Bachelor of Science Public Health
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Browsing Bachelor of Science Public Health by Subject "Alcohol abuse -- Youth -- Uganda"
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Item Determinants of Persistent Alcohol Use Among the Youths in Koro Sub County, Gulu District.(International Health Sciences University., 2014-11) Apio, FlorenceIntroduction: According to WHO an estimated 2 billion people that is 33% consume alcohol of which 76.3 million have been diagnose with alcoholic use disorders (WHO, 2004). Alcohol is the most widely abused substance globally with no proper laws in place regulating its use and this makes its use legal in most countries of the world (Basangwa et al). Objectives: The main objective of the study was to investigate the determinants of persistent alcohol use among the youths in Koro sub-county, Gulu district and the specific objectives were; to determine the individual determinants, to identify the socio-economic determinants and to establish the cultural determinants of persistent use of alcohol among the youths in Koro sub- county Gulu district. Methods: A descriptive cross-sectional study was done by the researcher using both quantitative and qualitative method. The investigation was done among all youths who are residence of Koro sub-county. The data was collected using questionnaires to collect quantitative data from 272 youths of Koro sub-county. Qualitative data was also collected using a Focus Group Discussion guide by conducting 6 FGDs of community leaders of Koro sub-county. The quantitative data was analyzed using SPSS and Microsoft office excels and presented the findings in pie charts and tables. The qualitative data was manually analyzed and presented in quotations and verbatim. The research objectives were address through interpretation of quantitative and qualitative data according to the research objectives. The result: The finding from the study indicates that the major determinants of persistent alcohol use among the youths in Koro sub-county specifically includes the following variables; age (P- value =0.00), sex (P-value=0.00), residence (P-value=0.00), family history of alcohol use(P- value=0.00) and the duration of alcohol use (P-value=0.00), education level(P-value=0.00), employment status(P-value=0.00), income level(P-value=0.00), norms and values (P-value=0.00), and bylaws(P-value=0.002) which showed statistically significant association with persistent alcohol use. The following variables showed no statistical significant association with persistent alcohol use in this study; traditional rituals (P-value=0.423), traditional beliefs (P-value=0.571) and peer pressure (P-value=0.249). Conclusion: Persistent alcohol use among the youths in Koro sub-county was significantly determined by age, sex, residence, family history of alcohol, the duration of alcohol use, education level, employment status, income level, norms and values, traditional rituals, traditional beliefs and bylaws with peer pressure as the only variable which is not a determinant in this study.Item Factors Influencing Concurrent Alcohol and Drug Abuse Among the Youth (18-34 Years) in Bwaise Slum.(International Health Sciences University., 2014-11) Nakiwala, LillianBackground; Concurrent alcohol and drug abuse also known as poly drug use is one of the top problems confronting the nation today especially among the youth. In the recent years, there has been a tremendous increase in the incidences of drug and alcohol abuse and related anti social behavior. This has brought a lot of concern to the government, parents, teachers, Non- governmental organizations and all other relevant agencies. Poly drug use is using more than one drug at one time. The reasons why people use drugs in combination are to either increase their intoxication, or to increase the effect of the first drug taken. Problem statement; There is a tremendous increase in the uptake of alcohol and drugs among the youth in Uganda. Slum areas in cities and towns can also be said to contribute to increase drug abuse. Slums are said to breed the youngest percentage of alcohol and drug abusers. A report from Ministry of Health also indicated that approximately 10% of Ugandans are regular drug users and also a report from Uganda police showed that alcohol and drug abusers are increasing in the country especially in suburbs of Kampala district including Bwaise slum. Objective; The purpose of this study was to assess the factors influencing concurrent alcohol and drug abuse among the youth in Bwaise slum. Methodology; The study was a descriptive cross sectional study design where the researcher collected both qualitative and quantitative data. The study population consisted of 185 youth from Bwaise slum both males and females, aged between 18-34 years who were employed and residents of this area. In this study, the researcher employed both quantitative and data collection techniques which included face to face interviews and focus group discussions. The researcher used both probabilistic and non probabilistic sampling techniques during the study. Probabilistic sampling techniques included simple random sampling while non probalistic sampling techniques included purposive sampling. Results; Most of the youth in Bwaise slum 231 (87.8%). Of those who took the alcohol, 123 (53.2%) said they also took drugs. The youth who had ever used alcohol and drugs concurrently constituted 49% (113) of the total population of those who had ever taken alcohol. The demographic factors that had statistically significant influences on the use of alcohol and drugs at the same time were marital status (p = 0.004), employment status ( p = 0.034), occupation (p = 0.000), income (p = 0.001). Higher chances of poly drug use were found among youths who were single (63.4%), employed (56.4%), housewives by occupation (92.1%), and the low income earners (53.6%). Some Individual factors had a significant influence on the concurrent use of alcohol and drugs among the youth in Bwaise. These were drinking alcohol and using drugs to have a good time with friends (p = 0.009), the personal belief that alcohol has the ability to make one feel high (p = 0.009), the belief that alcohol and drug use has the ability to relax or relieve tension (p = 0.009) and not knowing that alcohol and drug use have any side effects (p = 0.016). Conclusion; The use of the combination is an eminent public health problem in Bwaise with a high prevalence of 49%. Factors such as socio demographic and individual factors play a major role in causing concurrent alcohol/drug use among the youth.