ArticleInternational journal of environmental research and public health2020
Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15-24 Years in Fishing Communities in Uganda.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 53 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
- Novel Insights into Addiction Management: A Meta-Analysis on Intervention for Relapse Prevention.Medicina (Kaunas, Lithuania) · 2025Pooled it
- Substance use among young people in sub-Saharan Africa: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Psychometrics of the Patient Health Questionnaire (PHQ-9) in Uganda: A Systematic Review.Frontiers in psychiatry · 2022Pooled it
- Pooled it
- Comparing PrEP adherence via objective and self-reported measures among fishermen working on Lake Victoria, Kenya.AIDS care · 2025Trial
- Burden of Diagnosed Diabetes among People With and Without HIV in Uganda: a Cross-Sectional Analysis of the Rakai Community Cohort Study.Research square · 2026Article
- Clinical outcomes associated with schistosome infection and alcohol use: A systematic scoping review.PLoS neglected tropical diseases · 2026Article
- Harmful alcohol use in rural Uganda: a pilot study from the Kigezi sub-region.BMC public health · 2026Article
- Article
- Identifying Predictors of Problematic Substance Use Among Youth Living with HIV in Uganda: A Machine Learning Approach.AIDS and behavior · 2025Article
- Social determinants of hazardous alcohol use in a Ugandan population cohort.Global health action · 2025Article
- The Lived Experiences of Unhealthy Alcohol Use among Young People with HIV in Southwestern Uganda.AIDS and behavior · 2025Article
- Exploring Alcohol Use Expectancies as Mediators in the Relationship Between Psychological Stressors and Substance Use Among Youths Living with HIV in Uganda.AIDS and behavior · 2025Article
- Article
- Illicit alcohol consumption and its associated factors among patrons in Zambia: a cross-sectional analytical study.Frontiers in public health · 2025Article
- Using the health belief model to examine adolescent participation in HIV prevention research in Kampala, Uganda: A qualitative study.PLOS global public health · 2025Article
- HIV services for fisherfolk in Sierra Leone: A formative assessment of barriers, opportunities, and community preferences.PLOS global public health · 2025Article
- Cost-effectiveness of screening and treating alcohol use and depression among people living with HIV in Zimbabwe: a mathematical modeling study.BMC medicine · 2024Article
- Prevalence and Correlates of Substance Use Among Youth Living with HIV in Fishing Communities in Uganda.AIDS and behavior · 2024Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundWe 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.
methodsWe 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.
resultsAmong 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.
conclusionLevels 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.
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