ArticleGlobal health action2025
Social determinants of hazardous alcohol use in a Ugandan population cohort.
Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Harmful alcohol use in rural Uganda: a pilot study from the Kigezi sub-region.BMC public health · 2026Article
- Prevalence and factors associated with substance use among adolescent girls and young women working in artisanal and small-scale gold mining communities of Uganda: a cross-sectional exploratory study.Substance abuse treatment, prevention, and policy · 2026Article
- Socioeconomic and cultural correlates of illicit alcohol consumption among patrons in Uganda: a mixed-methods approach.BMC public health · 2026Article
- Alcohol Use Disorder in Southwestern and Northern Uganda: Prevalence and associated factors.PLOS global public health · 2026Article
- Neuroanatomical and Psychosocial Effects of Heavy Alcohol Use Among Young Adults in Angola: A Cross-Sectional Study.Health science reports · 2025Article
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14 authors.
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Abstract
backgroundThere is a limited population-based data on hazardous alcohol use and associated social determinants in many African countries.
objectivesTo examine patterns of hazardous alcohol use across a range of social determinants of health in Uganda, with a particular focus on gender differences.
methodsThis cross-sectional study used data collected in 2021-2022 from an open population cohort spanning urban, semi-urban, and rural communities. Alcohol use was assessed with the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C). Covariates were selected according to the WHO's Social Determinants of Health framework. Poisson regression with robust variance was used for data analysis.
resultsOf the 3459 participants, 2085 (60%) were women. Overall, the prevalence of hazardous alcohol use was 5% among women and 18% among men. Strong positive associations with hazardous use were found for individuals residing in semi-urban areas (female aPR 2.1 [95% CI 1.3-3.3], male aPR 1.8 [95% CI 1.4-2.5]), past-year perpetration of intimate partner violence (female aPR 2.2 [95% CI 0.8-5.6], male aPR 1.4 [95% CI 0.9-2.2]), smoking, middle age for men (aPR 1.6 [95% CI 1.2-2.2]), and employment as a vendor in a restaurant or bar for women (aPR 1.5 [95% CI 1.0-2.2]). Strong negative associations were found for high educational attainment, Muslim or Pentecostal religion, and living in a marriage or union for women (aPR 0.7 [95% CI 0.5-1.0]).
conclusionsHazardous alcohol use was prevalent, especially among men, in a representative Ugandan population sample. Specific target groups for public health and clinical interventions were identified, such as women working in the hospitality sector. Residents of semi-urban communities may encounter unique risks for hazardous alcohol use, compared with rural and highly urban populations.
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