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Báo cáo y học: "Self-reported drunkenness among adolescents in four sub-Saharan African countries: associations with adverse childhood experiences"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Self-reported drunkenness among adolescents in four sub-Saharan African countries: associations with adverse childhood experiences. | Kabiru et al. Child and Adolescent Psychiatry and Mental Health 2010 4 17 http www.capmh.eom content 4 1 17 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH RESEARCH Open Access Self-reported drunkenness among adolescents in four sub-Saharan African countries associations with adverse childhood experiences Caroline W Kabiru Donatien Beguy Joanna Crichton and Alex C Ezeh Abstract Background Consumption of alcohol is associated with acute and chronic adverse health outcomes. There is a paucity of studies that explore the determinants of alcohol use among adolescents in sub-Saharan Africa and in particular that examine the effects of adverse childhood experiences on alcohol use. Methods The paper draws on nationally-representative data from 9 819 adolescents aged 12-19 years from Burkina Faso Ghana Malawi and Uganda. Logistic regression models were employed to identify correlates of self-reported past-year drunkenness. Exposure to four adverse childhood experiences comprised the primary independent variables living in a food-insecure household living with a problem drinker having been physically abused and having been coerced into having sex. We controlled for age religiosity current schooling status the household head s sex living arrangements place of residence marital status and country of survey. All analyses were conducted separately for males and females. Results At the bivariate level all independent variables except for coerced sex among males were associated with the outcome variable. Overall 9 of adolescents reported that they had been drunk in the 12 months preceding the survey. In general respondents who had experienced an adverse event during childhood were more likely to report drunkenness. In the multivariate analysis only two adverse childhood events emerged as significant predictors of selfreported past-year drunkenness among males living in a household with a problem drinker before age 10 and being physically abused before age 10. For females exposure to .