Giusto Ali, Satinsky Emily N, Jaguga Florence, Rono Wilter, Barasa Julius, Galán Chardée A, Wainberg Milton L
Department of Psychology, Florida International University, Miami, FL, USA.
Department of Psychology, University of Southern California, Los Angeles, CA, USA.
Glob Public Health. 2025 Dec;20(1):2515481. doi: 10.1080/17441692.2025.2515481. Epub 2025 Jun 9.
Fathers' alcohol use impacts family well-being, including increased risk for violence, poor child outcomes, and low engagement in care. Yet few studies examine the drivers of alcohol use among fathers or the role of gendered expectations and sociocultural norms on use, especially in low-resource settings like Kenya. Understanding why fathers drink, the consequences of use, and barriers to care is key to designing scalable, responsive interventions. In Eldoret, Kenya, community members, leaders, providers, and fathers experiencing problematic alcohol use participated in interviews and focus groups. Participants discussed reasons for drinking, its impacts, and barriers to care. Using the framework method, transcripts were coded and summarised using the socioecological model. Reasons and consequences of alcohol use emerged across individual, interpersonal, and sociocultural levels. Individually, fathers used alcohol to escape distress with consequences on physical and mental health. At the family level, alcohol was used to avoid conflict, contributing to risk for violence and poor child outcomes. Socioculturally, drinking was shaped by gender norms, with consequences like stigma and loss of social status, which reinforced shame and isolation. Barriers to care included lack of awareness, poor service access, and stigma. Intervention and implementation strategies must address avoidant coping, masculinity norms, and local resource constraints.
父亲饮酒会影响家庭幸福，包括暴力风险增加、儿童成长不良以及对照顾孩子的参与度低。然而，很少有研究探讨父亲饮酒的驱动因素，或性别期望和社会文化规范对饮酒行为的影响，尤其是在肯尼亚这样的资源匮乏地区。了解父亲饮酒的原因、饮酒的后果以及获得护理的障碍，是设计可扩展、有针对性的干预措施的关键。在肯尼亚的埃尔多雷特，社区成员、领导人、提供者以及有酗酒问题的父亲参与了访谈和焦点小组讨论。参与者讨论了饮酒的原因、影响以及获得护理的障碍。运用框架法，使用社会生态模型对访谈记录进行编码和总结。饮酒的原因和后果体现在个人、人际和社会文化层面。在个人层面，父亲饮酒是为了逃避痛苦，对身心健康产生影响。在家庭层面，饮酒是为了避免冲突，增加了暴力风险和儿童成长不良的可能性。在社会文化层面，饮酒受到性别规范的影响，产生了耻辱感和社会地位丧失等后果，这加剧了羞耻感和孤立感。获得护理的障碍包括缺乏认知、服务获取困难和耻辱感。干预和实施策略必须解决回避性应对方式、男性气质规范和当地资源限制等问题。
