Evidence map›Paper›PMID 33402988›Full record

SynthesisAfrican health sciences2020

Effective school-based preventive interventions for alcohol use in Africa: a systematic review.

Sachi Tomokawa, Kimihiro Miyake, Takeshi Akiyama, Yuka Makino, Akihiro Nishio, Jun Kobayashi, Masamine Jimba, Irene Ayi, Sammy M Njenga, Takashi Asakura

Open access · diamondAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in African health sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

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  8. Twenty years ofAfrican health sciences · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 3 countries.

Sachi TomokawaDepartment of sports and sciences, Faculty of Education, Shinshu University, 6-Ro Nishi Nagano, Nagano City, Nagano 380-8544, Japan.
Kimihiro MiyakeDepartment of sports and sciences, Faculty of Education, Shinshu University, 6-Ro Nishi Nagano, Nagano City, Nagano 380-8544, Japan.
Takeshi AkiyamaDepartment of Health Science, Nagano College of Nursing, 1694 Akaho, Komagane city, Nagano, 399-4117, Japan.
Yuka MakinoJapanese Consortium for Global school Health and Research, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.
Akihiro NishioHealth Administration Center, Gifu University, 1-1 Yanagido, Gifu City 501-1193, Japan.
Jun KobayashiDepartment of Global Health, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.
Masamine JimbaDepartment of Community and Global Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
Irene AyiDepartment of Parasitology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, P. O. Box LG 581, Legon, Accra, Ghana.
Sammy M NjengaKenya Medical Research Institute, P.O. Box 54840 00200 Off Mbagathi Road, Nairobi, Kenya.
Takashi AsakuraFaculty of Education, Tokyo Gakugei University, 4-1-1, Nukuikita, Koganei-city, Tokyo, 184-8501, Japan.
Shinshu University · JPUniversity of the Ryukyus · JPGifu University · JPKenya Medical Research Institute · KENagano College of Nursing · JPNoguchi Memorial Institute for Medical Research · GHThe University of Tokyo · JPTokyo Gakugei University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite recognition of the risks of alcohol use and importance of prevention from an early age, the effectiveness of school-based interventions in Africa has not been clarified.

objectiveWe aimed to identify effective school-based alcohol use prevention interventions in Africa.

methodsWe searched eight databases for peer-reviewed articles published until February 3, 2019 that reported on randomized controlled trials, cluster randomized controlled trials, controlled clinical trials, pre-post quasi-experimental studies, cohort studies, and case-control studies. The full-texts of relevant studies were searched.

resultsFour of 2797 papers met our eligibility criteria. All reported interventions targeted secondary school students in South Africa and were incorporated in the school curriculum. The interventions comprised multi-component activities with participatory and peer educational methods, and applied modified programs originally developed in the US. However, intervention effects were inconsistent among studies, although the interventions tended to have a positive effect on non-drinkers at baseline, with stronger effects in girls.

conclusioninterventions had positive effects on students that were non-drinkers at baseline, especially girls. Although we could not find robust evidence that school-based interventions changed attitudes, frequency/quantity of drinking, and intentions to use alcohol, one intervention showed an increase in students' alcohol refusal self-efficacy.

Indexed as

Adolescent BehaviorAdolescentAlcohol DrinkingFemaleHumansMalePeer GroupSchool Health ServicesSchoolsStudentsAfricaalcohol useSchool-based preventive interventionssystematic review

Identifiers

PMID33402988
PMCPMC7751548
OpenAlexW3092105483

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.