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Article

Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15–24 Years in Fishing Communities in Uganda

1
MRC/UVRI and LSHTM Uganda Research Unit, Entebbe 49, Uganda
2
Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, Keppel Street, London WC 1E, UK
3
Medical Research Council Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London WC 1E, UK
4
Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London WC 1E, UK
5
Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London WC 1E, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(7), 2401; https://doi.org/10.3390/ijerph17072401
Received: 11 March 2020 / Revised: 29 March 2020 / Accepted: 30 March 2020 / Published: 1 April 2020
Background: We determined the prevalence of and risk factors for alcohol misuse and illicit drug use among young Ugandans in fishing communities, a recognised “key population” for human immunodeficiency virus (HIV) infection. Methods: We conducted a cross-sectional survey among young people (15–24 years) in fishing communities in Koome, Uganda, in December 2017–July 2018. Using Audio-Assisted Self-Interviewing, we collected data on socio-demographic characteristics and alcohol use, including the Alcohol Use Disorders Identification Test (AUDIT) and timeline follow-back calendar (TLFB). Blood samples were analysed for HIV, herpes simplex virus 2 (HSV2), and Phosphatidyl ethanol (PEth 16:0/18:1). Urine samples were analysed for illicit drugs. Results: Among 1281 participants (52.7% male, mean age 20 years), 659 (51.4%) reported ever drinking alcohol, 248 (19.4%) had 12-month-AUDIT ≥ 8, and 261 (20.5%) had whole-blood PEth 16:0/18:1 concentration ≥ 20 ng/mL, indicating significant consumption. In multivariable analyses, PEth 16:0/18:1 ≥ 20ng/mL, AUDIT ≥ 8 and binge drinking (≥6 standard drinks per drinking occasion in the previous month from TLFB) were all strongly associated with older age, low education, smoking, and HSV2. Illicit drug use prevalence was 5.2% and was associated with older age, low education, being single, and smoking. Conclusion: Levels of alcohol misuse were high among young people in fishing communities and associated with HSV2, a proxy for risky sexual behaviour. Alcohol and illicit drug harm reduction services and HIV prevention programs in Uganda should prioritise young fisherfolk. View Full-Text
Keywords: alcohol; drugs; substance use; fisherfolk; adolescents; survey; Sub-Saharan Africa alcohol; drugs; substance use; fisherfolk; adolescents; survey; Sub-Saharan Africa
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MDPI and ACS Style

Kuteesa, M.O.; Weiss, H.A.; Cook, S.; Seeley, J.; Ssentongo, J.N.; Kizindo, R.; Ngonzi, P.; Sewankambo, M.; Webb, E.L. Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15–24 Years in Fishing Communities in Uganda. Int. J. Environ. Res. Public Health 2020, 17, 2401. https://doi.org/10.3390/ijerph17072401

AMA Style

Kuteesa MO, Weiss HA, Cook S, Seeley J, Ssentongo JN, Kizindo R, Ngonzi P, Sewankambo M, Webb EL. Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15–24 Years in Fishing Communities in Uganda. International Journal of Environmental Research and Public Health. 2020; 17(7):2401. https://doi.org/10.3390/ijerph17072401

Chicago/Turabian Style

Kuteesa, Monica O., Helen A. Weiss, Sarah Cook, Janet Seeley, Josephine N. Ssentongo, Robert Kizindo, Paul Ngonzi, Moses Sewankambo, and Emily L. Webb 2020. "Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15–24 Years in Fishing Communities in Uganda" International Journal of Environmental Research and Public Health 17, no. 7: 2401. https://doi.org/10.3390/ijerph17072401

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