Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa
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 in...
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| Veröffentlicht in: | International journal of environmental research and public health 2022-07, Vol.19 (14), p.8661 |
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| creator | Wechsberg, Wendee M van der Drift, Isa Howard, Brittni N Myers, Bronwyn Browne, Felicia A Bonner, Courtney Peasant Carney, Tara Ndirangu, Jacqueline Washio, Yukiko |
| description | 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. |
| doi_str_mv | 10.3390/ijerph19148661 |
| format | Article |
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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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19148661</identifier><identifier>PMID: 35886515</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Africa ; Aggression ; Alcohol ; Alcohol Drinking - prevention & control ; Alcohol Drinking - psychology ; Brief interventions ; COVID-19 ; Domestic violence ; Drinking behavior ; Drug abuse ; Drugs ; Feasibility studies ; Female ; Gender ; Gender roles ; Gender-based violence ; Health needs ; Health Promotion - methods ; HIV ; Human immunodeficiency virus ; Humans ; Intervention ; Literature reviews ; Male ; Mental health ; Pandemics ; Randomized Controlled Trials as Topic ; Review ; Sex Factors ; Substance abuse ; Substance-Related Disorders - prevention & control ; Substance-Related Disorders - psychology ; Treatment Outcome ; Violence ; Well being</subject><ispartof>International journal of environmental research and public health, 2022-07, Vol.19 (14), p.8661</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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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. 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| subjects | Africa Aggression Alcohol Alcohol Drinking - prevention & control Alcohol Drinking - psychology Brief interventions COVID-19 Domestic violence Drinking behavior Drug abuse Drugs Feasibility studies Female Gender Gender roles Gender-based violence Health needs Health Promotion - methods HIV Human immunodeficiency virus Humans Intervention Literature reviews Male Mental health Pandemics Randomized Controlled Trials as Topic Review Sex Factors Substance abuse Substance-Related Disorders - prevention & control Substance-Related Disorders - psychology Treatment Outcome Violence Well being |
| title | Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa |
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