Delaying Underage Drinking and HIV Risks

延缓未成年人饮酒和艾滋病毒风险

• 批准号: 8729465
• 负责人: Monica H Swahn
• 金额: $ 20.64万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-05 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8729465
• 关键词: 18 year old; Address; Africa; Africa South of the Sahara; African; Age; Alcohol abuse; Alcohol consumption; Alcoholic Intoxication; Alcohols; Area; Communication; Communities; Consumption; Country; Coupled; Data; Development; Evaluation; Focus Groups; Future; Goals; Grant; HIV; HIV risk; Health; International; Intervention; Link; Marketing; Measures; Media Campaign; Methods; Metric; Mission; National Institute on Alcohol Abuse and Alcoholism; Prevalence; Prevention; Production; Public Health; Recommendation; Research; Research Methodology; Research Personnel; Risk; Risk Factors; Role; Scanning; Slum; Surveys; Testing; Uganda; Unsafe Sex; Work; Youth; Zambia; alcohol exposure; alcohol research; base; cost effective; design; drinking; early alcohol use; evidence base; high risk; high risk sexual behavior; innovation; literacy; member; public health priorities; public health relevance; response; therapy design; transmission process; underage drinking

DESCRIPTION (provided by applicant): An important and previously largely unaddressed issue in Sub-Saharan Africa, and in Uganda specifically, is the role of alcohol marketing and early alcohol use among youth in their path towards HIV acquisition. Alcohol use in Uganda is of particular concern since the country has one of the highest per capita consumption levels world-wide. While alcohol research in Africa has been scarce, alcohol use in primarily Sub-Saharan Africa has been found to be associated with unprotected sex and other health concerns. Research also shows that alcohol marketing, specifically through the provision of free alcohol to youth (ages 13-15), is relatively common in Zambia (30%) and that this form of marketing in turn is associated with problem drinking and drunkenness. However, there is a dearth of information about alcohol marketing practices and their influence specifically on youth in Uganda. Previous research shows that youth who are exposed to alcohol marketing are also more likely to initiate alcohol use early, and in turn, that initiation leads to more problem drinking and drunkenness. However, these findings based on data available primarily in Zambia, have not yet been empirically examined in Uganda. The current mixed-methods project will develop a structural intervention designed to reduce the extent to which early alcohol use exacerbates risk for HIV transmission among youth ages 12-18 years of age. The project will include conducting an environmental scan of alcohol, conducting formative research (surveys and focus groups) with youth and leaders of community based organizations and the development of communication messages and materials to devise a counter marketing campaign. The project will be guided by an interdisciplinary and international Project Advisory Board comprised of distinguished alcohol researchers, that serve vulnerable and urban youth in Kampala, Uganda. The goals of the project is to better pioneers in the field of alcohol marketing, and valued leaders of community based organizations understand the prevalence and types of alcohol marketing that youth are exposed to and to develop counter marketing messages that will seek to delay and reduce early alcohol use and alcohol-related risky sexual behaviors that increase risk for HIV transmission.

描述（由申请人提供）：在撒哈拉以南非洲地区，特别是在乌干达，一个重要且以前基本上未解决的问题是酒精营销和青少年早期饮酒在感染艾滋病毒过程中的作用。乌干达的酒精使用尤其令人担忧，因为该国是世界上人均消费水平最高的国家之一。 虽然非洲的酒精研究很少，但主要是撒哈拉以南非洲地区的饮酒被发现与无保护性行为和其他健康问题有关。研究还表明，酒类营销，特别是通过向青少年（13-15 岁）提供免费酒类的方式，在赞比亚（30%）相对常见，而这种形式的营销又与饮酒和醉酒问题相关。 然而，关于酒类营销做法及其对乌干达年轻人的影响的信息却很少。先前的研究表明，接触过酒精营销的年轻人也更有可能尽早开始饮酒，反过来，这种开始会导致更多的饮酒和醉酒问题。 然而，这些发现主要基于赞比亚的数据，尚未在乌干达进行实证检验。目前的混合方法项目将开发一种结构性干预措施，旨在降低早期饮酒加剧 12-18 岁青少年艾滋病毒传播风险的程度。该项目将包括进行酒精环境扫描、与年轻人和社区组织领导人进行形成性研究（调查和焦点小组），以及制定沟通信息和材料以设计反营销活动。该项目将由跨学科的国际项目咨询委员会指导，该委员会由杰出的酒精研究人员组成，为乌干达坎帕拉的弱势和城市青年提供服务。该项目的目标是更好地成为酒类营销领域的先驱者和社区组织的重要领导者，了解青少年接触到的酒类营销的流行程度和类型，并制定反营销信息，寻求延迟和减少早期的酒类营销信息。饮酒和与酒精相关的危险性行为会增加艾滋病毒传播的风险。

项目成果

Self-rated physical health, health-risk behaviors, and disparities: A cross-sectional study of youth in the slums of Kampala, Uganda.

自评身体健康、健康风险行为和差异：对乌干达坎帕拉贫民窟青年的横断面研究。

• 发表时间: 2022-11
• 影响因子: 3.3
• 作者: Patterson, Annabel Q;Culbreth, Rachel E;Kasirye, Rogers;Kebede, Senait;Bitarabeho, Jackson;Swahn, Monica H
• 通讯作者: Swahn, Monica H

Risk Factors Associated with HIV, Sexually Transmitted Infections (STI), and HIV/STI Co-infection Among Youth Living in the Slums of Kampala, Uganda.

乌干达坎帕拉贫民窟青年中与艾滋病毒、性传播感染 (STI) 和艾滋病毒/性传播感染混合感染相关的风险因素。

• 发表时间: 2020-04
• 影响因子: 4.4
• 作者: Culbreth, Rachel;Swahn, Monica H;Salazar, Laura F;Ametewee, Lynnette A;Kasirye, Rogers
• 通讯作者: Kasirye, Rogers

Attitudes and risky sexual behavior among youth in Kampala, Uganda: Empirical analyses of risk factors by gender.

乌干达坎帕拉青少年的态度和危险性行为：按性别划分的危险因素的实证分析。

• 发表时间: 2022-12
• 作者: Whitton, Alaina;Swahn, Monica H;Culbreth, Rachel;Kasirye, Rogers
• 通讯作者: Kasirye, Rogers

Violence Exposure, Self-Reported Mental Health Concerns and Use of Alcohol and Drugs for Coping among Youth in the Slums of Kampala, Uganda.

乌干达坎帕拉贫民窟青年的暴力暴露、自我报告的心理健康问题以及使用酒精和药物应对。

• 发表时间: 2024
• 影响因子: 2
• 作者: Perry, Elizabeth W;Culbreth, Rachel;Self;Gilmore, Amanda K;Kasirye, Rogers;Musuya, Tina;Ndetei, David;Swahn, Monica H
• 通讯作者: Swahn, Monica H

Individual and Parental Risk Factors for Sexual Exploitation Among High-Risk Youth in Uganda.

乌干达高风险青少年遭受性剥削的个人和父母风险因素。

• 发表时间: 2021-03
• 影响因子: 2.5
• 作者: Self;Culbreth, Rachel;Wilson, Rebecca;Armistead, Lisa;Kasirye, Rogers;Swahn, Monica H
• 通讯作者: Swahn, Monica H