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  1. Home
  2. Drivers Of Illicit Alcohol Consumption Among At-risk Populations Aged 15-29 Years Old In Zambia: A Qualitative Perspective.
  1. Home
  2. Drivers Of Illicit Alcohol Consumption Among At-risk Populations Aged 15-29 Years Old In Zambia: A Qualitative Perspective.

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Drivers of illicit alcohol consumption among at-risk populations aged 15-29 years old in Zambia: a qualitative

Tulani Francis L Matenga1,2, Cosmas Zyambo1,2, Masauso Moses Phiri1,2

  • 1Department of Community and Family Medicine, School of Public Health, University of Zambia, Lusaka, Zambia.

Frontiers in Public Health
|April 25, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Illicit alcohol consumption in Zambia is driven by social factors like peer influence and economic disparities, particularly affecting youth. Interventions must address individual, community, and policy levels to curb this public health issue.

Keywords:
Zambiadriversillicit alcoholsocial-ecological modelyoung people

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Area of Science:

  • Public Health
  • Sociology
  • Substance Abuse Research

Background:

  • Illicit alcohol consumption presents a significant public health challenge in Zambia and across Sub-Saharan Africa.
  • Understanding the multifaceted drivers of illicit alcohol use is crucial for developing effective public health strategies.

Purpose of the Study:

  • To identify the key drivers of illicit alcohol consumption among at-risk populations, specifically youth, in urban Zambia.
  • To apply the social-ecological model to analyze the individual, social, and environmental factors influencing illicit alcohol consumption.

Main Methods:

  • A qualitative research approach was employed, utilizing semi-structured interviews.
  • Data were collected from 12 key stakeholders (government, public health, rehabilitation centers) and 30 illicit alcohol consumers.
  • Participants were purposively selected based on their knowledge and experience with illicit alcohol consumption.
  • Main Results:

    • Social demographic factors, including early initiation (as young as 10 years) and male predominance, were identified.
    • Limited employment opportunities, lack of recreational facilities, peer influence, and normalized cultural alcohol use significantly contribute to consumption.
    • Economic disparities and the affordability/availability of cheaper, illicit alternatives like home-distilled spirits are major drivers, especially for low-income individuals.

    Conclusions:

    • Weak regulatory enforcement and continued sale of alcohol to youth exacerbate the problem, despite existing bans.
    • The social-ecological model highlights the necessity for multi-level interventions targeting individuals, communities, and policy.
    • Interventions should focus on regulating alcohol, altering social environments, and promoting positive behavioral changes among young people.