Evidence map›Paper›PMID 41709230›Full record

ArticleBMC public health2026

Socioeconomic and cultural correlates of illicit alcohol consumption among patrons in Uganda: a mixed-methods approach.

Kennedy Niwagaba, Simon Peter Rwakahangi, Muhamudu Tumwine, Christian Kakuba, Leonsio Matagi, Cosmas Zyambo, Micheal Akampurira, Angela Rizzo, Tom Achoki

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Kennedy NiwagabaArrow Empirical Research and Skills Enhancement Co. Ltd. (AERSE), P.O. Box 186519, Makerere, Kampala, Uganda. kniwagaba@gmail.com.
Simon Peter RwakahangiArrow Empirical Research and Skills Enhancement Co. Ltd. (AERSE), P.O. Box 186519, Makerere, Kampala, Uganda.
Muhamudu TumwineArrow Empirical Research and Skills Enhancement Co. Ltd. (AERSE), P.O. Box 186519, Makerere, Kampala, Uganda.
Christian KakubaDepartment of Applied Statistics, College of Business and Management Science, Makerere University, Kampala, Uganda.
Leonsio MatagiDepartment of Human Psychology, College of Social Science, Makerere University, Kampala, Uganda.
Cosmas ZyamboDepartment of Community and Family Medicine, School of Public Health, University of Zambia, Lusaka, Zambia.
Micheal AkampuriraUjama Empowerment Network, Kampala, Uganda.
Angela RizzoAB InBev Foundation, New York, NY, USA.
Tom AchokiAB InBev Foundation, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith over 6.5 million Ugandans, more than half of all the estimated alcohol consumers relying on illicit alcohol, the magnitude of this challenge extends beyond individual health outcomes to national economic losses, weakened public institutions, and deteriorating social capital.

objectiveTo examine the socioeconomic and cultural correlates of illicit alcohol use in rural and urban areas of Uganda.

methodsThe study employed a cross-sectional study design. Alcohol consumption status, socioeconomic and cultural factors were examined among people who consumed illicit alcohol in the past twelve months. Unadjusted (OR) and adjusted multivariable logistic regression was used to obtain odds ratios (aOR) at a 95% confidence interval (CI).

resultsOf the 400 patrons who participated, 301(75.2%) had consumed illicit alcohol in the past week (61.2% males vs 38.8% females) Most (36%) were aged 25–34 years and with mainly primary level of education (44.3%). A large proportion (79.8%) were engaged in informal employment earning less than UGX 500,000 monthly (71.5%). Over 80% of the participants started drinking alcohol before the age of 25. 11% of the patrons needed a drink first thing in the morning 13.8% visited hhospital due to drinking illicit alcohol and 35% had problems with friends due to consumption of illicit alcohol. The logistic regression analysis revealed that factors significantly associated with decreased odds of past-week illicit alcohol consumption were religion (Protestant) (aOR = 0.17, 95%, CI: 0.05–0.60), drinking pattern of 2–3 times a week (aOR = 0.29, 95%, CI: 0.11–0.72), and not viewing illicit alcohol as a socially accepted part of gathering (aOR = 0.36, 95%, CI: 0.14–0.93). Increased odds were associated with aged 55 and above (aOR = 6.75, 95%, CI: 5.98–9.37), self-employed (aOR = 4.31, 95%, CI: 1.04–17.87) primary reason as lower cost (aOR = 14.14, 95%, CI: 2.98–67.16), and peer influence (aOR = 7.19, 95%, CI: 2.02–25.69). The above results were also echoed in the qualitative results "Even if I have 500 shillings, I can get a sachet or Kabisa and feel okay." — FGD Men Arua. "With only 1,000 shillings, I can drink until morning if I take nguli or Kuber." — FGD Youth Arua. "Alcohol is part of our culture; you can’t chase away a visitor and you must give him local brew."

conclusionAmong illicit alcohol drinkers, this study reveals a higher prevalence of recent illicit alcohol consumption among low-income, less-educated male youths. This behavior is driven by entrenched factors such as peer pressure, low cost, and using alcohol to cope with hardship. Tackling this issue demands a comprehensive, multi-pronged intervention approach that addresses the root causes emphasizing prevention, educational outreach, psychosocial support, and active community involvement.

Indexed as

Alcohol DrinkingCultural CharacteristicsCultureAdolescentAdultCross-Sectional StudiesDrinking EstablishmentsFemaleHumansLogistic ModelsMaleMiddle AgedRural PopulationSocioeconomic FactorsUgandaUrban PopulationCultural CorrelatesIllicit AlcoholPatronsSocioeconomicUganda

Identifiers

PMID41709230
PMCPMC13020025

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Registered trials

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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.