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Open AccessArticle

Problem Drinking, Alcohol-Related Violence, and Homelessness among Youth Living in the Slums of Kampala, Uganda

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Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University, P.O. Box 3984 Atlanta, GA 30302-3984, USA
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Department of Epidemiology and Biostatistics, School of Public Health, Makerere University, Kampala 00256, Uganda
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Department of Criminal Justice and Criminology, Andrew Young School of Policy Studies, Georgia State University, P.O. Box 3992, Atlanta, GA 30302-3992, USA
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Department of Sociology, College of Arts and Science, Georgia State University, P.O. Box 5020, Atlanta, GA 30302-5020, USA
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Uganda Youth Developmental Link, P.O. Box 12659, Kampala 00256, Uganda
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(6), 1061; https://doi.org/10.3390/ijerph15061061
Received: 23 April 2018 / Revised: 14 May 2018 / Accepted: 16 May 2018 / Published: 24 May 2018
(This article belongs to the Special Issue Youth Violence as a Public Health Issue)
This paper examines problem drinking, alcohol-related violence, and homelessness among youth living in the slums of Kampala—an understudied population at high-risk for both alcohol use and violence. This study is based on a cross-sectional survey conducted in 2014 with youth living in the slums and streets of Kampala, Uganda (n = 1134), who were attending Uganda Youth Development Link drop-in centers. The analyses for this paper were restricted to youth who reported current alcohol consumption (n = 346). Problem drinking patterns were assessed among youth involved in alcohol-related violence. Mediation analyses were conducted to examine the impact of homelessness on alcohol-related violence through different measures of problem drinking. Nearly 46% of youth who consumed alcohol were involved in alcohol-related violence. Problem drinkers were more likely to report getting in an accident (χ2 = 6.8, df = 1, p = 0.009), having serious problems with parents (χ2 = 21.1, df = 1, p < 0.0001) and friends (χ2 = 18.2, df = 1, p < 0.0001), being a victim of robbery (χ2 = 8.8, df = 1, p = 0.003), and going to a hospital (χ2 = 15.6, df = 1, p < 0.0001). For the mediation analyses, statistically significant models were observed for frequent drinking, heavy drinking, and drunkenness. Interventions should focus on delaying and reducing alcohol use in this high-risk population. View Full-Text
Keywords: homelessness; alcohol use; youth violence homelessness; alcohol use; youth violence
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Swahn, M.H.; Culbreth, R.; Tumwesigye, N.M.; Topalli, V.; Wright, E.; Kasirye, R. Problem Drinking, Alcohol-Related Violence, and Homelessness among Youth Living in the Slums of Kampala, Uganda. Int. J. Environ. Res. Public Health 2018, 15, 1061.

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