Author:
Chen Cassandra,Mpinganjira Mafuno G,Motilal Asha,Matukane Sandile,Letsoalo Relebohile,McKee Tyler,Ntombela Zakithi,Mbulaheni Limuwani,Hargovan Taveer,Francis Joel M
Abstract
Abstract
Background
Alcohol use and risky drinking are significant public health problem globally. Young people, including university students, are among the most affected populations. We conducted the study to determine the prevalence and correlates of alcohol use and risky drinking among undergraduate students in the Faculty of Health Sciences at the University of the Witwatersrand, South Africa.
Methods
We conducted a cross-sectional study using an anonymous, self-administered online survey in REDCap. The survey questionnaire consisted of socio demographic, and alcohol use questions using the risky drinking identification screening tool (AUDIT-C). We performed descriptive statistics, bivariate and multivariable logistic regression to determine factors associated with alcohol use and risky drinking. The p-value of < 0.05 was considered statistically significant.
Results
The response rate was 15.7%. Most participants were female (69.6%) and majority of the participants were White (38.1%). The prevalence of lifetime use of alcohol was 79.1%, and among the lifetime users; 70.2% reported alcohol use in the last 12-months, 37.1% reported alcohol use in the last 30 days. The prevalence of risky drinking was 54.8% among lifetime drinkers. Factors significantly associated with current alcohol use were siblings alcohol use (aOR = 1.79, 95% CI: 1.02–3.15) and parents alcohol use (aOR = 2.58, 95% CI: 1.39–4.80), white race (aOR = 5.70, 95% CI: 3.12–10.41), and always or daily exposure to alcohol marketing in the media (aOR = 3.31, 95% CI: 1.07–10.24). Factors associated with risky drinking were: Indian/Asian race (aOR = 2.82, 95% CI: 1.09–7.31), White race (aOR = 2.15, 95% CI: 1.14–4.04), and exposure to alcohol marketing in the media as follows, most of the time (aOR = 3.42, 95% CI: 1.29–9.04) and Always/daily exposure (aOR = 3.31, 95% CI: 1.07–10.24).
Conclusion
The reported alcohol use and risky drinking were common amongst undergraduate students at Wits university. There is an urgent need to design, pilot and adapt targeted interventions for this population group.
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health
Reference44 articles.
1. World Health Organization. Global status report on alcohol and health 2018. World Health Organization; 2019.
2. Ferreira-Borges C, Dias S, Babor T, Esser MB, Parry CD. Alcohol and public health in Africa: can we prevent alcohol‐related harm from increasing? Addiction. 2015;110(9):1373–9.
3. Francis JM, Grosskurth H, Changalucha J, Kapiga SH, Weiss HA. Systematic review and meta-analysis: prevalence of alcohol use among young people in eastern A frica. Tropical Med Int Health. 2014;19(4):476–88.
4. Francis JM, Weiss HA, Mshana G, Baisley K, Grosskurth H, Kapiga SH. The epidemiology of alcohol use and alcohol use disorders among young people in northern Tanzania. PLoS ONE. 2015;10(10):e0140041.
5. World Health Organization. Global status report on alcohol and health 2011 [Internet]. Geneva, Switzerland: WHO; 2011.