Risk factors for alcohol and drug misuse amongst young women in informal settlements in Durban, South Africa
Bibliographic Data
| ID | 15540707 |
|---|---|
| Authors | Jane Ndungu (0000-0003-3621-2462, Nelson Mandela University, corresponding author), Leon Washington (0000-0002-2189-6032, Project Empower), Samantha Willan (0000-0001-8629-887X, South African Medical Research Council), Leane Ramsoomar (0000-0003-1934-579X, South African Medical Research Council), Magnolia Ngcobo-Sithole (0000-0002-0765-829X, Nelson Mandela University), A Gibbs (0000-0003-2812-5377, South African Medical Research Council) |
| Year | 2020 |
| Volume | 15 |
| Issue | 9 |
| Pages | 1322-1336 |
| Publication date | 2020-06-04 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2020.1775866 |
| PMID | 32493132 |
| OpenAlex | W3030848673 |
| Language | EN |
| Citations received | 9 |
| References cited | 46 |
Alcohol and drug misuse (ADM) pose a significant disease burden globally. Yet, there remains a gap in understanding risk factors associated with women's ADM, particularly those in marginalised settings. We investigated risk factors associated with ADM amongst young women in urban informal settlements in South Africa. Bivariate and multivariable logistic regression analyses were conducted on a sample of 680 young women assessing associations between sociodemographic factors, mental health, relationship factors and past year ADM. Alcohol misuse was assessed using the 10 item Alcohol Use Disorders Identification Test (AUDIT) scale, with scores ≥8 defining misuse, a single item assessed past year illegal drug use. Alcohol and drug misuse were reported by 23.1% and 31.8% of the women respectively. In multivariable regression, alcohol misuse was associated with experiencing past year non-partner sexual violence, transactional sex with a main partner, past year drug use, and past week depressive symptoms, while drug misuse was associated with alcohol misuse, transactional sex with a casual partner, past year experience of physical and/or sexual IPV and having a functional limitation (disability). Results indicate ADM in informal settlements are shaped by violence and poor mental health. Interventions geared towards strengthening women's economic position and mental healthcare are recommended
Alcohol Use Disorders Identification Test · Environmental health · Injury prevention · Logistic regression · Mental health · Occupational safety and health · Poison control · Population · Psychiatry · Psychological intervention · Suicide prevention · Transactional sex · Homelessness and Social Issues · Medicine · Prenatal Substance Exposure Effects · Substance Abuse Treatment and Outcomes
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| Citations per year | 1.5 |
|---|---|
| Citation span | 2020 - 2026 (7) |
| Highly cited | No |