Observational studyThe Journal of the Association of Nurses in AIDS Care : JANAC
Substance Use and Risky Sexual Behaviors Among Young Men Working at a Rural Roadside Market in Malawi.
Observational study in The Journal of the Association of Nurses in AIDS Care : JANAC. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- A systematic review and meta-analysis of factors associated with adolescent substance use in Africa, 2000 to 2020.Addiction (Abingdon, England) · 2025Pooled it
- Substance use among young people in sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Prevalence and factors associated with alcohol and substance use among secondary school adolescents in central and Eastern Uganda: a cross-sectional study.BMC public health · 2025Article
- Determinants of substance use among adolescents aged 10-19 years in Tanga Region, Eastern Tanzania: A cross-sectional analysis.PLOS global public health · 2025Article
- Substance Use among School-Going Adolescents and Young Adults in Rural Mpumalanga Province, South Africa.Behavioral sciences (Basel, Switzerland) · 2024Article
- The Impact of Drugs and Substance Abuse on Viral Pathogenesis-A South African Perspective.Viruses · 2024Review
- Unraveling substance abuse among Malawian street children: A qualitative exploration.PloS one · 2024Article
- "We Want to See Youth That Would Be Better People Than Us": A Case Report on Addressing Adolescent Substance Use in Rural South Africa.International journal of environmental research and public health · 2023Article
- Substance use and substance use disorders in Africa: An epidemiological approach to the review of existing literature.World journal of psychiatry · 2022Review
- Determinants of adolescent substance use in Africa: a systematic review and meta-analysis protocol.Systematic reviews · 2021Article
- Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
Abstract
Using an ecological model, we describe substance use and sexual risk behaviors of young male laborers at a roadside market in Malawi. Data included observations and interviews with 18 key market leaders and 15 laborers (ages 18-25 years). Alcohol, marijuana, and commercial sex workers (CSWs) were widely available. We identified three patterns of substance use: 6 young men currently used, 6 formerly used, and 3 never used. Substance use was linked to risky sex, including sex with CSWs. The market supported risky behaviors through availability of resources; supportive norms, including beliefs that substance use enhanced strength; and lack of restraints. Community-level poverty, cultural support for alcohol, interpersonal family/peer influences, early substance use, and school dropout also contributed to risky behaviors. Parental guidance was protective but not often reported. Local programs addressing substance use and risky sex simultaneously and better national substance use policies and mental health services are needed.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.