Department of Community Health Sciences, Jonathan and Karin Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, United States of America.
Rakai Health Sciences Program / Uganda Virus Research Institute, Kalisizo, Uganda.
PLoS One. 2020 Oct 30;15(10):e0240796. doi: 10.1371/journal.pone.0240796. eCollection 2020.
Uganda has one of the highest rates of alcohol use in sub-Saharan Africa but prevalence and correlates of drinking are undocumented in the Rakai region, one of the earliest epicenters of the HIV/AIDS epidemic in East Africa.
We analyzed cross-sectional data from 18,700 persons (8,690 men, 10,010 women) aged 15-49 years, living in agrarian, trading and fishing communities and participating in the Rakai Community Cohort Study (RCCS) between March 2015 and September 2016. Logistic regression models assessed associations between past year alcohol use and sociodemographic characteristics, other drug use and HIV status, controlling for age, religion, education, occupation, marital status, and household socioeconomic status.
Past year alcohol prevalence was 45%. Odds of drinking were significantly higher in men (versus women) and fishing communities (versus agrarian areas). Odds of drinking increased with age, previous (versus current) marriage and past year drug use. By occupation, highest odds of drinking were among fishermen and (in women) bar/restaurant workers. Alcohol-related consequences were more commonly reported by male (vs. females) drinkers, among whom up to 35% reported alcohol dependence symptoms (e.g., unsteady gait). HIV status was strongly associated with alcohol use in unadjusted but not adjusted models.
Alcohol use differed by gender, community type and occupation. Being male, living in a fishing community and working as a fisherman or restaurant/bar worker (among women) were associated with higher odds of drinking. Alcohol reduction programs should be implemented in Uganda's fishing communities and among people working in high risk occupations (e.g., fishermen and restaurant/bar workers).
乌干达是撒哈拉以南非洲地区酒精使用率最高的国家之一，但在东非艾滋病疫情最早的中心之一——拉凯地区，饮酒的流行情况和相关因素尚未记录在案。
我们分析了 2015 年 3 月至 2016 年 9 月期间，18700 名年龄在 15-49 岁之间的居住在农业、贸易和渔业社区的人群（8690 名男性，10010 名女性）的横断面数据。他们参与了拉凯社区队列研究（RCCS）。使用逻辑回归模型评估了过去一年的饮酒行为与社会人口特征、其他药物使用和 HIV 状况之间的关联，同时控制了年龄、宗教、教育、职业、婚姻状况和家庭社会经济地位。
过去一年的饮酒流行率为 45%。与女性相比，男性（与女性相比）和渔业社区（与农业区相比）的饮酒可能性更高。饮酒的可能性随着年龄的增长、之前（与当前）的婚姻状况和过去一年的药物使用而增加。按职业划分，渔民（女性为酒吧/餐馆工人）的饮酒可能性最高。与女性相比，男性饮酒者更常报告与酒精相关的后果，其中高达 35%的人报告有酒精依赖症状（如步态不稳）。在未调整和调整模型中，HIV 状况均与饮酒行为密切相关。
饮酒行为因性别、社区类型和职业而异。男性、居住在渔业社区以及从事渔民或餐馆/酒吧工人（女性）等职业与更高的饮酒可能性相关。乌干达应在渔业社区和高风险职业人群（如渔民和餐馆/酒吧工人）中实施减少饮酒的计划。
