Skip to main content
Top
Published in: BMC Psychiatry 1/2020

Open Access 01-12-2020 | Research article

Social acceptance of alcohol use in Uganda

Authors: Joshua Ssebunnya, Caroline Kituyi, Justine Nabanoba, Juliet Nakku, Arvin Bhana, Fred Kigozi

Published in: BMC Psychiatry | Issue 1/2020

Login to get access

Abstract

Background

Alcohol use is part of many cultural, religious and social practices, and provides perceived pleasure to many users. In many societies, alcoholic beverages are a routine part of the social landscape for many in the population. Relatively low rates were reported for Alcohol Use Disorders (AUD) in a community-based survey and facility detection survey conducted in the study site contrary to findings in earlier formative studies where alcohol use was reported to be a major health problem. The aim of this study was to understand the reasons for under-reporting and the low detection rate for AUDs, exploring societal perceptions of alcohol use in the study district.

Methods

The study was conducted in Kamuli District (implementation site for the PRIME project). Semi-structured interviews and focus group discussions were conducted with purposively selected participants that included local and religious leaders, lay people, health workers as well as heavy alcohol drinkers and their spouses. Interviews were tape-recorded and transcribed verbatim. The analysis followed four thematic areas, which include the extent and acceptability of alcohol use, patterns of alcohol use, perceived health problems associated with alcohol use and help-seeking behavior for persons with alcohol related problems.

Results

The findings indicate that alcohol consumption in the study site was common and widely acceptable across all categories of people and only frowned upon if the person becomes a nuisance to others. These findings suggest that the health problems associated with alcohol use are overlooked except when they are life-threatening. Help-seeking for such problems was therefore reported to be relatively rare.

Conclusion

Alcohol was readily available in the community and its consumption widely acceptable, with less social sanctions despite the legal restrictions to the minors. The social acceptance results in low recognition of alcohol use related health problems, consequently resulting in poor help-seeking behavior.
Literature
7.
go back to reference Ferreira-Borges C, Parry CDH, Babor TF. Harmful use of alcohol: a shadow over sub-Saharan Africa in need of workable solutions. Int J Environ Res Public Health. 2017;14(4):346.CrossRef Ferreira-Borges C, Parry CDH, Babor TF. Harmful use of alcohol: a shadow over sub-Saharan Africa in need of workable solutions. Int J Environ Res Public Health. 2017;14(4):346.CrossRef
10.
go back to reference Nalwadda O, Rathod SD, Nakku J, Lund C, Prince M, Kigozi F. Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies. Int J Ment Heal Syst. 2018;12(1):12.CrossRef Nalwadda O, Rathod SD, Nakku J, Lund C, Prince M, Kigozi F. Alcohol use in a rural district in Uganda: findings from community-based and facility-based cross-sectional studies. Int J Ment Heal Syst. 2018;12(1):12.CrossRef
11.
go back to reference Rathod SD, Roberts T, Medhin G, GirmayMedhin G, Murhar V, Samudre S, Luitel NP, Selohilwe O, Ssebunnya J, MJD J, Bhana A, Petersen I, Kigozi F, Nakku J, Lund C, Fekadu A, Shidhaye R. Detection and treatment initiation for depression and alcohol use disorders: facility-based cross-sectional studies in five low-income and middle-income country districts. BMJ Open. 2018;8:e023421. https://doi.org/10.1136/bmjopen-2018-023421.CrossRefPubMedPubMedCentral Rathod SD, Roberts T, Medhin G, GirmayMedhin G, Murhar V, Samudre S, Luitel NP, Selohilwe O, Ssebunnya J, MJD J, Bhana A, Petersen I, Kigozi F, Nakku J, Lund C, Fekadu A, Shidhaye R. Detection and treatment initiation for depression and alcohol use disorders: facility-based cross-sectional studies in five low-income and middle-income country districts. BMJ Open. 2018;8:e023421. https://​doi.​org/​10.​1136/​bmjopen-2018-023421.CrossRefPubMedPubMedCentral
19.
go back to reference Sudhinaraset M, Wigglesworth C, Takeuchi DT. Social and cultural contexts of alcohol use. Influences in a social-ecological framework. Alcohol Res. 2016;38(1):35–45.PubMedPubMedCentral Sudhinaraset M, Wigglesworth C, Takeuchi DT. Social and cultural contexts of alcohol use. Influences in a social-ecological framework. Alcohol Res. 2016;38(1):35–45.PubMedPubMedCentral
20.
go back to reference Martinez P, Røislien J, Naidoo N, Clausen T. Alcohol abstinence and drinking among African women: data from the world health surveys. BMC Public Health. 2011;11:160.CrossRef Martinez P, Røislien J, Naidoo N, Clausen T. Alcohol abstinence and drinking among African women: data from the world health surveys. BMC Public Health. 2011;11:160.CrossRef
22.
go back to reference Ministry of Finance, Planning and Economic Development. Second Participatory Poverty Assessment Report: Deepening the Understanding of Poverty. Kampala: Ministry of Finance, planning and economic development; 2002. Ministry of Finance, Planning and Economic Development. Second Participatory Poverty Assessment Report: Deepening the Understanding of Poverty. Kampala: Ministry of Finance, planning and economic development; 2002.
24.
go back to reference Zablotska IB, Gray RH, Koenig MA, Serwadda D, Nalugoda F, Kigozi G, Sewankambo N, Lutalo T, Wabwire MF, Wawer M. Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda. AIDS Behav. 2009;13:225–33.CrossRef Zablotska IB, Gray RH, Koenig MA, Serwadda D, Nalugoda F, Kigozi G, Sewankambo N, Lutalo T, Wabwire MF, Wawer M. Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda. AIDS Behav. 2009;13:225–33.CrossRef
25.
go back to reference Chersich MF, Rees HV. Vulnerability of women in southern Africa to infection with HIV: biological determinants and priority health sector interventions. AIDS. 2008;22(suppl):27–40.CrossRef Chersich MF, Rees HV. Vulnerability of women in southern Africa to infection with HIV: biological determinants and priority health sector interventions. AIDS. 2008;22(suppl):27–40.CrossRef
Metadata
Title
Social acceptance of alcohol use in Uganda
Authors
Joshua Ssebunnya
Caroline Kituyi
Justine Nabanoba
Juliet Nakku
Arvin Bhana
Fred Kigozi
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2020
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-020-2471-2

Other articles of this Issue 1/2020

BMC Psychiatry 1/2020 Go to the issue