Mukui Antony Kimata, Paul Oyore John, Gitahi Mary Muiruri
Department of Family Medicine, Community Health and Epidemiology, Kenyatta University, Nairobi, Kenya.
Pan Afr Med J. 2025 Jun 9;51:34. doi: 10.11604/pamj.2025.51.34.47071. eCollection 2025.
alcohol is the most widely consumed substance globally, contributing to 2.6 million deaths annually, including 320,000 involving youths. In Africa, alcohol is linked to high mortality rates and increased Disability-adjusted Life Years. In Kiambu, Kenya, youth alcohol consumption stands at 28.9%, surpassing the national average of 11.2%. This study explores the impact of community-led, enhanced, structured health education on youths' awareness of alcohol's effects.
a quasi-experimental study was conducted in Gatundu South (intervention) and Kabete (control) sub-counties in Kiambu from May 2022 to May 2023. Fourteen Community Health Promoters delivered monthly one-hour sessions in Gatundu South, totaling 12 sessions, covering 12 topics. Quantitative datasets were collected using the WHO's Alcohol AUDIT and questionnaire, while qualitative datasets were gathered through focus group discussions (FGDs) and key informant interviews (KIIs) and analyzed thematically. Kenyatta University's ethics committee granted study approval. R software supported data analysis, including mean knowledge scores, Chi-Square, ordinal logistic regression, Difference-in-Difference analysis, and Cohen's d.
youth in the intervention group experienced a significant increase in "very high knowledge" from 57% to 92.6%, compared to a smaller rise in the control group from 26.1% to 39.5%. Post-study, Kabete had 2.6% of participants in the very low knowledge category, versus 0% in Gatundu. The intervention showed a significant impact (DiD: 1.8, Cohen's d: 1.161). FGDs and KIIs indicated limited awareness and access to screening services.
the intervention improved knowledge of alcohol-related harm, encouraged healthier behaviors, and reduced adverse effects.
酒精是全球消费最广泛的物质，每年导致260万人死亡，其中包括32万例涉及年轻人的死亡。在非洲，酒精与高死亡率和残疾调整生命年的增加有关。在肯尼亚的基安布，青年酒精消费量为28.9%，超过了全国平均水平11.2%。本研究探讨了社区主导的、强化的、结构化健康教育对青年对酒精影响的认识的影响。
2022年5月至2023年5月，在基安布的加通杜南（干预）和卡贝特（对照）次县进行了一项准实验研究。14名社区健康促进者在加通杜南每月进行一次为期一小时的课程，共12节课程，涵盖12个主题。使用世界卫生组织的酒精使用障碍识别测试（AUDIT）和问卷收集定量数据集，同时通过焦点小组讨论（FGD）和关键信息提供者访谈（KII）收集定性数据集，并进行主题分析。肯雅塔大学伦理委员会批准了该研究。R软件支持数据分析，包括平均知识得分、卡方检验、有序逻辑回归、差异分析和科恩d值。
干预组青年中“知识非常高”的比例从57%显著增加到92.6%，而对照组从26.1%小幅上升到39.5%。研究后，卡贝特有2.6%的参与者知识水平非常低，而加通杜南为0%。干预显示出显著影响（差异分析：1.8，科恩d值：1.161）。FGD和KII表明对筛查服务的认识和获取有限。
该干预提高了对酒精相关危害的认识，鼓励了更健康的行为，并减少了不良影响。
