Table of Contents

Approval .....................................................................................................................................v

Abbreviations And Acronyms ................................................................................................... viii

Key Definitions...........................................................................................................................ix

Chapter One................................................................................................................................1

1.0 Introduction...........................................................................................................................1

1.1 Background .......................................................................................................................1

1.2 Problem Statement.............................................................................................................3

1.3 Study Objectives: ...............................................................................................................4

1.3.1 General Objective........................................................................................................4

1.3.2 Specific Objectives.......................................................................................................4

1.4 Research Questions............................................................................................................4

1.5. Justification Of The Study ................................................................................................4

1.6. Scope Of The Study..........................................................................................................5

1.6.3 Time Scope .................................................................................................................6

1.7. Conceptual Framework: .......................................................................................................6

Chapter Two ...............................................................................................................................8

2.0 Literature Review ..............................................................................................................8

2.1 Alcohol Use Among Adolescents........................................................................................8

2.2 Prevalence Of Alcohol........................................................................................................8

2.3 Effects Of Alcohol On Adolescents ...................................................................................10

2.3 Medical Consequences Of Alcohol Use ............................................................................10

2.3.1 Psychiatric Consequences Of Alcohol ........................................................................12

2.4 Factors Influencing Alcohol Use .......................................................................................14

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2.4.1 Family And Alcohol Use .............................................................................................14

2.4.2 Neighborhood And Alcohol Use.................................................................................14

2.4.4 Advertising And Alcohol Use......................................................................................15

2.4.5 Religion And Alcohol Use...........................................................................................16

Chapter Three ...........................................................................................................................17

Methodology ............................................................................................................................17

3.0 Introduction .....................................................................................................................17

3.1. Study Design ..................................................................................................................17

3.2.1. Inclusion Criteria......................................................................................................17

3.2.2 Exclusion Criteria......................................................................................................17

3.2.3 Sample Size Determination: ..........................................................................................17

3.2.4 Sampling Technique..................................................................................................18

3.2.5 Data Collection Method.............................................................................................18

3.2.6 Data Collection Tools................................................................................................18

3.2.7 Data Collection Procedure. ........................................................................................18

3.2.8 Quality Control.............................................................................................................18

Measures To Eliminate Bias ..................................................................................................19

3.2.9 Data Analysis And Presentation ....................................................................................19

3.10 Ethical Consideration .................................................................................................19

Limitations Of The Study ...........................................................................................................20

Plans For Dissemination Of Data ...............................................................................................20

Chapter 4: Results.....................................................................................................................21

4.0 Introduction. ....................................................................................................................21

4.1 Results Of Objective 1:.....................................................................................................21

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4.2: Objective 2: What Type Of Alcohol Do Secondary School Students Use?.........................24

4.3 Objective 3: What Are The Perceived Effects Of Alcohol Use Among Secondary School

Students? ..............................................................................................................................26

4.4. Objective 4: Factors That Influence Alcohol Use..............................................................28

4.4.1 Reasons For Alcohol Use............................................................................................30

Chapter 5: Discussion................................................................................................................33

5.0: Introduction .......................................................................................................................33

5.1 Socio-Demographic Characteristics And Alcohol Use......................................................33

5.2 Prevalence Of Alcohol Use. ..............................................................................................34

5.3 Preferred Alcoholic Beverage...........................................................................................34

5.5 Effects Of Alcohol Use ....................................................................................................35

5.6 Factors Influencing Alcohol Use .......................................................................................35

Chapter 6 ..................................................................................................................................36

Conclusion And Recommendations...........................................................................................36

6.1 Conclusion...........................................................................................................................36

6.2 Recommendations...........................................................................................................36

References................................................................................................................................38

Appendix...................................................................................................................................40

Appendix 1: Consent Form .......................................................................................................40

Appendix Ii: Questionier .......................................................................................................42

Appendix Iii: Budget..................................................................................................................54

Appendix Vi Map Of Uganda Showing Kiryandongo District..................................................55

CHAPTER ONE 1.0.

INTRODUCTION This study is aimed at investigating the risk factors of alcohol abuse among secondary school boys and girls. This chapter highlights the problem statement and the background information on alcohol abuse among school pupils in Ishaka, Uganda. The chapter also presents the general objective and specific objectives of the study. In this study the term alcohol abuse is used to refer to the use of alcohol which is interpreted as a problem by the community concerned. 1.1 Background Alcohol is a grave public health problem. Globally, alcohol use has resulted into 2.5 million deaths annually. It contributes close to 4% of deaths with 6.2% of all male deaths related to alcoholism as compared to the 1.1% female deaths worldwide. Among young people aged 15-29 years, 320,000 die from alcohol related causes contributing to 9% of all the deaths worldwide in the age group annually.(Birhanu, Bisetegn, & Woldeyohannes, 2014). As a consequence of alcohol use, families are shattered bringing misery to many. Alcohol and drug use undermines the economic and social development of societies and contributes greatly to crime, instability, insecurity and spread of HIV. Additionally, alcohol use bears a great burden to society causing economic, health, crime –related costs and loss of productivity. (Shimelis & Wosen, 2015) Substance use (Alcohol) usually may end up into substance use disorders, which are characterized by dependence and withdrawal whenever one tries to cut down the intake. The Signs and symptoms of alcohol abuse or problem drinking include but not limited to: Repeatedly neglecting your responsibilities at home, work, or school because of drinking, using alcohol in situations where it‟s physically dangerous, experiencing repeated legal problems on account of one‟s drinking, continuing to drink even though alcohol use is causing problems in one‟s relationships and Drinking as a way to relax or de-stress. (Melinda, Lawrence, & Jeanne, 2016)