Alcohol use dynamics and mitigation among adolescents in rural Kenya
- Alcohol use,
Copyright (c) 2019 IOR Press
This work is licensed under a Creative Commons Attribution 4.0 International License.
Alcohol use has remained a critical problem among adolescents in Kenya. The use is conceptualized as a behavior which results from the interplay between the social-economic environment and personal factors. The purpose of the study was to assess the prevalence, predictors and alleviation of alcohol use among adolescents in rural Nyeri, Kenya. The study was a quasi-experimental quantitative study in which purposive and simple random sampling were used to select participants (n=1038) from eight county administrative units. A self-administered questionnaire was employed to collect data at baseline and endline after six months. Descriptive statistics were applied to summarize categorical and continuous variables while Odds Ratio (OR) and 95% Confidence Interval (CI) brought out the estimated strength of association between independent and the dependent variables. Effectiveness of the mitigation strategy applied was assessed after six months with reference to the baseline. 48.6% of the participants indicated having used alcohol in their lifetime, with 34.7% reporting alcohol consumption in the last one month. Seven independent predictors of alcohol use among the participants were identified using binary logistic regression at P<0.05. Application of five life skills had significant protective effect on alcohol use (OR=0.36; 95% CI: 0.26 – 0.48; p=0.001) whereby a student enrolled in the experimental group was 64% less likely to use alcohol compared to one in the control group. Life skills were therefore found to be effective in empowering adolescents to develop safe and healthy behavior with regard to alcohol use reduction.
- F. Carvajal, & J.M. Lerma-Cabrera, (2015), Alcohol Consumption among Adolescents: Implications for Public Health. In Intechopen, (pp. 51-75). Intechopen.com. doi:doi.org/10.5772/58930
- C.L. Hart, C. Ksir, & O. Ray, (2009), Drugs, society and human behavior (13th ed.), New York, NY: McGraw-Hill.
- E. Lang, (2004), Drugs in society: A social history. In E. Lang, M. Hamilton, T. King, & A. Ritter (Eds.), Drug use in Australia: Preventing harm (2nd ed., pp. 1-16). Melbourne: Oxford University Press.
- R. Durrant, & J. Thakker, (2003), Substance use and abuse: Cultural and historical perspectives, Thousand Oaks, CA: Sage Publications.
- D. Rickwood, M. Crowley, K. Dyer, L. M. Blatch, J. Melrose, H. Mentha, & D. Ryder, (2005). Perspective in psychology: Substance use. Melbourne: Australian Psychology Society.
- W. Kamau, (2018, April Wednesday 11th), Alcoholism is a Moral Question whose Cure is beyond Polygamy, Daily Nation, p. 15.
- J. Willis, (2003), Potent brews: A social history of alcohol in East Africa 1850-1999, Ohio: Ohio Universty Oress.
- J.A. Tur, M.S. Puig, A. Pons, & E. Benito, Alcohol Consumption Among School Adolescents in Palma de Mallorca. Alcohol and Alcoholism, 38 (2003) 243-248.
- J.B. Kaplow, P.J. Curran, & K.A. Dodge, Child, parent and peer predictors of early onset of substance use: A multistage longitudinal study, Journal of Abnormal Child Psychology, 30 (2009) 199-216.
- A. Winstock, (2014, April 14th), Global drug survey, Retrieved January 2015, from www.globaldrugsurvey.com/facts-figures/the-global-drug-survey-2014-findings/
- T. Mwirigi, (2015, November Tuesday 10th), Why Drug Abuse is on the Rise among Teens, Daily Nation, p. DN2.
- Botvin, G. J., & Griffin, K. W. (2011). Evidence-based interventions for preventive substance use disorders in adolescents, Child and Adolescents Psychiatry of North America, 19, 505-526.
- J.M. Oteyo, M. Kariuki, & M. Mwenje, Coocurrence of alcohol, tobacco and other drugs among secondary school students in Kiambu and Nairobi counties, Kenya, International Journal of Education Research, 1 (2013) 1-14.
- KIE Curriculam (2008), Secondary education curriculum: Life skills education syllabus. Nairobi: Kenya Institute of Education.
- G. Botvin, (2009), Evidence-based prevention programmes for schools, families, and communities. New York, USA: Princeton Health Press.
- World Health Organization, (1997), Life skills education for children and adolescents in schools. Geneva, Switzerland: Author.
- J. Harvey, & J.R. Burnett, Implementing evidence-based drug education in an Adventist educational setting, The Journal of Adventist Education, (2014) 33-39.
- NACADA. (2012), Rapid situation assessment of the status of drugs and substance abuse in Kenya.
- J. Kagendo, (2013), Factors affecting the effective management of secondary schools: A survey of secondary schools in Nyeri, (Unpublished master's thesis) University of Nairobi, Nairobi, Kenya.
- B. Garret, (2011), Brain and behavior: An introduction to biological psychology (3rd ed.), New Delhi: Sage Publication.
- A. Bandura, (1997), Self efficacy: The exercise of control, New York: Freeman.
- R. Jessor, & S.L. Jessor, (1977), Problem behavior and psychosocial development, New York, NY: Academic Press.
- R. Jessor, Risk behaviour in adolescene: A psychosocial framework for understanding and action. Journal of Adolescent Health, 12 (1991) 597-605.
- J.L. Maggs, M.E. Patrick, & L. Feinstein, Childhood and adolescent predictors of lcohol use and problems in adolescence and adulthood in the national child development study. Journal of Addiction, 103 (2008) 7-22.
- NACADA, (2010), Survey results on the magnitude, causes and effects of alcohol in central Kenya.
- C.E. Sartor, M. Waldron, A.E. Duncan, J.D. Grant, V.V. McCutcheon, E.C. Nelson, A.C. Heath, Early substance in adolescent girls: The role of familial influences, Addiction, 108 (2013) 993-1000.
- S. Karki, A. M. Pietila, H. Antikainen, P. Varjoranta, M. Pirskanen, & E. Laukkanen, (2012). The effects of interventions to prevent substance use among adolescents: A systematic review, Journal of Child and Adolescent Substance Abuse, 21 (2012) 383-413.