@article{4e22f55d6c034bdaac4bb08870548eb4,
title = "Socio-ecological determinants of alcohol, tobacco, and drug use behavior of adolescents in Kilifi County at the Kenyan coast",
abstract = "Alcohol, tobacco, and other drug use form a risk factor for health and social problems during adolescence. From a socio-ecological model, perceptions of 85 young people and 10 stakeholders on the types of alcohol, tobacco, and other drugs used and the predisposing and protective factors were explored; among adolescents at the Kenyan Coast in the Kilifi County. We found that the consumption of home-brewed alcohol, tobacco and marijuana smoking, and khat chewing was common and requires multi-component and community-centered intervention. Countering alcohol, tobacco, and other drug use needs enforcement of strong measures to regulate access to alcohol, tobacco, and other drugs for minors; addressing social and cultural norms; strategies for poverty alleviation; and community empowerment.",
keywords = "adolescence, alcohol, drug use, socio-ecology, tobacco",
author = "Derrick Ssewanyana and Mwangala, {Patrick N.} and Vicki Marsh and Irene Jao and {van Baar}, Anneloes and Newton, {Charles R.} and Amina Abubakar",
note = "Funding Information: The authors are grateful to all the participants who took part in this study. This paper is published with the permission of the director of Kenya Medical Research Institute. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by funding from the Initiative to Develop African Research Leaders (IDeAL) Wellcome Trust award (grant no: 107769/Z/15/Z) to D.S. and the Medical Research Council (grant no: MR/M025454/1) to AA. The MRC award is jointly funded by the UK Medical Research Council (MRC) and the UK Department for International Development (DFID) under MRC/DFID Concordant agreement and is also part of the EDCTP2 program supported by the European Union. The funding bodies do not have any role in the design of this study and the collection, analysis, interpretation, and writing of this manuscript. Publisher Copyright: {\textcopyright} The Author(s) 2018.",
year = "2020",
month = oct,
day = "1",
doi = "10.1177/1359105318782594",
language = "English",
volume = "25",
pages = "1940--1953",
journal = "Journal of Health Psychology",
issn = "1359-1053",
publisher = "SAGE Publications Ltd",
number = "12",
}