Overestimation of alcohol consumption norms as a driver of alcohol consumption: a whole‐population network study of men across eight villages in rural, southwestern Uganda

Autor: Viola Kyokunda, Jessica M. Perkins, Alexander C. Tsai, David R. Bangsberg, Charles Baguma, Bernard Kakuhikire, Phionah Ahereza, Justin D. Rasmussen, H. Wesley Perkins, Judith A. Hahn, Elizabeth B. Namara, Jordan Jurinsky, Emily N. Satinsky
Rok vydání: 2021
Předmět:
Rural Population
Male
sub-Saharan Africa
Medicine (miscellaneous)
Alcohol
Cardiovascular
Medical and Health Sciences
Oral and gastrointestinal
Social Networking
Substance Misuse
Alcohol Use and Health
chemistry.chemical_compound
misperception
Uganda
Alcohol consumption
Aetiology
social norms
Cancer
education.field_of_study
Substance Abuse
Stroke
Alcoholism
Psychiatry and Mental health
symbols
social and economic factors
Psychology
social networks
Alcohol Drinking
Population
Binge drinking
Article
symbols.namesake
Clinical Research
2.3 Psychological
Behavioral and Social Science
Humans
Poisson regression
education
Consumption (economics)
Psychology and Cognitive Sciences
alcohol use
binge drinking
Confidence interval
Cross-Sectional Studies
Good Health and Well Being
chemistry
Relative risk
perceived norms
descriptive norms
Demography
Zdroj: Addiction (Abingdon, England), vol 117, iss 1
Addiction
ISSN: 1360-0443
0965-2140
DOI: 10.1111/add.15615
Popis: Background and aimsLittle is known about how perceived norms about alcohol consumption may influence high alcohol consumption rates in Uganda. This study estimated the accuracy of perceived norms about men's alcohol consumption and estimated the association between perceived norms and personal alcohol consumption.DesignCross-sectional, whole-population, sociocentric social network study.SettingEight rural villages in Rwampara District, southwestern Uganda in 2016-18.ParticipantsA total of 719 men aged 18years and older (representing 91% of permanent resident men).MeasurementsSelf-reported frequent (≥4days per week) and heavy alcohol consumption (six or more drinks on one occasion, more than three occasions of intoxication, or spending an excessive amount on alcohol). Participants also reported whether they thought most other men in their village engaged in frequent and heavy alcohol consumption (perceived norms). Using the network study design, we calculated alcohol consumption behavior within villages and social networks. Perceived norms were compared with aggregated self-reports. Multivariable Poisson regression models were used to estimate the association between perceived norms and individual behavior.FindingsThroughout villages, frequent and heavy alcohol consumption ranged from 7 to 37%. However, 527 (74%) participants perceived, contrary to fact, that most other men in their villages frequently consumed alcohol, and 576 (81%) perceived that most others heavily consumed alcohol. Overestimation of alcohol consumption by others was pervasive among socio-demographic subgroups and was present irrespective of the actual consumption behavior at the village level and within social networks. Men who misperceived these alcohol consumption behaviors as being common were more likely to engage in frequent [adjusted relative risk (aRR)=3.98; 95% confidence interval (CI)=1.69-9.34) and heavy (aRR=4.75; 95% CI=2.33-9.69) alcohol consumption themselves.ConclusionsMost men in eight rural Ugandan villages incorrectly thought that frequent and heavy alcohol consumption were common among men in their villages. These misperceived norms had a strong positive association with individual drinking behavior.
Databáze: OpenAIRE
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