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Alcohol Use in Disadvantaged Populations: Health Equalities and Appropriate Intervention

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: 30 November 2025 | Viewed by 3139

Special Issue Editor


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Guest Editor
Department of Social Work, Education and Community Wellbeing, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne NE7 7XA, UK
Interests: translational public health research; alcohol screening and brief intervemtion; making every contact count; development and evaluation of complex interventions

Special Issue Information

Dear Colleagues, 

Health disparities are preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by populations that have been disadvantaged by their social or economic status, geographic location, or environment. Many populations experience health disparities, including, but not limited to, people from some racial and ethnic minority groups, people with disabilities, women, people who are LGBTQI+ (lesbian, gay, bisexual, transgender, queer, intersex, or other), older people, and children. The alcohol harm paradox is the consistent research finding that disadvantaged populations suffer greater rates of alcohol-related hospitalizations and deaths, even though they often consume less alcohol than the more advantaged. 

Health equity is the state in which everyone has a fair and just opportunity to attain their highest level of health. This Special Issue will focus on understanding alcohol use in disadvantaged populations and the role of inequalities in driving alcohol harms. It will also welcome research examining policy, practice, and interventions that might impact disadvantaged populations, reducing harms where they are often most acute. 

Prof. Dr. Katie Haighton
Guest Editor

Manuscript Submission Information

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Keywords

  • alcohol
  • disadvantaged
  • marginalized
  • equity
  • inequality
  • minority
  • disability
  • women
  • LGBTQI+
  • older people
  • children

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Published Papers (2 papers)

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9 pages, 646 KiB  
Article
Alcohol Use among Young Women in Kampala City: Comparing Self-Reported Survey Data with Presence of Urinary Ethyl Glucuronide Metabolite
by Monica H. Swahn, Jane Palmier, Rachel Culbreth, Godfrey S. Bbosa, Charles Natuhamya, Gideon Matovu and Rogers Kasirye
Int. J. Environ. Res. Public Health 2024, 21(9), 1256; https://doi.org/10.3390/ijerph21091256 - 21 Sep 2024
Viewed by 1401
Abstract
This study sought to determine the level of concordance between self-reported alcohol use and the presence of its urinary ethyl glucuronide (EtG) metabolite in women living in urban Kampala. In 2023, we recruited 300 young women, ages 18 to 24 years, to participate [...] Read more.
This study sought to determine the level of concordance between self-reported alcohol use and the presence of its urinary ethyl glucuronide (EtG) metabolite in women living in urban Kampala. In 2023, we recruited 300 young women, ages 18 to 24 years, to participate in a prospective cohort study across three sites in urban Kampala (i.e., Banda, Bwaise, and Makindye) to examine the mechanistic pathways of mental illness. As part of the baseline assessment, participants were asked to complete a research assistant-administered survey and to provide a urine sample to screen for 16 different substances and/or their metabolites, including EtG. Overall, 58% (n = 174) reported to have ever consumed alcohol and 23% (n = 68) to have used it in the past month. Among the 300 women, 10% (n = 30) had EtG levels in their urine sample and of these, 40% (n = 12) reported to have never consumed alcohol, using a self-reported survey (p = 0.035). Recent alcohol use was relatively low among the women in this study. However, the discordance between self-reported alcohol use and the presence of EtG presents concerns about the accuracy of self-reported alcohol use. Additional research is needed to contextualize self-reported alcohol use, social desirability, and the implications for alcohol prevention and intervention strategies for young women in urban Kampala. Full article
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18 pages, 959 KiB  
Systematic Review
Domiciliary Carers’ Perspectives on Alcohol Use by Older Adults in Their Care: A Systematic Review and Thematic Synthesis of Qualitative Studies
by Catherine Haighton, Mel Steer and Beth Nichol
Int. J. Environ. Res. Public Health 2024, 21(10), 1324; https://doi.org/10.3390/ijerph21101324 - 6 Oct 2024
Viewed by 1208
Abstract
As global populations continue to age, alcohol consumption rises, and we strive to age in place, it is important to have an up-to-date understanding of domiciliary carers’ perspectives on older adults’ alcohol use in their care. Therefore, a systematic review and thematic synthesis [...] Read more.
As global populations continue to age, alcohol consumption rises, and we strive to age in place, it is important to have an up-to-date understanding of domiciliary carers’ perspectives on older adults’ alcohol use in their care. Therefore, a systematic review and thematic synthesis of qualitative studies of the unique challenges faced by domiciliary care workers in front line roles regarding older adults’ alcohol use was conducted (PROSPERO registration number: CRD42024516660). Eight databases were searched on 22 February 2024 for qualitative studies focusing on older adults’ (defined as aged 50 or over) alcohol consumption and domiciliary care. The Critical Appraisal Skills Programme checklist was utilised for quality appraisal. Twenty articles reporting 14 unique studies of mainly medium to low quality were included. Three overarching themes (and associated subthemes) were identified as follows: identification (alcohol problems are common, no assessment for alcohol problems, and additional overt signs of excessive alcohol use), management (to buy or not to buy that is the question, balancing rights and risks, monitor and report but do not intervene, maintaining the vicious circle, home as a barrier to accessing support and services, and more support needed from healthcare professionals), and training (lack of alcohol education). Domiciliary carers are well placed to make every contact count to target alcohol consumption but would benefit from support and resources for alcohol consumption identification and management. Clear guidance on how to manage alcohol consumption to harmoniously balance rights and risks is crucial, particularly when caring for older adults with cognitive difficulties. Full article
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Planned Papers

The below list represents only planned manuscripts. Some of these manuscripts have not been received by the Editorial Office yet. Papers submitted to MDPI journals are subject to peer-review.

Title: Adopting a holistic approach to alcohol brief interventions for women in a prison setting
Authors: Dr Jennifer Louise Ferguson
Affiliation: School of Social Sciences, Humanities & Law, Teesside University
Abstract: There are currently 3,604 women in prison in the UK compared to 87,000 men (4%). Significantly more females are found to be risky drinkers when they arrive in prison (24%) compared to male prisoners (18%). In addition, those women are more likely to suffer from inequalities in society which contributes to the gendered pains of imprisonment. The overall research methods discussed in this paper are qualitative interviews. The interviews were designed after two systematic reviews exploring: the gendered pains of imprisonment and the feasibility and acceptability of women and alcohol brief interventions (ABI) were conducted. Interviews were conducted in an open prison setting, with both female residents and relevant staff and stakeholders. To date there is a dearth of evidence in relation to delivering ABI’s in prison, specifically with women. The findings of the interviews identified five themes highlighting the women’s journey through prison chronologically to enable a more holistic ABI to be developed in future. This research explored the feasibility and acceptability of delivering ABI to women in prison and found that when delivering ABI’s in a prison setting, by underpinning the research with criminological theory, could help women capitalise on the “teachable moment” necessary to induce behaviour change.

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