Kimberly A Tyler1, Ray Handema2, Rachel M Schmitz1, Francis Phiri3, Kourtney S Kuyper1, Charles Wood4. 1. a Department of Sociology , University of Nebraska-Lincoln , Lincoln , Nebraska , USA. 2. b Tropical Diseases Research Center , Lusaka , Zambia. 3. c Zambia Alcohol Development Program , Lusaka , Zambia. 4. d Center for Virology, University of Nebraska-Lincoln , Lincoln , Nebraska , USA.
Abstract
BACKGROUND: High rates of substance use have been reported among youth in Zambia. This is particularly concerning given that substance use is one of the biggest risk factors placing young people at risk for HIV infection. OBJECTIVES: The purpose of the current study is to examine how multi-level risk and protective factors (i.e., community, family, peers, individual) influence alcohol and marijuana use. METHODS: A total of 250 street youth in Lusaka, Zambia were interviewed in the summer of 2014 about their alcohol and marijuana use and reasons for usage. Data were analyzed using descriptive and multivariate methods. RESULTS: Youth reported high rates of alcohol use. At the multivariate level, peer and individual level variables (e.g., using alcohol or drugs for coping or for fun) explained the most variance, followed by family level factors. Community level variables explained the least variance in all models. Conclusion/Importance: A better understanding of multi-level risk and protective factors for young people's alcohol and marijuana use could lead to the development of better intervention strategies to reduce this behavior among Zambian street youth.
BACKGROUND: High rates of substance use have been reported among youth in Zambia. This is particularly concerning given that substance use is one of the biggest risk factors placing young people at risk for HIV infection. OBJECTIVES: The purpose of the current study is to examine how multi-level risk and protective factors (i.e., community, family, peers, individual) influence alcohol and marijuana use. METHODS: A total of 250 street youth in Lusaka, Zambia were interviewed in the summer of 2014 about their alcohol and marijuana use and reasons for usage. Data were analyzed using descriptive and multivariate methods. RESULTS: Youth reported high rates of alcohol use. At the multivariate level, peer and individual level variables (e.g., using alcohol or drugs for coping or for fun) explained the most variance, followed by family level factors. Community level variables explained the least variance in all models. Conclusion/Importance: A better understanding of multi-level risk and protective factors for young people's alcohol and marijuana use could lead to the development of better intervention strategies to reduce this behavior among Zambian street youth.
Entities:
Keywords:
Alcohol; HIV risk; Zambia; marijuana; street youth
Authors: Robert J Magnani; Ali Mehryar Karim; Lisa A Weiss; Katherine C Bond; Musonda Lemba; Gwendolyn T Morgan Journal: J Adolesc Health Date: 2002-01 Impact factor: 5.012
Authors: Chad A Bousman; Elaine J Blumberg; Audrey M Shillington; Melbourne F Hovell; Ming Ji; Stephanie Lehman; John Clapp Journal: Addict Behav Date: 2004-11-11 Impact factor: 3.913
Authors: Caroline W Kabiru; Donatien Beguy; Joanna Crichton; Alex C Ezeh Journal: Child Adolesc Psychiatry Ment Health Date: 2010-06-22 Impact factor: 3.033
Authors: Monica H Swahn; Rachel Culbreth; Nazarius Mbona Tumwesigye; Volkan Topalli; Eric Wright; Rogers Kasirye Journal: Int J Environ Res Public Health Date: 2018-05-24 Impact factor: 3.390
Authors: Zixin Wang; Xue Yang; Phoenix K H Mo; Yuan Fang; Tsun Kwan Mary Ip; Joseph T F Lau Journal: J Med Internet Res Date: 2020-07-24 Impact factor: 5.428
Authors: Teresa DeAtley; Catherine Mathews; Dan J Stein; David Grelotti; Larry K Brown; Danielle Giovenco; Millicent Atujuna; William Beardslee; Caroline Kuo Journal: Addict Behav Rep Date: 2020-04-21