Association between caregiver and household alcohol use and child behavior problems in KwaZulu Natal, South Africa

We explored the association between household alcohol use and behavior problems among South-African children, using data from the Asenze study, a population-based cohort of South African children and their caregivers. Household alcohol use and child behavior were assessed when children were 6–8 year...

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Published inChild psychiatry and human development Vol. 54; no. 5; pp. 1438 - 1445
Main Authors Azevedo Da Silva, Marine, Alexander, Emma C, Martins, Silvia S., Naidoo, Saloshni, Gruver, Rachel S., Desmond, Chris, Davidson, Leslie L.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.10.2023
Springer Nature B.V
Subjects
Adult
Alcohol Drinking - adverse effects
Alcohol Drinking - epidemiology
Alcohol use
Alcoholism - epidemiology
Behavior
Behavior problems
Behavioral Science and Psychology
Caregivers
Child
Child & adolescent psychiatry
Child and School Psychology
Child Behavior
Child psychology
Children
Children & youth
Cross-Sectional Studies
Drinking behavior
Female
Households
Humans
Longitudinal studies
Low income groups
Male
Original Article
Population studies
Problem Behavior
Psychiatry
Psychology
Public health
Questionnaires
South Africa - epidemiology
Statistical analysis
South Africa
Externalizing problems
Household alcohol use
Internalizing problems
Behavior problems
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Summary:We explored the association between household alcohol use and behavior problems among South-African children, using data from the Asenze study, a population-based cohort of South African children and their caregivers. Household alcohol use and child behavior were assessed when children were 6–8 years old. To examine the association, we performed linear regressions. The sample included 1383 children with complete data under the care of 1251 adults. Children living in a household where self-reported caregiver alcohol use was scored as hazardous (4.6%) had higher levels of problem behavior (β = 1.94, 95% CI 0.06–3.82). There were no statistically significant associations between reported hazardous alcohol use by another member of the household (14.5%) and child problem behavior. Hazardous household alcohol use was associated with child problem behavior and this effect appeared to be mainly driven by primary caregiver use.
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Author contributions Dr Azevedo Da Silva conceptualized and designed the study, undertook statistical analyses, contributed to the interpretation of the results, drafted the initial manuscript, critically reviewed the manuscript for important intellectual content. Drs Martins and Davidson conceptualized and designed the study, contributed to the interpretation of the results, and critically reviewed the manuscript for important intellectual content. Dr Alexander contributed to the interpretation of the results, drafted the initial manuscript, and critically reviewed the manuscript for important intellectual content. Dr Naidoo, Ms Gruver, and Dr Desmond contributed to the interpretation of the results, critically reviewed the manuscript for important intellectual content. All authors approved the final manuscript as submitted and are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
ISSN:0009-398X
1573-3327
DOI:10.1007/s10578-022-01342-7