Citation

Zhang J, Jemmott JB, Icard LD, Heeren GA, Ngwane Z, Makiwane M, O'Leary A. Psychol. Health 2018; 33(6): 810-826.

Affiliation

Centers for Disease Control and Prevention , Atlanta , GA , USA.

Copyright

(Copyright © 2018, Informa - Taylor and Francis Group)

DOI

10.1080/08870446.2018.1429613

PMID

29415576

Abstract

OBJECTIVE: To develop targeted interventions for high-risk drinkers among South African men, we assessed whether sociodemographic factors and history of childhood sexual abuse predicted binge drinking at six-month follow-up assessment and their psychological pathways according to the extended Theory of Reasoned Action (TRA).

DESIGN: Survey responses with a sample of 1181 South African men from randomly selected neighbourhoods in Eastern Cape Province were collected at baseline and six-month follow-up. Multiple logistic regression analysis examined the baseline predictors of binge drinking. Serial multiple mediation analysis examined the psychological pathways. MAIN OUTCOME MEASUREMENTS: Binge drinking at six-month follow-up.

RESULTS: Age (OR = 1.03, 95% CI: 1.01, 1.05), religious participation (OR = .73, CI:.65,.82) and history of childhood sexual abuse (OR = 1.82, CI: 1.32, 2.51) were significant predictors of binge drinking. Predictions of religious participation and history of childhood sexual abuse were partially mediated through attitude, subjective norm, descriptive norm and intention to binge drinking.

CONCLUSION: South African men with childhood sexual abuse experience and low religious participation were at higher risk for binge drinking. The extended TRA model explains the associations of these factors to binge drinking and can contribute to the design and evaluation of interventions.

Language: en

Keywords

Reasoned Action Approach; South African men; binge drinking; childhood sexual abuse