Alcohol use among in-school adolescents in Sierra Leone.

Autor:	Osborne A; Njala University, Freetown, Sierra Leone augustusosborne2@gmail.com., Aboagye RG; School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia.; Department of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana., Olorunsaiye CZ; Arcadia University, Glenside, Pennsylvania, USA., James PB; Faculty of Pharmaceutical Sciences, University of Sierra Leone College of Medicine and Allied Health Sciences, Freetown, Sierra Leone.; Faculty of Health, Southern Cross University, Lismore, New South Wales, Australia., Bangura C; Njala University, Freetown, Sierra Leone., Seidu AA; Public Health & Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia., Kangbai JB; Njala University, Freetown, Sierra Leone., Ahinkorah BO; School of Clinical Medicine, University of New South Wales Sydney, Sydney, New South Wales, Australia.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2024 Apr 02; Vol. 14 (4), pp. e080222. Date of Electronic Publication: 2024 Apr 02.
DOI:	10.1136/bmjopen-2023-080222
Abstrakt:	Objective: To examine the prevalence of alcohol use and its associated factors among in-school adolescents in Sierra Leone. Design: Data for the study was sourced from the 2017 Sierra Leone Global School-Based Student Health Survey, a nationally representative survey conducted among in-school adolescents aged 10-19 years using a multistage sampling methodology. Percentages were used to present the prevalence of alcohol use among in-school adolescents. Multivariable binary logistic regression analysis was performed to examine the factors associated with alcohol use among in-school adolescents. The results were presented using adjusted odds ratios (aOR) with their respective 95% confidence interval (CI). Setting: Sierra Leone. Participants: A weighted sample of 1730 in-school adolescents in Sierra Leone. Outcome Measure: Current alcohol use. Results: The prevalence of alcohol use among in-school adolescents was 10.7% (7.3, 15.3). In-school adolescents in senior secondary schools were more likely to use alcohol compared with those in junior secondary school (aOR=2.13; 95% CI 1.37, 3.30). The odds of alcohol use was higher among in-school adolescents who were truant at school relative to those who were not (aOR=2.24; 95% CI 1.54, 3.26). Also, in-school adolescents who were bullied (aOR=1.85; 95% CI 1.24, 2.76), ever engaged in sexual intercourse (aOR=2.06; 95% CI 1.39, 3.06), and used marijuana (aOR=3.36; 95% CI 1.72, 6.53) were more likely to use alcohol compared with those who were not. However, in-school adolescents who reported that their parents understood their problems (aOR=0.52; 95% CI 0.33, 0.82) had a lower likelihood of consuming alcohol. Conclusion: Our study has shown that alcohol use is prevalent among in-school adolescents in Sierra Leone. Grade level, experiences of being bullied, history of sexual intercourse, truancy at school, and previous use of marijuana were the factors influencing alcohol use among in-school adolescents. The findings emphasise the necessity of creating school-based health interventions in Sierra Leone that can effectively identify in-school adolescents potentially vulnerable to alcohol-related issues. Also, existing policies and programmes aimed at reducing alcohol use among in-school adolescents need to be strengthened. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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