Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa.

Africa Alcohol Drinking / prevention & control Female Health Promotion / methods Humans Male Randomized Controlled Trials as Topic Sex Factors Substance-Related Disorders / prevention & control Treatment Outcome
alcohol and other drug use drug use interventions social determinants women

Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
16 07 2022
Historique:
received: 14 04 2022
revised: 30 06 2022
accepted: 05 07 2022
entrez: 27 7 2022
pubmed: 28 7 2022
medline: 29 7 2022
Statut: epublish

Résumé

Heavy alcohol consumption and other drug use are prominent across Africa and increase the risk of exposure to violence, HIV acquisition, and other life-threatening injuries. This review synthesizes evidence on alcohol and other drug (AOD) interventions in Africa; evaluates the differences between interventions that do and do not specifically target populations that use AODs; and highlights the impact of comprehensive vs. brief interventions and those that address syndemic issues from a gender and contextualized lens. Literature searches were conducted to identify research outcomes of randomized interventions published between January 2010 and May 2022 that address AOD use in Africa. Thirty-five full-text articles were included in this review. Most of the identified research studies were concentrated in a few countries. Most studies were conducted in South Africa. Many of the studies comprised brief interventions. However, the most comprehensive interventions were the most effective for AOD outcomes. Several studies indicated the importance of addressing AOD use alongside gender-based violence, mental health needs, gender roles, and other social determinants that affect health outcomes. Intervening on AOD use and addressing social determinants from a gender and contextually relevant perspective is essential to ensuring the long-term health and well-being of people in Africa.

Identifiants

DOI: 10.3390/ijerph19148661 PMID: 35886515 PMC: PMC9316816
pubmed: 35886515
pii: ijerph19148661
doi: 10.3390/ijerph19148661
pmc: PMC9316816
pii:
doi:

Types de publication

Journal Article Review Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NIDA NIH HHS
ID : R01 DA049612
Pays : United States
Organisme : NIDA NIH HHS
ID : DA049612
Pays : United States

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Auteurs

Wendee M Wechsberg (WM)

Substance Use, Gender and Applied Research Program, RTI International, Research Triangle Park, NC 27709, USA.
Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Department of Psychology, North Carolina State University, Raleigh, NC 27695, USA.
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27708, USA.
ORCID: 0000-0002-5146-6463

Isa van der Drift (I)

Substance Use, Gender and Applied Research Program, RTI International, Research Triangle Park, NC 27709, USA.

Brittni N Howard (BN)

Substance Use, Gender and Applied Research Program, RTI International, Research Triangle Park, NC 27709, USA.

Bronwyn Myers (B)

Alcohol Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town 7580, South Africa.
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7701, South Africa.
Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth 6102, Australia.
ORCID: 0000-0003-0235-6716

Felicia A Browne (FA)

Substance Use, Gender and Applied Research Program, RTI International, Research Triangle Park, NC 27709, USA.
Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.

Courtney Peasant Bonner (CP)

Substance Use, Gender and Applied Research Program, RTI International, Research Triangle Park, NC 27709, USA.
Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.

Tara Carney (T)

Alcohol Tobacco and Other Drug Research Unit, South African Medical Research Council, Cape Town 7580, South Africa.
Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7701, South Africa.
ORCID: 0000-0001-5400-0565

Jacqueline Ndirangu (J)

Substance Use, Gender and Applied Research Program, RTI International, Research Triangle Park, NC 27709, USA.

Yukiko Washio (Y)

Substance Use, Gender and Applied Research Program, RTI International, Research Triangle Park, NC 27709, USA.
Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19122, USA.
ORCID: 0000-0002-3882-2953

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Classifications MeSH

Recherchemedicale.com › Régions géographiques › Afrique › Gender and Context Matter: Behavioral and...
Recherchemedicale.com › Comportement et mécanismes comportementaux › Comportement › Comportement dipsique › Consommation d'alcool › Gender and Context Matter: Behavioral and...
Recherchemedicale.com › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services de médecine préventive › Éducation pour la santé › Promotion de la santé › Gender and Context Matter: Behavioral and...
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Recherchemedicale.com › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études cliniques comme sujet › Essais cliniques comme sujet › Essais cliniques contrôlés comme sujet › Essais contrôlés randomisés comme sujet › Gender and Context Matter: Behavioral and...
Recherchemedicale.com › Environnement et santé publique › Santé publique › Facteurs épidémiologiques › Facteurs sexuels › Gender and Context Matter: Behavioral and...
Recherchemedicale.com › Troubles mentaux › Troubles liés à une substance › Gender and Context Matter: Behavioral and...
Recherchemedicale.com › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Gender and Context Matter: Behavioral and...