ArticleThe International journal on drug policy2020
Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance.
Article in The International journal on drug policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 27 citations in OpenAlex.
- Mediation pathways for reduced substance use among parents in South Africa: a randomized controlled trial.BMC public health · 2021Trial
- Understanding fathers' help-seeking: A scoping review.Journal of family medicine and primary care · 2026Review
- A socioecological examination of father alcohol use in Kenya: Motivation, consequences, and barriers to care.Global public health · 2025Article
- [Fatherhood and addiction disorders-Literature review of qualitative and quantitative studies].Der Nervenarzt · 2025Review
- Barriers to treatment and stigma in alcohol dependent patients from a private rehabilitation centre in North India.Journal of family medicine and primary care · 2025Article
- The feasibility of utilizing the open dynamic interaction network (ODIN) app to assess rEMA data across 30 days among those recovering from alcohol use disorders.Drug and alcohol dependence reports · 2025Article
- Fathers' mental health and coping strategies: a qualitative study in Mwanza, Tanzania.BMJ open · 2024Article
- Barriers and Facilitators to Father's Engagement in a Depression and Alcohol Use Intervention in Kenya: Father, Family, and Community Factors.International journal of environmental research and public health · 2023Article
- Patient perceptions of facilitators and barriers to reducing hazardous alcohol use among people living with HIV in East Africa.Substance abuse treatment, prevention, and policy · 2023Article
- The impact of entering poverty on the unmet medical needs of Korean adults: a 5-year cohort study.BMC public health · 2022Article
- Learn, Engage, Act, Dedicate (LEAD): development and feasibility testing of a task-shifted intervention to improve alcohol use, depression and family engagement for fathers.International journal of mental health systems · 2022Article
- Building community-based helping practices by training peer-father counselors: A novel intervention to reduce drinking and depressive symptoms among fathers through an expanded masculinity lens.The International journal on drug policy · 2021Article
- A multiple baseline study of a brief alcohol reduction and family engagement intervention for fathers in Kenya.Journal of consulting and clinical psychology · 2020Article
- Identifying Community-Sourced Implementation Strategies for Delivering a Task-Shared Mental Health Intervention for Fathers in Kenya.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundIn Kenya, the prevalence of alcohol use disorder (AUD) is close to 6%, but a notable treatment gap persists. AUD is especially pronounced among men, leading to negative consequences at both individual and family levels. This study examines the experiences of problem-drinking fathers in Kenya regarding previous treatment-seeking related to alcohol use. Experiences and dynamics of the family are also explored as they pertain to treatment-seeking experiences.
methodsIn Eldoret, Kenya, semi-structured qualitative interviews were conducted with 11 families with a male exhibiting problem drinking, his spouse, and one child. Thematic content analysis was used to examine themes related to barriers and facilitators to treatment.
resultsParticipants only reported informal help received from family and community members; they exhibited little awareness of available formal treatments. Families were both deeply affected by alcohol use and actively involved in help-seeking. Indeed, fathers' experiences are described as help-accepting rather than help-seeking. Three overarching themes emerged from the results: poverty, people, and practices. Poverty could be a motivator to accept help to support one's family financially, but stress from lack of work also drove drinking behaviours. People were also crucial as both barriers and facilitators of help-accepting. Negative help strategies or peer influence deterred fathers from accepting help to quit. Positive motivation, social support, and stigma against drinking were motivators. Practices that were culturally salient, such as religiosity and gender roles, facilitated help acceptance. Overall, most help efforts were short-term and only lead to very short-term behaviour change.
conclusionFamilies and communities are active in help provision for problem-drinking men in Kenya, though results confirm remaining need for effective interventions. Future interventions could benefit from recognizing the role of family to aid in treatment-engagement and attending to the importance of poverty, people, and practices in designing treatment strategies.
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