Business · Drug · Environmental health · Focus group · Harm · Harm reduction · Illicit drug · Injury prevention · Law enforcement · Poison control · Political science · Psychiatry · Psychological intervention · Public health · Qualitative research · Snowball sampling · Socioeconomics · Sociology · Suicide prevention · Thematic analysis · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · Medicine · Psychology · Sex work and related issues · Social Psychology

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Unique citing works5
Citations per year2,5
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 5
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