Heavy drinking and contextual risk factors among adults in South Africa : findings from the international alcohol control study

dc.contributor.authorTrangenstein, Pamela J.en_ZA
dc.contributor.authorMorojele, Neo K.en_ZA
dc.contributor.authorLombard, Carlen_ZA
dc.contributor.authorJernigan, David H.en_ZA
dc.contributor.authorParry, Charles D. H.en_ZA
dc.date.accessioned2019-11-13T12:37:11Z
dc.date.available2019-11-13T12:37:11Z
dc.date.issued2018
dc.descriptionCITATION: Trangenstein, P. J., et al. 2018. Heavy drinking and contextual risk factors among adults in South Africa : findings from the International Alcohol Control study. Trangenstein et al. Substance Abuse Treatment, Prevention, and Policy, 13:43, doi:10.1186/s13011-018-0182-1.
dc.descriptionThe original publication is available at https://substanceabusepolicy.biomedcentral.com
dc.description.abstractBackground: There is limited information about the potential individual-level and contextual drivers of heavy drinking in South Africa. This study aimed to identify risk factors for heavy drinking in Tshwane, South Africa. Methods: A household survey using a multi-stage stratified cluster random sampling design. Complete consumption and income data were available on 713 adults. Heavy drinking was defined as consuming ≥120 ml (96 g) of absolute alcohol (AA) for men and ≥ 90 ml (72 g) AA for women at any location at least monthly. Results: 53% of the sample were heavy drinkers. Bivariate analyses revealed that heavy drinking differed by marital status, primary drinking location, and container size. Using simple logistic regression, only cider consumption was found to lower the odds of heavy drinking. Persons who primarily drank in someone else’s home, nightclubs, and sports clubs had increased odds of heavy drinking. Using multiple logistic regression and adjusting for marital status and primary container size, single persons were found to have substantially higher odds of heavy drinking. Persons who drank their primary beverage from above average-sized containers at their primary location had 7.9 times the odds of heavy drinking as compared to persons who drank from average-sized containers. Some significant associations between heavy drinking and age, race, and income were found for certain beverages. Conclusion: Rates of heavy drinking were higher than expected giving impetus to various alcohol policy reforms under consideration in South Africa. Better labeling of the alcohol content of different containers is needed together with limiting production, marketing and serving of alcohol in large containers.en_ZA
dc.description.urihttps://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-018-0182-1
dc.description.versionPublisher's version
dc.format.extent11 pages
dc.identifier.citationTrangenstein, P. J., et al. 2018. Heavy drinking and contextual risk factors among adults in South Africa : findings from the International Alcohol Control study. Trangenstein et al. Substance Abuse Treatment, Prevention, and Policy, 13:43, doi:10.1186/s13011-018-0182-1
dc.identifier.issn1747-597X (online)
dc.identifier.otherdoi:10.1186/s13011-018-0182-1
dc.identifier.urihttp://hdl.handle.net/10019.1/106838
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)
dc.rights.holderAuthors retain copyright
dc.subjectAlcoholism -- Risk factors -- South Africaen_ZA
dc.subjectDrinking of alcoholic beverages -- Risk factors -- South Africaen_ZA
dc.subjectInternational alcohol control studyen_ZA
dc.titleHeavy drinking and contextual risk factors among adults in South Africa : findings from the international alcohol control studyen_ZA
dc.typeArticleen_ZA
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