On‐ and off‐licensed premises drinking behaviour among adults in the city of Tshwane, South Africa: An analysis of data from the International Alcohol Control study. (1st December 2020)

• Record Type: Journal Article
• Authors: Londani, Mukhethwa; Morojele, Neo K.; Egbe, Catherine O.; Nel, Elmarie; Petersen Williams, Petal; Harker, Nadine; Parry, Charles D. H.
• Is Part Of: Drug and alcohol review. Volume 40:Number 3(2021)
• Page Start: 443
• Page End: 453
• Publication Date: 2020-12-01
• Subjects: alcohol use -- drinking location -- quantity -- frequency of drinking -- South Africa; Substance abuse -- Periodicals; Alcoholism -- Periodicals; Drinking of alcoholic beverages -- Periodicals; 616.86
• DOI: 10.1111/dar.13223
• Languages: English
• ISSNs: 0959-5236

Abstract

Abstract: Introduction and Aims: Alcohol use is among the leading risk factors for premature death and morbidity in South Africa. This study sought to identify factors associated with drinking behaviour in on‐ and off‐licensed premises (typical occasion quantity and frequency) among adults in the City of Tshwane, South Africa. Design and Methods: A household survey was conducted in 2014, using a multi‐stage stratified cluster random sampling design. Participants comprised 982 adults (65% males) aged 18–65 years. Factors explored included socio‐demographic variables and situational variables at on‐ and off‐licensed premises. Multiple logistic regression analysis was performed to predict drinking behaviour at on‐ and off‐licensed premises. Results: The majority of the participants consumed alcohol in off‐licensed premises (64% vs. 36%). However, participants who consumed alcohol at on‐licensed premises were more likely to drink more alcohol and more frequently (weekly). Additionally, participants who consumed alcohol in above‐average sized containers were more likely to consume six or more drinks and drink weekly. Being of high socio‐economic status was associated with drinking weekly at off‐licensed premises, while being less educated was associated with a significantly higher frequency of drinking at on‐licensed premises. Discussion and Conclusions: Interventions to reduce alcohol use should target specific drinking behaviour at on‐ and off‐licensed premises, for example, regulating the availability of alcohol in big‐sized containers and the need for cutting down on quantity of alcohol and frequency of drinking for South African males who drink at on‐ and off‐licensed premises.