肯尼亚海岸基利菲县青少年酒精、烟草和药物使用行为的社会生态决定因素。
Socio-ecological determinants of alcohol, tobacco, and drug use behavior of adolescents in Kilifi County at the Kenyan coast.
作者信息
Ssewanyana Derrick, Mwangala Patrick N, Marsh Vicki, Jao Irene, van Baar Anneloes, Newton Charles R, Abubakar Amina
机构信息
Kenya Medical Research Institute (KEMRI), Kenya.
Utrecht University, The Netherlands.
出版信息
J Health Psychol. 2020 Oct;25(12):1940-1953. doi: 10.1177/1359105318782594. Epub 2018 Jun 26.
Abstract
Alcohol, tobacco, and other drug use form a risk factor for health and social problems during adolescence. From a socio-ecological model, perceptions of 85 young people and 10 stakeholders on the types of alcohol, tobacco, and other drugs used and the predisposing and protective factors were explored; among adolescents at the Kenyan Coast in the Kilifi County. We found that the consumption of home-brewed alcohol, tobacco and marijuana smoking, and khat chewing was common and requires multi-component and community-centered intervention. Countering alcohol, tobacco, and other drug use needs enforcement of strong measures to regulate access to alcohol, tobacco, and other drugs for minors; addressing social and cultural norms; strategies for poverty alleviation; and community empowerment.
摘要
酒精、烟草及其他毒品的使用构成了青少年时期健康和社会问题的一个风险因素。从社会生态模型的角度出发，我们对肯尼亚基利菲县海岸地区的85名青少年和10名利益相关者就酒精、烟草及其他毒品的使用类型以及诱发因素和保护因素进行了认知探索。我们发现，饮用自酿酒、吸烟、吸食大麻和咀嚼巧茶的情况很常见，需要采取多方面且以社区为中心的干预措施。应对酒精、烟草及其他毒品的使用需要实施强有力的措施来管制未成年人获取酒精、烟草及其他毒品；应对社会和文化规范；采取扶贫策略；以及增强社区权能。
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