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Alcohol and tobacco use in adolescents and young adults in Zimbabwe
 
 
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Physiologist, 22 Kimble Grove, Pype Hayes, Erdington, Birmingham B24 0RW, UK
 
 
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Ross Cooper   

Physiologist, 22 Kimble Grove, Pype Hayes, Erdington, Birmingham B24 0RW, UK.
 
 
J Pre Clin Clin Res. 2009;3(2):134-139
 
KEYWORDS
ABSTRACT
The review attempts to gain an insight into concurrent cigarette and alcohol usage, in the absence or association with a poor diet in Zimbabwean adolescents and young people, and proposes Christian perspectives towards nursing intervention. Current figures for alcohol and tobacco usage are unavailable in Zimbabwe given that it has a virtually completely collapsed economy, particularly the health infrastructure. Drug use was the highest among students of private schools; the use of alcohol (and tobacco) increased with increasing socio-economic status; an increase in life-time alcohol prevalence amongst rural students; and an increased frequency of alcohol (and cannabis) use among boys. In men, the risk of tobacco-associated incidence of oesophageal cancer rose 5.7 times amongst smokers of ≥15 g/day, and in women 4.0 times vs. those who never smoked. Rural secondary school pupils showed an 18.5% prevalence rate of tobacco usage. Numerous Scriptures are given to assist Christian counseling. Nurses need a team approach that revises their understanding of alcohol and tobacco dependency and the methods used to treat it, directed by a competent manager. Education, follow-up sessions and non-pharmacological treatment interventions are also essential in the recovery process.
REFERENCES (70)
1.
Taha A, Ball K: Smoking in Africa: the coming epidemic. World Smoking Health 1982, 7(2), 25-30.
 
2.
Cooper RG, Khan S: Alcohol consumption and tobacco smoking by South Asians in India and Britain. Pak J Med Res 2007, 46(3), 78-87.
 
3.
Cooper RG, Osim E, Musabayane CT: The eff ects of simultaneous administration of ethanol and chloroquine on renal function. Proceedings of the 1997 Annual Med Res Day 1997a, Harare, Zimbabwe, 25 October 1997.
 
4.
Cooper RG, Osim E, Musabayane CT, Forsling ML, Balment RJ: Ethanol inhibits the chloroquine-induced natriuresis in the anaesthetised rat by increasing plasma aldosterone concentration. Proceedings of the 1997 Annual Med Res Day 1997b, Harare, Zimbabwe, 25 October 1997, 15-16.
 
5.
Cooper RG, Musabayane CT: The acute eff ects of combined chloroquine and ethanol on renal electrolyte handling. Proceedings of the 2nd Int MIM African Malaria Conf 1999, Durban, South Africa, 14 -19 March 1999, C-42 – C-43.
 
6.
Cooper RG, Musabayane CT: Eff ects of ethanol on plasma chloroquine, arginine vasopressin (AVP) concentrations and renal hydro-electrolyte handling in the rat. Renal Failure 2000, 22(6), 785-798.
 
7.
Musabayane CT, Cooper RG, Mungeri O, Osim E, Balment RJ: Renal electrolyte and fl uid handling in the rat following acute chloroquine and/or ethanol administration. Proceedings of the 27th Annual Congr of the Physiol Soc of S Africa 1999, Stellenbosch, South Africa, 69.
 
8.
Musabayane CT, Cooper RG, Osim E, Balment RJ: Renal electrolyte and fl uid handling in the rat following chloroquine and/or ethanol administration. Gen Pharmacol: The Vascular System 2000a, 34(1), 43-51.
 
9.
Musabayane CT, Cooper RG, Prasada Rao PVV, Balment RJ: Eff ects of ethanol on the changes in renal fl uid and electrolyte handling and kidney morphology induced by long-term chloroquine administration to rats. Alcohol 2006b, 22(3), 129-138.
 
10.
Prasada Rao PVV, Cooper RG, Musabayane CT: Histopathological changes in kidneys of rats exposed to chloroquine and ethanol in combination. Proceedings of the 2nd Int MIM Afr Malaria Conf 1999, Durban, South Africa, 14-19 March 1999, C-140 – C-141.
 
11.
Cooper RG: The eff ect of tobacco smoking on renal function. Ind J Med Res 2006, 124, 261-268.
 
12.
Cooper RG: Renal function in male Sprague-Dawley rats concurrently exposed to long-term nicotine (3-{1-Methyl-2-Pyrrolidinyl}Pyridine) and Methylated Spirits (Methyl Alcohol). Ren Fail 2008, 30, 107- 114.
 
13.
Cooper RG: Renal function in male rats concurrently exposed to nicotine & ethanol. Ind J Med Res 2007a, 125, 791-793.
 
14.
Alalami U, Cooper RG: Promotion of healthy living in the West Midlands. Proceedings of the 3rd Annual Faculty Res Conf 2007, Sharing Research: a Faculty wide perspective, 23 November 2007, Birmingham City University, Birmingham, UK, 38.
 
15.
Cooper RG: Healthy meat eating? Proceedings of the 3rd Annual Faculty Res Conf 2007b, Sharing Research: a Faculty wide perspective, 23 November 2007, Birmingham City University, Birmingham, UK, 45.
 
16.
Muula AS, Mpabulungi L: Cigarette smoking prevalence among schoolgoing adolescents in two African capital cities: Kampala Uganda and, Lilongwe Malawi. Afr Health Sci 2007, 7(1), 45-49.
 
17.
Ogwell AEO, Astrom, Haugejorden O: Socio-demographic factors of pupils who use tobacco in randomly-selected primary schools in Nairobi Province, Kenya. East Afr Med J 2003, 80(5), 235-241.
 
18.
Abiona TC, Aloba OO, Fatoye FO: Pattern of alcohol consumption among commercial road transport workers in a semi-urban community in South Western Nigeria. East Afr Med J 2006, 83(9), 494-499.
 
19.
Stalcup SA, Christian D, Stalcup J, Brown M, Galloway GP: A treatment model for craving identifi cation and management. J Psychoact Drugs 2006, 38(2), 189-202.
 
20.
Christen AG, Christen JA: The female smoker: from addiction to recovery. Am J Med Sci 2003, 326(4), 231-234.
 
21.
Teusch R: Substance abuse as a symptom of childhood sexual abuse. Psychiat Serv 2001, 52(11), 1530-1532.
 
22.
Stewart ME: Adolescents in a therapeutic community: treatment implications for teen survivors of traumatic experiences. J Psychoact Drugs 1994, 26(4), 409-419.
 
23.
Snow D, Anderson C: Exploring the factors infl uencing relapse and recovery among drug and alcohol addicted women. J Psychosoc Nurs Ment Health Serv 2000, 38(7), 8-19.
 
24.
Long W, Vaughn C: “I’ve had too much done to my heart”: the dilemma of addiction and recovery as seen through seven youngsters’ lives. J Drug Educ 1999, 29(4), 309-322.
 
25.
Cooper RG: The Flame Lily Weeps. Pneuma Springs Publishing, Dartford (Kent), UK, 124.
 
26.
White P, Clare AW: Psychological Medicine. In: P. Kumar and M. Clark (eds.), Clinical Medicine (6th edn), Elsevier Saunders, London 2005, 1273-1314.
 
27.
Lewis JJ, Garnett GP, Mhlanga S, Nyamukapa CA, Donnelly CA, Gregson S: Beer halls as a focus for HIV prevention activities in rural Zimbabwe. Sex Transm Dis 2005, 32(6), 364-369.
 
28.
Chandiwana SK, Sebit MB, Latif AS, Gomo E, Acuda SW, Makoni F, Vushe J: Alcohol consumption in HIV-I infected persons: a study of immunological markers. Cent Afr J Med 1999, 45(11), 303-308.
 
29.
WHO ASSIST Working Group. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) development, reliability and feasibility. Addiction 2002, 97(9), 1183-1194.
 
30.
Saungweme T, Khumalo H, Mvundura E, Moyo VM, Gordeuk VR, Roualt TA, Gomo ZA, Gangaidzo IT: Iron and alcohol content of tra ditional beers in rural Zimbabwe. Cent Afr J Med 1999, 45(6), 136- 140.
 
31.
Wicks AC, Thomas GE, Clain DJ, Loon N, Seggie J, Bramston B: Cirrhosis of the liver in Rhodesian Blacks. S Afr Med J 1977, 51(25), 911-914.
 
32.
Bah SM: Social pathologies in Zimbabwe. Cent Afr J Med 1993, 39(10), 201-203.
 
33.
Chinyadza E, Moyo IM, Katsumbe TM, Chisvo D, Mahari M, Cook DE, Mbengeranwa OL: Alcohol problems among patients attending fi ve primary health care clinics in Harare city. Cent Afr J Med 1993, 39(2), 26-32.
 
34.
Gwede CK, McDermott RJ, Westhoff WW, Mushore M, Mushore T, Chitsika E, Majange CS, Chauke P: Health risk behaviour of rural secondary school students in Zimbabwe. Health Educ Behav 2001, 28(5), 608-623.
 
35.
Moyo VM, Gangaidzo IT, Gomo ZA, Khumalo H, Saungweme T, Kiire CE, Rouault T, Gordeuk VR: Traditional beer consumption and the iron status of spouse pairs from a rural community in Zimbabwe. Blood 1997, 89(6), 2159-2166.
 
36.
Eide AH, Butau T, Acuda SW: Adolescent drug use in Zimbabwe assessed by their teachers. Cent Afr J Med 1999a, 45(4), 80-85.
 
37.
Eide AH, Butau T, Acuda SW: Use of alcohol and tobacco among secondary school teachers in Zimbabwe. Cent Afr J Med 1996b, 45(3), 60-64.
 
38.
Khan N, Arnott R: Substance use among rural secondary schools in Zimbabwe: patterns and prevalence. Cent Afr J Med 1996, 42(8), 223- 229.
 
39.
Eide AH, Acuda SW: Adolescents’ drug use in Zimbabwe-comparing two recent studies. Cent Afr J Med 1996, 42(5), 128-135.
 
40.
Eide AH, Acuda SW: Drug use among secondary school students in Zimbabwe. Addiction 1995, 90(11), 1517-1527.
 
41.
Acuda SW, Eide AH: Epidemiological study of drug use in urban and rural secondary schools in Zimbabwe. Cent Afr J Med 1994, 40(8), 207-212.
 
42.
Munodawafa D, Marty PJ, Gwede C: Drug use anticipated parental reaction among rural school pupils in Zimbabwe. J School Health 1992, 62(10), 471-474.
 
43.
McMaster J, Kageler EK, Williams HA: Defi nitions of normal alcohol consumption held by male University of Zimbabwe senior year medical students. Cent Afr J Med 1990, 36(12), 308-311.
 
44.
McMaster J, Keshav C: Perceptions of normal alcohol use held by Zimbabwean high school students. Cent Afr J Med 1994, 40(4), 88-94.
 
45.
Acuda SW, Sebit MB: Prevalence of psychoactive substance use among psychiatric in-patients in Harare, Zimbabwe. Cent Afr J Med 1997, 43(8), 226-229.
 
46.
Woelk G, Mtisi S, Vaughan JP: Prospects for tobacco control in Zimbabwe: a historical perspective. Health Policy 2001, 57(3), 179- 192.
 
47.
Chidzonga MM: Lip cancer in Zimbabwe. Report of 14 cases. Int J Oral Max Surg 2005, 34(2), 149-151.
 
48.
Chidzonga MM: Oral malignant neoplasia: a survey of 428 cases in two Zimbabwean hospitals. Oral Oncol 2006, 42(2), 177-183.
 
49.
Vizcaino AP, Parkin DM, Skinner ME: Risk factors associated with oesophageal cancer in Bulawayo, Zimbabwe. Brit J Cancer 1995, 72(3), 769-773.
 
50.
Mishra V, Dai X, Smith KR, Mika L: Maternal exposure to biomass smoke and reduced birth weight in Zimbabwe. Ann Epidemiol 2004, 14(10), 740-747.
 
51.
Warren CW, Riley L, Asma S, Eriksen MP, Green L, Blanton C, Loo C, Batchelor S, Yach D: Tobacco use by youth: a surveillance report from the Global Youth Tobacco Survey project. Bull WHO 2000, 78(7), 868-876.
 
52.
Mufunda J, Scott LJ, Chifamba J, Matenga J, Sparks B, Cooper R, Sparks H: Correlates of blood pressure in an urban Zimbabwean population and comparison to other populations of African origin. J Hum Hypertens 2000, 14(1), 65-73.
 
53.
Munodawafa D, Marty PJ, Gwede C: Eff ectiveness of health instruction provided by student nurses in rural secondary schools of Zimbabwe: a feasibility study. Int J Nurs Stud 1995, 32(1), 27-38.
 
54.
Parkin DM, Vizcaino AP, Skinner ME, Ndhlovu A: Cancer patterns and risk factors in the African population of southwestern Zimbabwe, 1963-1977. Cancer Epidemiol BiomarkerPrev 1994, 3(7), 537-547.
 
55.
Cooper RG: Vanadium pentoxide inhalation. Indian J Occup Environ Med 2007c, 11(3), 97-102.
 
56.
Yach D: The impact of smoking in developing countries with special reference to Africa. Int J of Health Services: planning, administration, evaluation 1986, 16(2), 279-292.
 
57.
Walker AR, Adam F, Walker J, Walker BF: Cancer of the oesophagus in Africans in sub-Saharan Africa: any hopes for its control? Europ J of Cancer Prev: the Off J of the Europ Cancer Prev Org (ECP) 2002, 11(5), 413-418.
 
58.
Lutalo SK, Mabonga N: A clinical assessment of the consequences of alcohol consumption in ‘communal’ drinkers in the Zimbabwean Midlands. Cent Afr J Med 1992, 38(9), 380-384.
 
59.
Bursztyn PG: Alcohol and blood pressure: a social comparison in Zimbabwe. Postgrad Med J 1986, 62(733), 1011-1016.
 
60.
Gwati B, Guli A, Todd CH: Risk factors for sexually transmitted disease amongst men in Harare, Zimbabwe. Cent Afr J Med 1995, 41(6), 179- 181.
 
61.
Jernigan DH: The global expansion of alcohol marketing: illustrative case studies and recommendations for action. J Public Health Pol 1999, 20(1), 56-80.
 
62.
Gregson S, Zhuwau T, Anderson RM, Chandiwana SK: Apostles and Zionists: the infl uence of religion on demographic change in rural Zimbabwe. Popul Stud 1999, 53(2), 179-193.
 
63.
Kim VM, Marangwanda C, Kols A: Quality of counselling of young clients in Zimbabwe. East Afr Med J 1997, 74(8), 514-518.
 
64.
Anonymous. (2008). English Dissenters. Available at: http://www. exlibris.org/nonconform/engdis/anabaptists.html. Accessed: 1 February 2008.
 
65.
BibleGateway.com (2008). Gospel Communications. Getting the Word out. Available at: http://www.biblegateway.com/. Accessed: 1 February 2008.
 
66.
Sanders JO: The Divine Art of Soul Winning. Pickering & Inglis Ltd., London 1971, 96. Brown AE, Whitney SN, Schneider MA, Vega CP: Alcohol recovery and spirituality: strangers, friends, or partners? South Med J 2006, 99(6), 654-657.
 
67.
Brown AE, Whitney SN, Schneider MA, Vega CP: Alcohol recovery and spirituality: strangers, friends, or partners? South Med J 2006, 99(6), 654-657.
 
68.
Heidbreder CA, Hagan JJ: Novel pharmacotherapeutic approaches for the treatment of drug addiction and craving. Curr Opin Pharmacol 2005, 5(1), 107-118.
 
69.
Freyer J, Coder B, Pockrandt C, Hartmann B, Rumpf HJ, John U, Hapke U: [General hospital patients with alcohol problems welcome counselling]. [Article in German]. Gesundheitswesen 2006, 68(7), 429-435.
 
70.
Geirsson M, Bendtsen P, Spak F: Attitudes of Swedish general practitioners and nurses to working with lifestyle change, with special reference to alcohol consumption. Alcohol Alcoholism 2005, 40(5), 388-393.
 
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