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Belihu WB, Amogne MD, Herder T, Sundewall J, Agardh A. Risky sexual behavior and associated factors among university students in Ethiopia: a cross-sectional national survey. BMC Public Health 2024; 24:1701. [PMID: 38918778 PMCID: PMC11201902 DOI: 10.1186/s12889-024-19213-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 06/20/2024] [Indexed: 06/27/2024] Open
Abstract
BACKGROUND Risky sexual behavior (RSB) is one of the major youth sexual and reproductive health problems globally, including in Ethiopia. RSB among youth increases the risk of HIV infection, other sexually transmitted infections (STIs), unintended pregnancy, and unsafe abortion. Therefore, the aim of this study was to examine RSB and its associated factors among university students in Ethiopia. METHODS A cross-sectional study was employed in six randomly selected public universities in Ethiopia from August 2021 to February 2022. A stratified two-stage sampling technique was applied to reach the required number of study participants, and a structured self-administered questionnaire was used. RSB was defined as having had sexual relationships with more than one partner and using condoms with a new sexual partner irregularly or not at all in the last 12 months. Bivariable and multivariable logistic regression analyses were used to identify factors associated with RSB among those participants who were sexually active. RESULTS The prevalence of RSB among those who had had sexual intercourse in the last 12 months (n = 523) was 19.5% (n = 102). One hundred forty-four (29.9%) students had multiple sexual partners, and 325 (69.3%) students did not always use condoms with a new sexual partner. Adjusted odds ratios (AOR) showed that those students aged 21-24 years had lower odds of RSB than those aged above 25 years AOR 0.18 (95% CI 0.03-0.98). The adjusted odds of RSB were 6.7 times higher (95% CI 1.26-35.30) among students who started sex at the age of 10-17 years than those who started sex at 21 years and above and 3.9 times higher (95% CI 1.33-11.39) among students who had experienced emotional violence. CONCLUSION RSB continues to be a problem among university students in Ethiopia. Those students who started sex at an early age and those who experienced emotional violence were more likely to engage in RSB. Therefore, universities in Ethiopia should implement strategies such as RSB targeted health education programs that consider early sexual debut, experiences of emotional violence, and safe sexual practices.
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Affiliation(s)
- Wudinesh Belete Belihu
- Social Medicine and Global Health, Lund University, Malmo, Sweden.
- HIV/TB Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
| | - Minilik Demissie Amogne
- Social Medicine and Global Health, Lund University, Malmo, Sweden
- HIV/TB Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | - Tobias Herder
- Social Medicine and Global Health, Lund University, Malmo, Sweden
| | - Jesper Sundewall
- Social Medicine and Global Health, Lund University, Malmo, Sweden
| | - Anette Agardh
- Social Medicine and Global Health, Lund University, Malmo, Sweden
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Florence GE, Derman WE, Popperwell JM, Kunorozva L, Gomez-Ezeiza J. Prevalence of health risk behaviours related to non-communicable diseases amongst South African university students: a systematic review. J Public Health (Oxf) 2023; 45:1042-1055. [PMID: 37409582 PMCID: PMC10688999 DOI: 10.1093/pubmed/fdad106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Revised: 06/16/2023] [Indexed: 07/07/2023] Open
Abstract
BACKGROUND Engagement in risk behaviours adopted during university continues after graduation, increasing the risk of non-communicable diseases (NCDs). This systematic review aimed to investigate the prevalence of NCD risk behaviours amongst South African university students. METHODS PubMed and Scopus databases were searched (January 1990-April 2022) for studies investigating alcohol consumption, cigarette smoking, inadequate consumption of fruits and vegetables and physical inactivity. Study qualities were assessed with the Joanna Briggs Institute critical appraisal and levels of evidence checklists. An overall prevalence percentage was obtained for each risk behaviour. RESULTS A total of 50 studies (n = 26 624 students) were included. A range of 44.8-75.0% of students consumed inadequate servings of fruits and vegetables. Just over 54% consumed alcohol (95% confidence intervals [95%CI]:54.0-55.5%). A significantly higher percentage of males (44.2%) than females (25.8%) drank heavily (P < 0.001). Approximately one-third (34.8%, 95%CI:33.4-36.3%) were sedentary and 39.0% (95%CI:37.5-40.4%) were insufficiently active. Almost one-fifth (17.9%, 95%CI:17.3-18.5%) smoked cigarettes, being significantly more prevalent amongst males (21.8%) than females (13.5%) (P < 0.001). A total of 10% smoked 1-10 cigarettes/day and 1.2% smoked >10 cigarettes/day. CONCLUSION High percentages of South African students eat inadequate servings of fruits and vegetables, consume alcohol are physically inactive and smoke cigarettes. South African universities should implement screening measures and health campaigns.
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Affiliation(s)
- Gabriella E Florence
- Institute of Sport and Exercise Medicine, Department of Sport Science, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch 7600, South Africa
| | - Wayne E Derman
- Institute of Sport and Exercise Medicine, Department of Sport Science, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch 7600, South Africa
- IOC Research Centre, University of Pretoria, Stellenbosch University & South African Medical Research Council, South Africa
| | - Jake M Popperwell
- Institute of Sport and Exercise Medicine, Department of Sport Science, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch 7600, South Africa
| | - Lovemore Kunorozva
- Institute of Sport and Exercise Medicine, Department of Sport Science, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch 7600, South Africa
| | - Josu Gomez-Ezeiza
- Institute of Sport and Exercise Medicine, Department of Sport Science, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch 7600, South Africa
- IOC Research Centre, University of Pretoria, Stellenbosch University & South African Medical Research Council, South Africa
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Carels C, Florence M, Adams S, Savahl S. Alcohol Use as a Predictor of Risky Sexual Behaviour among Young Adults in the Western Cape Province of South Africa. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:7053. [PMID: 37998284 PMCID: PMC10671005 DOI: 10.3390/ijerph20227053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 11/03/2023] [Accepted: 11/08/2023] [Indexed: 11/25/2023]
Abstract
The aim of this study was to investigate the relation between alcohol consumption and risky sexual behaviour (RSB). This study further aimed to examine whether alcohol use, gender, and employment status predicted RSB among young adults in the Cape Flats. A better understanding of these predictors could potentially lead to a more thorough comprehension of the relation between alcohol consumption and RSB among young adults within the South African context. The study employed a cross-sectional correlational survey design, with a sample of 1001 participants aged 18 to 25 (51% women), using the street-intercept method. Participants were selected using purposive sampling, with age and geographical location employed as inclusion criteria. We used the Self-Report Risky Sexual Behaviours Scale (SRSBS) and the Alcohol Use Disorder Identification Test (AUDIT), which were cognitively tested and modified, in English and Afrikaans. The data were analysed via multivariate multiple regression analysis in Stata. The key findings indicate that alcohol consumption is an important predictor of RSB. Alcohol consumption accounted for 23.22% of the variation in RSB. We also found that alcohol consumption and gender were significant (p < 0.1) predictors of RSB, but not employment status (p > 0.01). Being a woman decreased RSB. The model indicates that alcohol use and gender explain 18.41% of the variance in RSB. This study provides support for the growing body of research evidence that has established a significant link between alcohol consumption and RSB, highlighting the need for longitudinal research to determine patterns of risky drinking in the general population.
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Affiliation(s)
- Cassandra Carels
- Department of Psychology, University of the Western Cape, Cape Town 7535, South Africa
| | - Maria Florence
- Department of Psychology, University of the Western Cape, Cape Town 7535, South Africa
| | - Sabirah Adams
- Language Development Group, Centre for Higher Education Development, University of Cape Town, Cape Town 7701, South Africa
| | - Shazly Savahl
- Department of Psychology, University of the Western Cape, Cape Town 7535, South Africa
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Curyło M, Rynkiewicz-Andryśkiewicz M, Andryśkiewicz P, Mikos M, Lusina D, Raczkowski JW, Partyka O, Pajewska M, Sygit K, Sygit M, Cipora E, Kaczmarski M, Gawiński Ł, Banaś T, Strzępek Ł, Juszczyk G, Krzych-Fałta E, Bandurska E, Ciećko W, Zabojszcz M, Zdziarski K, Knyszyńska A, Kosior DA, Marczak M, Czerw A, Kozłowski R. Acceptance of Illness and Coping with Stress among Patients Undergoing Alcohol Addiction Therapy. J Clin Med 2023; 12:4767. [PMID: 37510882 PMCID: PMC10381120 DOI: 10.3390/jcm12144767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 06/30/2023] [Accepted: 07/14/2023] [Indexed: 07/30/2023] Open
Abstract
(1) Background: Acceptance of illness is a process in which a person with an illness accepts its presence and treats it as an integral part of their life. With regard to alcoholism, acceptance of illness is one of the important elements of the healing process. (2) Methods: The study group consisted of 104 residents in an addiction treatment ward. Questionnaires SOC-29, AIS and PSS-10 were used to check levels of coherence, stress and acceptance of illness. The analysis was based on regression analysis. Patient age was analysed as a moderator of correlations between perceived indicators. Moderation analysis was based on the simple moderation model. (3) Results: The level of perceived stress correlated negatively with all areas of the sense of coherence and with acceptance of illness. All areas of the sense of coherence correlated with acceptance of illness positively. (4) Conclusions: The acceptance of illness by the patient is a factor that can be motivating for further treatment, through a positive approach to illness and strengthening the sense of control in experiencing it. The combination of strengthening behavioural, cognitive and motivational resources can be used in the treatment of people experiencing the challenges of addiction to alcohol.
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Affiliation(s)
- Mateusz Curyło
- Department of Internal Medicine, Rehabilitation and Physical Medicine, Medical University of Lodz, 90-647 Lodz, Poland
- Medical Rehabilitation Department, The Ministry of the Interior and Administration Hospital, 30-053 Krakow, Poland
| | - Marlena Rynkiewicz-Andryśkiewicz
- Department of Treatment of Alcohol Abstinence Syndromes, Independent Public Healthcare Facility in Lezajsk, 37-300 Lezajsk, Poland
| | - Przemysław Andryśkiewicz
- Department of Treatment of Alcohol Abstinence Syndromes, Independent Public Healthcare Facility in Lezajsk, 37-300 Lezajsk, Poland
| | - Marcin Mikos
- Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-705 Krakow, Poland
| | - Dariusz Lusina
- Department of Orthopedics and Traumatology, University Hospital in Krakow, 30-688 Krakow, Poland
| | - Jan W Raczkowski
- Department of Internal Medicine, Rehabilitation and Physical Medicine, Medical University of Lodz, 90-647 Lodz, Poland
| | - Olga Partyka
- Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland
- Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Monika Pajewska
- Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland
- Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Katarzyna Sygit
- Faculty of Health Sciences, Calisia University, 62-800 Kalisz, Poland
| | - Marian Sygit
- Faculty of Health Sciences, Calisia University, 62-800 Kalisz, Poland
| | - Elżbieta Cipora
- Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland
| | - Mateusz Kaczmarski
- Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland
| | - Łukasz Gawiński
- Department of Management and Logistics in Health Care, Medical University of Lodz, 90-131 Lodz, Poland
| | - Tomasz Banaś
- Department of Radiotherapy, Maria Sklodowska-Curie Institute-Oncology Centre, 31-115 Cracow, Poland
| | - Łukasz Strzępek
- Clinical Department of General and Oncological Surgery, St. Raphael Hospital Krakow, 30-693 Krakow, Poland
| | - Grzegorz Juszczyk
- Department of Public Health, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Edyta Krzych-Fałta
- Department of Basic of Nursing, Faculty of Health Sciences, Medical University of Warsaw, 01-445 Warsaw, Poland
| | - Ewa Bandurska
- Center for Competence Development, Integrated Care and e-Health, Medical University of Gdansk, 80-204 Gdansk, Poland
| | - Weronika Ciećko
- Center for Competence Development, Integrated Care and e-Health, Medical University of Gdansk, 80-204 Gdansk, Poland
| | - Michał Zabojszcz
- Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland
| | - Krzysztof Zdziarski
- Subdepartment of Social Medicine and Public Health, Department of Social Medicine, Pomeranian Medical University in Szczecin, 71-210 Szczecin, Poland
| | - Anna Knyszyńska
- Department of Humanities and Occupational Therapy, Pomeranian Medical University in Szczecin, 71-103 Szczecin, Poland
| | - Dariusz A Kosior
- Mossakowski Medical Research Institute, Polish Academy of Sciences, 02-106 Warsaw, Poland
| | - Michał Marczak
- Collegium of Management, WSB University in Warsaw, 03-204 Warsaw, Poland
| | - Aleksandra Czerw
- Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland
- Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland
| | - Remigiusz Kozłowski
- Department of Management and Logistics in Health Care, Medical University of Lodz, 90-131 Lodz, Poland
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Hasselgård-Rowe J, Senchyna A, Broers B, Haller DM. Heterogeneity of definitions and measurements of binge drinking in research on adolescents and young adults. Drug Alcohol Depend 2022; 241:109650. [PMID: 36252507 DOI: 10.1016/j.drugalcdep.2022.109650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 09/22/2022] [Accepted: 09/23/2022] [Indexed: 12/14/2022]
Abstract
INTRODUCTION Binge drinking is a widespread health compromising behaviour among adolescents and young adults and is one of the leading causes of mortality and injuries among this population. The definitions and measurement methods of binge drinking are heterogeneous but constitute a crucial component in the literature on associated factors related to binge drinking. This study focused on how binge drinking is defined and measured in the literature exploring its associated risk factors among adolescents and young adults. METHODS The databases PubMed, Embase, PsycINFO and Social Care were searched for articles published between 1 January 2006 and 30 April 2020 using 3 concepts: binge drinking; risk or protective factors; and adolescents/young adults with respective key words. Data were extracted on the main characteristics of studies and the parameters of binge drinking measurements. RESULTS 173 studies were included, mostly cross-sectional (61 %) and longitudinal (38 %). Only 23 % of the studies explicitly referred to a standardised definition of binge drinking even though 76 % of the studies used a consensual threshold of 5 drinks or more for men. A lower threshold for women was applied in 26 % of the studies. Recall periods ranged between 2 weeks and 1 year in 85 % of the studies and only 16 % presented binge drinking in terms of frequency and/or quantity of drinks. CONCLUSION Our results highlight the heterogeneity in the definitions and measurements of binge drinking, raising concerns for meaningful comparisons between studies focused on factors associated with the behaviour. The scientific community needs to be aware of these variations and address the gap of poor stratification and inconsistencies in binge drinking reporting.
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Affiliation(s)
- Jennifer Hasselgård-Rowe
- University Institute for Primary Care, Faculty of Medicine, University of Geneva, Switzerland; Institute of Global Health, Faculty of Medicine, University of Geneva, Switzerland.
| | - Arun Senchyna
- University Institute for Primary Care, Faculty of Medicine, University of Geneva, Switzerland
| | - Barbara Broers
- Primary Care Division, Geneva University Hospitals, University of Geneva, Switzerland
| | - Dagmar M Haller
- University Institute for Primary Care, Faculty of Medicine, University of Geneva, Switzerland
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Chiu H, Vargo EJ. Bullying and other risk factors related to adolescent suicidal behaviours in the Philippines: a look into the 2011 GSHS Survey. BMC Psychiatry 2022; 22:445. [PMID: 35787791 PMCID: PMC9251019 DOI: 10.1186/s12888-022-04085-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 06/23/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUNDS The present study retrospectively examined gender differences in bullying and suicidal behaviour (ideation, plan, and attempts) as well as associations between selected risk factors and suicidal behaviour among secondary school Filipino students. METHODS The study used a secondary data set from the GSHS developed by the World Health Organization, which was conducted in the Philippines in 2011. Participants included 5290 Filipino students (male N = 2279, female N = 2986). A two-tailed Chi-square of independence was used to test for gender differences and a multivariate logistic regression model explored statistical associations between risk factors and outcome variables. RESULTS Chi-square results suggested that gender differences were statistically significant for being bullied χ2 (1, N = 2384) = 10.6, p = .001, experiencing suicidal ideation χ2 (1, N = 857) = 61.7, p = .000, making suicide plans χ2 (1, N = 590) = 10.2, p = .001, and suicide attempts χ2 (1, N = 674) = 8.4, p = .004, with females showing higher vulnerability to examined risk factors. The logistic regression model also suggested that adolescents claiming to have no close friends were three to four times more likely to attempt suicide. Other strong predictors of suicidal behaviours were loneliness and getting in trouble due to alcohol consumption. CONCLUSIONS Bullying is an independent yet, not the strongest predictor associated with adolescents' suicidal behaviour in the present study. The strongest predictors of Filipino adolescents' suicidal behaviours in the 2011 cohort included having no close friends, loneliness, anxiety and getting in trouble due to alcohol use among both genders. Peer and mental health support programmes need to be made available and accessible for adolescents in the Philippines. Considering the increase in suicide rates in 2020/2021 among Filipino young adults due to the Coronavirus pandemic, it is suggested that preventing suicidal vulnerability in adolescence can hinder this occurrence later on in the lifetime.
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Affiliation(s)
- Hsuan Chiu
- grid.7728.a0000 0001 0724 6933College of Health, Medicine and Life Sciences, Brunel University London,, Uxbridge, UK
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Dessauvagie AS, Dang HM, Nguyen TAT, Groen G. Mental Health of University Students in Southeastern Asia: A Systematic Review. Asia Pac J Public Health 2021; 34:172-181. [PMID: 34798781 PMCID: PMC8978462 DOI: 10.1177/10105395211055545] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Mental health in young people is a public health challenge worldwide, with around
one-fifth of university students suffering from a 12-month mental disorder. In
low- and middle-income countries (LMICs) of Southeastern Asia, resources for
mental health are limited and counseling services are not regularly established
at universities. This review aims to determine the prevalence of mental health
problems among university students in six ASEAN (Association of Southeast Asian
Nations) countries (Cambodia, Laos, Malaysia, Myanmar, Thailand, and Vietnam)
and to identify the determinants of mental health. A systematic database search
(PubMed, CINAHL, PsycINFO, PubPsych, and Scopus) for peer-reviewed, English
language articles, published 2010-2020, reporting prevalence data based on
standardized screening instruments resulted in 335 articles; 108 were eligible
for full-text analysis, of which 34 could be included in the review. Median
point prevalence was 29.4% for depression, 42.4% for anxiety, 16.4% for stress,
and 13.9% for disordered eating. Current suicidality was present in 7% to 8% of
students. There was a high rate of psychiatric comorbidity. Despite the high
prevalence of mental health problems, the willingness to seek professional help
was comparatively low. Implications for mental health promotion and prevention
in university settings are discussed.
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Affiliation(s)
| | - Hoang-Minh Dang
- Center for Research, Information and Service in Psychology (CRISP), VNU University of Education, Hanoi, Vietnam
| | - Thi Anh Thu Nguyen
- Department of Educational Psychology, VNUHCM-University of Social Sciences and Humanities, Ho Chi Minh City, Vietnam
| | - Gunter Groen
- Department of Social Work, Hamburg University of Applied Sciences, Hamburg, Germany
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Aboagye RG, Kugbey N, Ahinkorah BO, Seidu AA, Cadri A, Akonor PY. Alcohol consumption among tertiary students in the Hohoe municipality, Ghana: analysis of prevalence, effects, and associated factors from a cross-sectional study. BMC Psychiatry 2021; 21:431. [PMID: 34479516 PMCID: PMC8414877 DOI: 10.1186/s12888-021-03447-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Accepted: 08/20/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Alcohol consumption constitutes a major public health problem as it has negative consequences on the health, social, psychological, and economic outcomes of individuals. Tertiary education presents students with unique challenges and some students resort to the use of alcohol in dealing with their problems. This study, therefore, sought to determine alcohol use, its effects, and associated factors among tertiary students in the Hohoe Municipaility of Ghana. METHODS An institutional-based cross-sectional study was conducted among 418 tertiary students in the Hohoe Municipality of Ghana using a two-stage sampling technique. Data were collected using structured questionnaires. A binary logistic regression modelling was used to determine the strength of the association between alcohol consumption and the explanatory variables. The level of significance was set at p < 0.05. Stata version 16.0 was used to perform the analysis. RESULTS The lifetime prevalence of alcohol consumption was 39.5%. Out of them, 49.1% were still using alcohol, translating to an overall prevalence of 19.4% among the tertiary students. Self-reported perceived effects attributed to alcohol consumption were loss of valuable items (60.6%), excessive vomiting (53.9%), stomach pains/upset (46.1%), accident (40.0%), unprotected sex (35.1%), risk of liver infection (16.4%), depressive feelings (27.3%), diarrhoea (24.2%), debt (15.2%), and petty theft (22.4%). In terms of factors associated with alcohol consumption, students aged 26 years and above were more likely to have consumed alcohol [AOR = 4.4, 95%CI = 1.74, 11.14] than those in 16-20 years group. Muslim students had lower odds of alcohol consumption compared to Christians [AOR = 0.1, 95% CI = 0.02, 0.31]. It was also found that students who had peer influence [AOR = 3.7, 95%CI = 2.31, 5.82] and those who had academic adjustment problems [AOR = 3.6, 95% CI = 2.01, 6.46] were more likely to consume alcohol. CONCLUSION Lifetime prevalence of alcohol consumption is high among tertiary students in the Hohoe Municipality of Ghana, with several physical, psychosocial and economic consequences. Alcohol-related education should be intensified in tertiary institutions and counseling units should be equipped with relevant assessment tools to assess and help students who are at risk and those who are already consuming alcohol.
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Affiliation(s)
- Richard Gyan Aboagye
- Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho, Ghana.
| | - Nuworza Kugbey
- Department of General Studies, University of Environment and Sustainable Development, Somanya, Ghana
| | - Bright Opoku Ahinkorah
- grid.117476.20000 0004 1936 7611School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia
| | - Abdul-Aziz Seidu
- grid.1011.10000 0004 0474 1797College of Public Health, Medical and Veterinary Services, James Cook University, Douglas, Australia
| | - Abdul Cadri
- grid.8652.90000 0004 1937 1485Department of Social and Behavioural Science, School of Public Health, University of Ghana, Legon-Accra, Ghana
| | - Paa Yeboah Akonor
- grid.449729.50000 0004 7707 5975Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho, Ghana
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Chumakov E, Petrova N, Mamatkhodjaeva T, Ventriglio A, Bhugra D, Molodynski A. Screening of minor psychiatric disorders and burnout among a sample of medical students in St. Petersburg, Russia: a descriptive study. MIDDLE EAST CURRENT PSYCHIATRY 2021. [PMCID: PMC8387095 DOI: 10.1186/s43045-021-00118-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background Despite the general interest of researchers around the world, there are few studies on the psychological wellbeing and burnout among medical students in Russia. The aim of this study was to perform screening for minor psychiatric disorders, burnout, problematic alcohol use, and quantify the psychological issues and stress among a sample of medical students in St. Petersburg, Russia. Results According to the GHQ-12, screening for minor mental disorders was positive in 140 students (85%). Screening for burnout using the OLBI showed positive results in 121 (73%) students for disengagement and 132 (80%) students for exhaustion. Screening with the CAGE tool identified a risk of alcohol consumption in 33 students (20%). Most students reported academic studies as the main source of stress in their life (n = 147; 89.1%). Conclusions This study identified very high levels of stress, burnout, risk of minor mental disorders, and problematic alcohol use among medical students in St. Petersburg, Russia. These findings suggest more attention is needed to the poor mental wellbeing and health in medical students in Russia.
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Health Behaviors among Male and Female University Students in Cambodia: A Cross-Sectional Survey. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2020; 2020:6740236. [PMID: 32256617 PMCID: PMC7086439 DOI: 10.1155/2020/6740236] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Revised: 01/18/2020] [Accepted: 02/13/2020] [Indexed: 11/17/2022]
Abstract
Students go through a transition when they enter university, which involves major individual and contextual changes in every domain of life that may lead to several behavioral and health problems. This study examined a wide range of health behaviors and practices among 1,359 male and female students recruited from two public universities in Cambodia using a multistage cluster sampling method. Health-related information in different domains were collected using a structured questionnaire. We compared the variables in male and female students. Of the total, 50.8% were male and the mean age was 21.3 (SD = 2.3) years. The majority (79.5%) reported not having any vigorous-intensity activities, 25.9% not having moderate-intensity activities, and 33.5% not having walked continuously for 10 min over the last week. More than one-third (38.3%) reported drinking alcohol, 1.1% smoking tobacco, and 0.4% using an illicit drug in the past 12 months. About one in ten (10.6%) reported having sexual intercourse; of whom, 42.4% reported not using a condom in the last intercourse, and the mean number of sexual partners was 2.1 (SD = 2.4) in the past 12 months. Only 7.1% reported having been diagnosed with a sexually transmitted infection (STI) in the past 12 months; of whom, 60% sought for treatment for the most recent STI. About one-third (33.6%) reported eating fast food at least once over the last week. More than half (55.6%) had one to two servings of fruits or vegetables daily, and 9.9% did not eat any fruits or vegetables over the last week. Gender differences were observed in physical activities, dietary intakes, cigarette smoking, alcohol drinking, and sexual behaviors. Findings from this study indicate that public health and education policies should promote healthy behaviors among university students. The interventions may take advantage of and expand upon the positive health behaviors and consider gender differences.
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Nguyen TTH, Sendall MC, Young RM, White KM. Binge drinking among male medical students in Viet Nam: a qualitative exploration of norms. J Ethn Subst Abuse 2019; 20:543-558. [PMID: 31596186 DOI: 10.1080/15332640.2019.1670768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Alcohol is a commonly used substance among Vietnamese medical students, especially males. Vietnamese male medical students drink more alcohol, report more intentions to binge drink, and experience more alcohol-related problems than females. As medical students' alcohol consumption may influence their attitudes and medical practice relating to alcohol counseling and prevention, research about the cultural and drinking norms underlying the drinking behavior of Vietnamese male medical students is warranted. This study aims to explore the norms underlying drinking behavior of Vietnamese male medical students. A qualitative study including 32 in-depth interviews with Vietnamese male medical students at a medical university. Thematic analysis was used to analyze the data. This study found Vietnamese male medical students considered alcohol consumption as a way to show their masculinity and become accepted by groups. Given these beliefs and adherence to norms, they followed rules to force others to consume more alcohol or be intoxicated in drinking occasions among medical students. This study showed the importance of gender and group norms in influencing Vietnamese male medical students' alcohol consumption. These norms should be considered in future research and interventions addressing alcohol use among this target population.
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Affiliation(s)
- Thi Thu Huong Nguyen
- School of Psychology and Counselling, Faculty of Health and Institute of Health and Biomedical Innovation, Queensland University of Technology , Kelvin Grove , Australia
| | - Marguerite C Sendall
- School of Public Health and Social Work and Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology , Kelvin Grove , Australia
| | - Ross McD Young
- Faculty of Health and Institute of Health and Biomedical Innovation, Queensland University of Technology , Kelvin Grove , Australia
| | - Katherine M White
- School of Psychology and Counselling, Faculty of Health and Institute of Health and Biomedical Innovation, Queensland University of Technology , Kelvin Grove , Australia
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12
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Wolkowicz NR, Ham LS, Zamboanga BL. What you think and where you drink: Context, alcohol outcome expectancies, and drinking behavior. Addict Behav 2019; 93:225-232. [PMID: 30772775 DOI: 10.1016/j.addbeh.2019.02.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Revised: 02/04/2019] [Accepted: 02/05/2019] [Indexed: 11/19/2022]
Affiliation(s)
- Noah R Wolkowicz
- Department of Psychological Science, 216 Memorial Hall, University of Arkansas, Fayetteville, AR 72701, United States.
| | - Lindsay S Ham
- Department of Psychological Science, 216 Memorial Hall, University of Arkansas, Fayetteville, AR 72701, United States
| | - Byron L Zamboanga
- Department of Psychology, Smith College, Northampton, MA 01063, United States
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13
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Williams SG, McDermott R, Fruh S, Graves R, Hall H, Wright T, Swanzy D, Carter C. Nursing Student Satisfaction With Daily Life: A Holistic Approach. J Nurs Educ 2018; 57:751-755. [PMID: 30512113 PMCID: PMC6578587 DOI: 10.3928/01484834-20181119-09] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Accepted: 09/06/2018] [Indexed: 11/20/2022]
Abstract
BACKGROUND Nursing school, clinical, and academic life challenges most students' satisfaction with daily life. This study sought to examine associations between undergraduate nursing students' satisfaction with daily life and body mass index (BMI), self-weight perception, and intake of 18 commonly consumed food and beverages over the past 30 days. METHOD A cross-sectional, correlational, online study facilitated data collection from 215 nursing students. RESULTS One unit increase in satisfaction with daily life predicted a modest 36% decrease in the odds of being overweight/obese. One unit increase in satisfaction with daily life predicted a 106% increase in the odds of being in the about the right weight category. Approximately 44.9% of the nursing students were in the overweight, obese, or extremely obese categories. CONCLUSION Healthy nutrition and normal BMI, with a positive self-weight perception, before nurses enter the workforce may have lifelong benefits. Nursing faculty can provide motivation, a supportive environment, and tools to instill a culture of health and wellness. [J Nurs Educ. 2018;57(12):751-755.].
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14
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Yang P, Tao R, He C, Liu S, Wang Y, Zhang X. The Risk Factors of the Alcohol Use Disorders-Through Review of Its Comorbidities. Front Neurosci 2018; 12:303. [PMID: 29867316 PMCID: PMC5958183 DOI: 10.3389/fnins.2018.00303] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2017] [Accepted: 04/18/2018] [Indexed: 01/01/2023] Open
Abstract
Alcohol use disorders (AUDs) represent a severe, world-wide problem, and are usually comorbid with psychiatric disorders, comorbidity increases the risks associated with AUDs, and results in more serious consequences for patients. However, currently the underlying mechanisms of comorbid psychiatric disorders in AUDs are not clear. Studies investigating comorbidity could help us understand the neural mechanisms of AUDs. In this review, we explore three comorbidities in AUDs, including schizophrenia, major depressive disorder (MDD), and personality disorders (PDs). They are all co-morbidities of AUDs with rate of 33.7, 28, and 50–70%, respectively. The rate is significantly higher than other diseases. Therefore we review and analyze relevant literature to explore whether these three diseases are the risk factors of AUDs, focusing on studies assessing cognitive function and those using neural imaging. We found that memory deficits, impairment of cognitive control, negative emotion, and impulsivity may increase an individual's vulnerability to AUDs. This comorbidity may indicate the neural basis of AUDs and reveal characteristics associated with different types of comorbidity, leading to further development of new treatment approaches for AUDs.
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Affiliation(s)
- Ping Yang
- Department of Medical Psychology, Chaohu Clinical Medical College, Anhui Medical University, Hefei, China
| | - Rui Tao
- Department of Substance-Related Disorders, Anhui Mental Health Center, Hefei, China
| | - Chengsen He
- Department of Medical Psychology, Chaohu Clinical Medical College, Anhui Medical University, Hefei, China
| | - Shen Liu
- Key Laboratory of Brain Function and Disease, School of Life Sciences, University of Science and Technology of China, Chinese Academy of Sciences, Hefei, China
| | - Ying Wang
- Key Laboratory of Brain Function and Disease, School of Life Sciences, University of Science and Technology of China, Chinese Academy of Sciences, Hefei, China
| | - Xiaochu Zhang
- Key Laboratory of Brain Function and Disease, School of Life Sciences, University of Science and Technology of China, Chinese Academy of Sciences, Hefei, China
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Yang T, Barnett R, Peng S, Yu L, Zhang C, Zhang W. Individual and regional factors affecting stress and problem alcohol use: A representative nationwide study of China. Health Place 2018. [PMID: 29518714 DOI: 10.1016/j.healthplace.2018.02.008] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES The objective of this study was to examine the association between individual and environmental stressors and problem alcohol use among Chinese university students. METHODS Participants were 11,942 students, who were identified through a multistage survey sampling process that included 50 universities. Individual information, including feelings of stress and perceptions of problem alcohol use, was obtained by self report. Urban and regional variables were retrieved from the National Bureau of Statistics database. Both unadjusted and adjusted methods were considered in the analyses. RESULTS Almost one third (32.6%) of the students suffered from some form of severe stress while problem alcohol use prevalence was 7.3%, (95% CI: 4.1-10.4%). The multilevel logistic regression model found that uncertainty stress, gender, father's occupation and monthly expenses were associated with problem alcohol use. Of the contextual factors home region and the university city GDP and unemployment rate were important. When interactions were considered, the relationship between monthly expenses and financial uncertainty and problem drinking was most evident in high level universities. By contrast, the effects of uncertainty stress on problem drinking were most evident in middle and low level universities. CONCLUSIONS The findings underscore that efforts to control problem alcohol use among students in China should pay greater attention to environmental determinants of stress and particularly to improvements in stress management in university settings.
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Affiliation(s)
- Tingzhong Yang
- Department of Social Medicine/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China.
| | - Ross Barnett
- Department of Geography, University of Canterbury, Private Bag 4800, Christchurch, New Zealand.
| | - Sihui Peng
- Department of Social Medicine/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China
| | - Lingwei Yu
- Department of Social Medicine/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China
| | - Chichen Zhang
- Department of Social Medicine/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China
| | - Weifang Zhang
- Department of Social Medicine/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou 310058, China
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16
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Mies GW, Verweij KJH, Treur JL, Ligthart L, Fedko IO, Hottenga JJ, Willemsen G, Bartels M, Boomsma DI, Vink JM. Polygenic risk for alcohol consumption and its association with alcohol-related phenotypes: Do stress and life satisfaction moderate these relationships? Drug Alcohol Depend 2018; 183:7-12. [PMID: 29220643 DOI: 10.1016/j.drugalcdep.2017.10.018] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Revised: 10/15/2017] [Accepted: 10/16/2017] [Indexed: 11/17/2022]
Abstract
BACKGROUND Genetic and environmental factors contribute about equally to alcohol-related phenotypes in adulthood. In the present study, we examined whether more stress at home or low satisfaction with life might be associated with heavier drinking or more alcohol-related problems in individuals with a high genetic susceptibility to alcohol use. METHODS Information on polygenic scores and drinking behavior was available in 6705 adults (65% female; 18-83 years) registered with the Netherlands Twin Register. Polygenic risk scores (PRSs) were constructed for all subjects based on the summary statistics of a large genome-wide association meta-analysis on alcohol consumption (grams per day). Outcome measures were quantity of alcohol consumption and alcohol-related problems assessed with the Alcohol Use Disorders Identification Test (AUDIT). Stress at home and life satisfaction were moderating variables whose significance was tested by Generalized Estimating Equation analyses taking familial relatedness, age and sex into account. RESULTS PRSs for alcohol were significantly associated with quantity of alcohol consumption and alcohol-related problems in the past year (R2=0.11% and 0.10% respectively). Participants who reported to have experienced more stress in the past year and lower life satisfaction, scored higher on alcohol-related problems (R2=0.27% and 0.29 respectively), but not on alcohol consumption. Stress and life satisfaction did not moderate the association between PRSs and the alcohol outcome measures. CONCLUSIONS There were significant main effects of polygenic scores and of stress and life satisfaction on drinking behavior, but there was no support for PRS-by-stress or PRS-by-life satisfaction interactions on alcohol consumption and alcohol-related problems.
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Affiliation(s)
- Gabry W Mies
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
| | - Karin J H Verweij
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
| | - Jorien L Treur
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
| | - Lannie Ligthart
- Department of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands
| | - Iryna O Fedko
- Department of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands
| | - Jouke Jan Hottenga
- Department of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands
| | - Gonneke Willemsen
- Department of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Meike Bartels
- Department of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Amsterdam, The Netherlands; Amsterdam Neuroscience, The Netherlands
| | - Dorret I Boomsma
- Department of Biological Psychology, Vrije Universiteit, Amsterdam, The Netherlands; Amsterdam Public Health Research Institute, Amsterdam, The Netherlands; Amsterdam Neuroscience, The Netherlands
| | - Jacqueline M Vink
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
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17
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Reznik A, Isralowitz R, Gritsenko V, Khalepo O, Kovaleva Y. Russian Federation university student alcohol use: Smolensk City-a case example. J Ethn Subst Abuse 2018; 18:549-557. [PMID: 29308996 DOI: 10.1080/15332640.2017.1417188] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Alcohol use that causes damage to health and adverse events is a significant public health concern. However, there is a dearth of information about alcohol use among Russian Federation university students. This cross sectional study of 626 students examined their background characteristics, alcohol use, heavy drinking and related problem behavior. Males were more inclined to use alcohol and drink heavily than females; however, no other gender related behavior differences were found. Regression analysis showed heavy drinking more prevalent among students who worked, lived on campus, missed class because of party habits, smoked cigarettes, mixed alcohol and energy drinks, and drank more because of stress. Study findings contribute to usable information for promoting university student health and well-being including academic success through policy and prevention practices as well as for examining the issue elsewhere for comparison and generalization purposes.
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Affiliation(s)
| | | | - Valentina Gritsenko
- Moscow State University of Psychology and Education, Russian Federation , Moscow , Russia
| | - Olga Khalepo
- Smolensk State Medical University, Russian Federation , Smolensk , Russia
| | - Yulia Kovaleva
- Smolensk State Medical University, Russian Federation , Smolensk , Russia
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18
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Sawicki WC, Barbosa DA, Fram DS, Belasco AGS. Alcohol consumption, Quality of Life and Brief Intervention among Nursing university students. Rev Bras Enferm 2018; 71:505-512. [DOI: 10.1590/0034-7167-2017-0692] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2017] [Accepted: 08/17/2017] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: To evaluate nursing university students’ alcohol consumption patterns, Brief Intervention and Quality of Life (QoL). Method: This is a prospective and longitudinal study containing sociodemographic, economic information concerning alcoholic beverages, BI and QoL evaluation among 281 nursing university students. Since surveys have been applied, seminars have been given and consumption patterns have been discussed, an educational material was delivered after university students’ revaluation and BI reinforcement. Descriptive and analytical statistics have been conducted. Results: 90% of the students have already consumed alcohol and 20.6% that consumed for the first time and abused alcohol were minors. After the implementation of BI, the alcohol consumption has decreased among university students. Besides the vitality, generate state of health, and emotional aspects have decreased, mental health was substantially low among the students that used to drink. Conclusion: BI contributes to decrease alcoholic beverages consumption and promotes health.
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Yi S, Ngin C, Peltzer K, Pengpid S. Health and behavioral factors associated with binge drinking among university students in nine ASEAN countries. SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY 2017. [PMID: 28651601 PMCID: PMC5485584 DOI: 10.1186/s13011-017-0117-2] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Background Heavy drinking among university students has been globally recognized as a major public health burden. In the Association of Southeast Asian Nations (ASEAN) region, studies on this issue have been scant, country-specific and in different time frames. The aim of this study was to identify social and behavioral factors associated with binge drinking among university students in nine ASEAN countries. Methods This cross-sectional study was conducted in 2015 among 8809 undergraduate university students from 13 universities in Cambodia, Indonesia, Laos, Malaysia, Myanmar, the Philippines, Singapore, Thailand and Vietnam using self-administered questionnaire. Multivariate logistic regression analyses were conducted to explore the associated factors. Results More than half (62.3%) of the study sample were female with a mean age of 20.5 (SD = 2.0) years. Of total, 12.8% were infrequent (<once per month) and 6.4% frequent (≥ once per month) binge drinkers. After adjustment, among males, higher binge drinking remained significantly associated with being in older age groups, living with parents or guardians, lower level of non-organized religious activity, lack of knowledge on alcohol-heart disease relationship, weak beliefs in the importance of limiting alcohol use, poor subjective health status, lower level of life satisfaction, tobacco and illicit drug use, depressive symptoms and high level physical activity. Among females, higher prevalence of binge drinking remained significantly associated with being in the older age groups, poorer family background, living in an upper-middle- or high-income country, lower level of non-organized religious activity, lack of knowledge on alcohol-heart disease relationship, lack of knowledge on alcohol-high blood pressure relationship, weak beliefs in the importance of limiting alcohol use, lower level of life satisfaction, use of other substances such as tobacco and illicit drug, depressive symptoms and high level of physical activity. Conclusions Findings from this study indicate a need for devising or refining university health promotion programs that integrate binge drinking, other substance use, co-occurring addictive behaviors and health beliefs in the respective countries.
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Affiliation(s)
- Siyan Yi
- KHANA Center for Population Health Research, Phnom Penh, Cambodia. .,Center for Global Health Research, Touro University California, Vallejo, USA.
| | - Chanrith Ngin
- KHANA Center for Population Health Research, Phnom Penh, Cambodia
| | - Karl Peltzer
- ASEAN Institute for Health Development, Mahidol University, Bangkok, Thailand.,Department of Research & Innovation, University of Limpopo, Sovenga, South Africa.,HIV/AIDS/STIs/and TB (HAST), Human Sciences Research Council, Pretoria, South Africa
| | - Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Bangkok, Thailand.,Department of Research & Innovation, University of Limpopo, Sovenga, South Africa
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