Zyambo Cosmas, Phiri Masauso Moses, Zulu Richard, Mukupa Musawa, Mabanti Kumbulani, Matenga Tulani Francis L, Rizzo Angela, Hainze Anna, Ogwell Ahmed, Menda Dhally, Goma Fastone, Achoki Tom
Department of Community and Family Medicine, School of Public Health, University of Zambia, Lusaka, Zambia.
Center for Primary Care Research, Lusaka, Zambia.
Front Public Health. 2025 Apr 24;13:1444304. doi: 10.3389/fpubh.2025.1444304. eCollection 2025.
Illicit alcohol consumption is prevalent globally, particularly in low- and middle-income countries where formal regulatory systems are weak or less enforced. Consumption of illicit alcohol has serious consequences, both immediate and long-term.
To examine the socio-demographic and behavioral factors associated with the consumption of illicit alcohol among the patrons in selected urban and peri-urban areas in Zambia.
This was a cross-sectional study. Illicit alcohol consumption status, socio-demographics and behavioral factors were assessed. Adjusted multivariable logistic regression was used to obtain odds ratios (AOR) at a 95% confidence interval (CI).
Of the 416 patrons who participated, 71.2% consumed illicit alcohol (Men, 75.3% vs. women 54.7%). More than 66.8% reported needing a drink first thing in the morning, 50.2% have had problems with friends due to alcohol and 19% did indicate having visited the hospital due to a drinking problem. In multivariable analysis, factors significantly associated with decreased odds of illicit alcohol consumption were females (AOR) 0.38 (95% CI: 0.20-0.73, = 0.003), Ndola city (AOR = 0.28, 95% CI: 0.12-0.62, = 0.002), drinking pattern of 2-3 days a month (AOR: 0.19, 95% CI: 0.06-0.53, = 0.002) and incomes above K10,000 (AOR: 0.40, 95% CI: 0.19-0.85, = 0.017). The inability to stop drinking (AOR = 2.86, 95% CI: 1.22-6.69, = 0.016) had an increased odds of illicit alcohol consumption.
Our findings underscore the high prevalence of illicit alcohol consumption among the patrons. Addressing illicit alcohol consumption requires a multifaceted set of interventions that consider the various factors contributing to alcohol misuse, and focuses on prevention, education, support, and community engagement.
非法酒精消费在全球范围内普遍存在，尤其是在中低收入国家，这些国家的正规监管体系薄弱或执行不力。非法酒精消费会产生严重的即时和长期后果。
研究赞比亚部分城市和城郊地区顾客中与非法酒精消费相关的社会人口学和行为因素。
这是一项横断面研究。评估了非法酒精消费状况、社会人口学和行为因素。采用校正后的多变量逻辑回归分析，在95%置信区间（CI）下获得比值比（AOR）。
在参与研究的416名顾客中，71.2%的人消费非法酒精（男性为75.3%，女性为54.7%）。超过66.8%的人表示早上第一件事就是想喝酒，50.2%的人因饮酒与朋友产生过问题，19%的人确实表示因饮酒问题去过医院。在多变量分析中，与非法酒精消费几率降低显著相关的因素包括女性（AOR为0.38，95%CI：0.20 - 0.73，P = 0.003）、恩多拉市（AOR = 0.28，95%CI：0.12 - 0.62，P = 0.002）、每月饮酒2 - 3天的饮酒模式（AOR：0.19，95%CI：0.06 - 0.53，P = 0.002）以及收入高于10000克瓦查（AOR：0.40，95%CI：0.19 - 0.85，P = 0.017）。无法戒酒（AOR = 2.86，95%CI：1.22 - 6.69，P = 0.016）会增加非法酒精消费的几率。
我们的研究结果强调了顾客中非法酒精消费的高流行率。解决非法酒精消费问题需要一系列多方面的干预措施，这些措施要考虑到导致酒精滥用的各种因素，并侧重于预防、教育、支持和社区参与。
