Alcohol use among black female adolescents in a South African community: a mixed methods investigation
According to the World Health Organization global alcohol consumption has increased in recent decades, with most of this increase occurring in developing countries. Added to this is the concern of the increased social acceptability of alcohol use and the widespread experimentation with alcohol during adolescence.
The purpose of this study was to better understand health risk behaviors, specifically alcohol use, among black female high school learners in a designated research locale of a local community in the Western Cape, South Africa.
The method of inquiry in the study was a mixed method sequential explanatory strategy.
A lifetime prevalence of alcohol use was reported by 57.8% of the study sample. All the participants agreed that drinking has a negative influence on adolescent health.
Alcohol use in South Africa is an ever-increasing health problem and the current study provides evidence that the prevalence of this behaviour remain a public health concern.
Baumrind D (1991). The influence of parenting style on
adolescent competence and substance use. Journal of Early Adolescence 11: 55-95.
Bergin C, Tally S and Hamer L (2003). Prosocial behaviours of young adolescents: a focus group study. Journal of Adolescence 26: 13-32.
Bobak M, McKee M, Rose R and Marmot M (1999). Alcohol consumption in a national sample of the Russian population. Addiction 94: 857-866.
Bolognini M, Plancherel B, Bettschart W and Halfon (1996). Self-esteem and mental health in early adolescence: Development and gender differences. Journal of Adolescence 19: 233-245.
Baron J, Bachman Y and Weiderpass E (2001). Cigarette smoking, alcohol consumption and risk of hip fracture in women. Archives of Internal Medicine 161: 983-990.
Burt R (2002). Reasons to invest in adolescents. Journal of Adolescent Health 31: 136-152.
Call K, Riedel A, Hein K, McLoyd V, Petersen A and Kipke M (2002). Adolescent Health and Well-being in the Twenty-first century: A global perspective. Journal of Research on Adolescence 12: 69-98.
Chubb N, Fertman C and Ross J (1997). Adolescent self- esteem and locus of control: A longitudinal study of gender and age differences. Adolescence 32: 113-129.
Creswell J (2003). Research design: Qualitative, quantitative, and mixed approaches. Thousand Oaks, CA: Sage.
Cresswell J, Plano Clark V, Guttman M and Hanson E (2003). Advanced mixed methods research design. In A.Tashakkori and C.Teddlie (Eds.), Handbook of mixed methods in social and behavioral research (209-240). Thousand Oaks, CA: Sage.
Eaton D, Forthofer M, Zapata L, McCormack Brown K, Bryant C, McDermott R and Reynolds S (2004). Factors related to alcohol use among 6th through 10th graders: The Sarasota County Demonstration Project. Journal of School Health 74 (3): 95-104.
Elder G, Van Nguyen T and Caspi A (1985). Linking family hardship to children's life. Child Development 56: 361-375.
Ellickson P, Tucker J, Klein D and McGuigan K (2001).
Prospective risk factors for alcohol misuse in late adolescence. Journal of Studies on Alcohol 62: 773-782.
Ellison G, De Wet T, Ijsselmuiden C and Richter L (1996). Desegregating health statistics and health research in South Africa. South African Medical Journal 86: 1257-1262.
Epstein J, Griffen K and Botvin G (2004). Efficacy, self- derogation, and alcohol use among inner-city adolescents: gender matters. Journal of Youth and Adolescence 33: 159-166.
Foley K, Altman D, DuRant R and Wolfson M (2004).
Adults' approval and adolescents' alcohol use. Journal of Adolescent Health 35: 345-346.
Frezza M, di Padova C, Pozzato G, Terpin M, Baraona E and Lieber CS (1990). High blood alcohol levels in women. The role of decreased gastric alcohol dehydrogenase activity and first pass metabolism. New England Journal of Medicine 322: 95-99.
Geckova A, Tuinstra J, Pudelsky M, Kovarova M, Van Dijk J, Groothoff J and Post D (2001). Self-reported health problems of Slovak adolescents. Journal of Adolescence 24 (5):635-645.
Hingson R, Heeren T, Jamarka A and Howland J (2000).
Age of drinking onset and unintentional injury involvement after drinking. Journal of American Medical Association 284: 1527-1533.
Holmberg L and Berg-Kelly K (2002). Health, health- compromising behavior, sexuality and involvement in pregnancy among 18-year-old Swedish males: A
cross-sectional survey. Acta Paediatrica 91: 838-848.
Irwin C (2003). Adolescent health at the crossroads:
where do we go from here? Journal of Adolescent Health 33 (1): 51-56.
Jessor R, Boss J, Vanderryn J, Costa F and Turbin M (1995). Protective factors in adolescent problem behavior: moderator effects and developmental change. Developmental Psychology 31: 923-933.
Kann L, Kinchen S, Williams B, Ross B, Lowry R, Grunbaum J and Kolbe L (1999). Youth Risk Behavior Surveillance - United States 1999. Morbidity and Mortality Weekly Report 49 (SS-5):1-95.
Kumpulainen K and Roine S (2002). Depressive symptoms at the age of 12 years and future heavy alcohol use. Addictive Behavior 27: 425-436.
McLoyd V (1990). The impact of economic hardship on black families and children: Psychological distress, parenting, and socioemotional development. Child Development 61: 311-346.
Michaud P (2003). Prevention and health promotion in school and community settings: a commentary on the international perspective. Journal of Adolescent Health 33: 219-225.
Neve R, Diedericks J, Knibbe R and Drop M (1993). Developments in drinking behavior in the Netherlands from 1958 to 1989, a cohort analysis. Addiction 88:611-621.
Rail A, Stanton B, Wu Y, Li X, Galbraith J, Cottrell L, Pack R, Harris C, D'Alessandri D and Burns J (2003). Relative influences of perceived parental monitoring and perceived peer involvement on adolescent risk behaviors: an analysis of six cross-sectional data sets. Journal of Adolescent Health 33: 108-118.
Rehm J, Gutjahr E and Gmel G (2001). Alcohol and all- cause mortality: a pooled analysis. Contemporary Drug Problems 28: 337-361.
Roche A and Deehan A (2002). Women's alcohol consumption: emerging patterns, problems and public
health implications. Drug and Alcohol Review 21: 169-178.
Saunders J, Davis M and Williams R (1981). Do women develop alcoholic liver disease more readily than men? British Medical Journal 282: 1140-1143.
Temple N, Steyn K, Hoffman M, Levit N and Lombard C (2001). The epidemic of obesity in South Africa: a study in a disadvantaged community. Ethnicity and Disease 11: 431-437.
World Health Organization (2002). The World Health Report 2002. Reducing Risks, Promoting Health Life,2002. Geneva: World Health Organization.
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