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Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance.

Publication ,  Journal Article
Patel, P; Kaiser, BN; Meade, CS; Giusto, A; Ayuku, D; Puffer, E
Published in: The International journal on drug policy
January 2020

In Kenya, the prevalence of alcohol use disorder (AUD) is close to 6%, but a notable treatment gap persists. AUD is especially pronounced among men, leading to negative consequences at both individual and family levels. This study examines the experiences of problem-drinking fathers in Kenya regarding previous treatment-seeking related to alcohol use. Experiences and dynamics of the family are also explored as they pertain to treatment-seeking experiences.In Eldoret, Kenya, semi-structured qualitative interviews were conducted with 11 families with a male exhibiting problem drinking, his spouse, and one child. Thematic content analysis was used to examine themes related to barriers and facilitators to treatment.Participants only reported informal help received from family and community members; they exhibited little awareness of available formal treatments. Families were both deeply affected by alcohol use and actively involved in help-seeking. Indeed, fathers' experiences are described as help-accepting rather than help-seeking. Three overarching themes emerged from the results: poverty, people, and practices. Poverty could be a motivator to accept help to support one's family financially, but stress from lack of work also drove drinking behaviours. People were also crucial as both barriers and facilitators of help-accepting. Negative help strategies or peer influence deterred fathers from accepting help to quit. Positive motivation, social support, and stigma against drinking were motivators. Practices that were culturally salient, such as religiosity and gender roles, facilitated help acceptance. Overall, most help efforts were short-term and only lead to very short-term behaviour change.Families and communities are active in help provision for problem-drinking men in Kenya, though results confirm remaining need for effective interventions. Future interventions could benefit from recognizing the role of family to aid in treatment-engagement and attending to the importance of poverty, people, and practices in designing treatment strategies.

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Published In

The International journal on drug policy

DOI

EISSN

1873-4758

ISSN

0955-3959

Publication Date

January 2020

Volume

75

Start / End Page

102576

Related Subject Headings

  • Substance Abuse
  • Social Support
  • Social Stigma
  • Poverty
  • Patient Acceptance of Health Care
  • Motivation
  • Male
  • Kenya
  • Interviews as Topic
  • Humans
 

Citation

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Patel, P., Kaiser, B. N., Meade, C. S., Giusto, A., Ayuku, D., & Puffer, E. (2020). Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance. The International Journal on Drug Policy, 75, 102576. https://doi.org/10.1016/j.drugpo.2019.10.003
Patel, Puja, Bonnie N. Kaiser, Christina S. Meade, Ali Giusto, David Ayuku, and Eve Puffer. “Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance.The International Journal on Drug Policy 75 (January 2020): 102576. https://doi.org/10.1016/j.drugpo.2019.10.003.
Patel P, Kaiser BN, Meade CS, Giusto A, Ayuku D, Puffer E. Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance. The International journal on drug policy. 2020 Jan;75:102576.
Patel, Puja, et al. “Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance.The International Journal on Drug Policy, vol. 75, Jan. 2020, p. 102576. Epmc, doi:10.1016/j.drugpo.2019.10.003.
Patel P, Kaiser BN, Meade CS, Giusto A, Ayuku D, Puffer E. Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance. The International journal on drug policy. 2020 Jan;75:102576.
Journal cover image

Published In

The International journal on drug policy

DOI

EISSN

1873-4758

ISSN

0955-3959

Publication Date

January 2020

Volume

75

Start / End Page

102576

Related Subject Headings

  • Substance Abuse
  • Social Support
  • Social Stigma
  • Poverty
  • Patient Acceptance of Health Care
  • Motivation
  • Male
  • Kenya
  • Interviews as Topic
  • Humans