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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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Autores principales: Wechsberg, Wendee M., van der Drift, Isa, Howard, Brittni N., Myers, Bronwyn, Browne, Felicia A., Bonner, Courtney Peasant, Carney, Tara, Ndirangu, Jacqueline, Washio, Yukiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316816/
https://www.ncbi.nlm.nih.gov/pubmed/35886515
http://dx.doi.org/10.3390/ijerph19148661
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author Wechsberg, Wendee M.
van der Drift, Isa
Howard, Brittni N.
Myers, Bronwyn
Browne, Felicia A.
Bonner, Courtney Peasant
Carney, Tara
Ndirangu, Jacqueline
Washio, Yukiko
author_facet Wechsberg, Wendee M.
van der Drift, Isa
Howard, Brittni N.
Myers, Bronwyn
Browne, Felicia A.
Bonner, Courtney Peasant
Carney, Tara
Ndirangu, Jacqueline
Washio, Yukiko
author_sort Wechsberg, Wendee M.
collection PubMed
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.
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spelling pubmed-93168162022-07-27 Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa Wechsberg, Wendee M. van der Drift, Isa Howard, Brittni N. Myers, Bronwyn Browne, Felicia A. Bonner, Courtney Peasant Carney, Tara Ndirangu, Jacqueline Washio, Yukiko Int J Environ Res Public Health Review 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. MDPI 2022-07-16 /pmc/articles/PMC9316816/ /pubmed/35886515 http://dx.doi.org/10.3390/ijerph19148661 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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/).
spellingShingle Review
Wechsberg, Wendee M.
van der Drift, Isa
Howard, Brittni N.
Myers, Bronwyn
Browne, Felicia A.
Bonner, Courtney Peasant
Carney, Tara
Ndirangu, Jacqueline
Washio, Yukiko
Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa
title Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa
title_full Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa
title_fullStr Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa
title_full_unstemmed Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa
title_short Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa
title_sort gender and context matter: behavioral and structural interventions for people who use alcohol and other drugs in africa
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9316816/
https://www.ncbi.nlm.nih.gov/pubmed/35886515
http://dx.doi.org/10.3390/ijerph19148661
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