Turyasiima Munanura, Akot Balbina Gillian, Makongwa Ibrahimu, Yusuf Hamdi Mohamed, Epuitai Joshua
Department of Standards, Compliance, Accreditation and Patient Protection (SCAPP), Ministry of Health, Kampala, Uganda.
Department of Pediatrics and Child Health, Faculty of Clinical Medicine and Dentistry, Kampala International University, Kampala, Uganda.
Subst Abuse Rehabil. 2025 Jun 12;16:165-175. doi: 10.2147/SAR.S526190. eCollection 2025.
Adolescents and young adults in sub-Saharan Africa face a growing burden of alcohol use and related disorders, driven by a convergence of biological vulnerability, socio-environmental pressures, and weak regulatory systems. Rising digital media exposure and socio-economic disparities further exacerbate risky drinking behaviors.
This review synthesizes current evidence on the prevalence, risk factors, health and social impacts, and intervention strategies related to alcohol use among adolescents and young people in sub-Saharan Africa.
A narrative review approach was employed, drawing on peer-reviewed articles and global reports published between 2000 and 2024. Studies were identified through searches in databases including PubMed, Scopus, Google Scholar, and Web of Science, using defined inclusion criteria focused on youth aged 10-24 years.
Alcohol use and alcohol use disorders (AUD) among youth are influenced by a complex interplay of genetic, psychological, familial, social, and digital factors. Consequences include increased risks of mental illness, HIV infection, gender-based violence, poor educational outcomes, and long-term health complications. Despite these harms, interventions remain fragmented and under-resourced across much of the region. Promising interventions include school-based programs, community engagement, digital media regulation, and integration of alcohol services into mental and sexual health platforms.
Tackling adolescent alcohol misuse in sub-Saharan Africa requires urgent, multisectoral action. Policies must be evidence-based, culturally responsive, and supported by robust surveillance, regulation, and youth-centered programming to prevent long-term public health and socio-economic consequences.
撒哈拉以南非洲的青少年和青年面临着日益沉重的酒精使用及相关疾病负担，这是由生物易感性、社会环境压力和薄弱的监管系统共同作用所致。数字媒体曝光率的上升和社会经济差距进一步加剧了危险饮酒行为。
本综述综合了目前关于撒哈拉以南非洲青少年和年轻人酒精使用的患病率、风险因素、健康和社会影响以及干预策略的证据。
采用叙述性综述方法，参考2000年至2024年期间发表的同行评审文章和全球报告。通过在包括PubMed、Scopus、谷歌学术和科学网在内的数据库中进行检索，使用针对10至24岁青年的明确纳入标准来确定研究。
青少年的酒精使用和酒精使用障碍（AUD）受到遗传、心理、家庭、社会和数字因素复杂相互作用的影响。后果包括精神疾病、艾滋病毒感染、性别暴力、教育成果不佳以及长期健康并发症的风险增加。尽管存在这些危害，但该地区大部分地区的干预措施仍然零散且资源不足。有前景的干预措施包括基于学校的项目、社区参与、数字媒体监管以及将酒精服务纳入精神和性健康平台。
应对撒哈拉以南非洲青少年酒精滥用问题需要紧急的多部门行动。政策必须以证据为基础，具有文化适应性，并得到强有力的监测、监管和以青年为中心的规划的支持，以防止长期的公共卫生和社会经济后果。
