在加纳的手工采金工人中，酒精使用与精神健康困扰存在相关性

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE

International Journal of Drug Policy Pub Date : 2025-09-05 DOI:10.1016/j.drugpo.2025.104978

Emmanuel Nyaaba, Vanessa Francesca Epis, Emma Abena Otema Sefa, Philip Kwarteng, Mohammed-Gazali Hambali

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引用次数: 0

摘要

尽管人们越来越关注手工采矿中饮酒的问题，但对撒哈拉以南非洲非正规采矿部门饮酒的社会心理驱动因素和心理健康影响的重点调查仍然很少。本研究调查了加纳手工矿工饮酒的流行程度、动机以及饮酒与心理健康结果（抑郁、焦虑和压力）之间的关系。使用来自664名矿工的基于社区的横断面调查数据，使用酒精使用障碍识别测试评估酒精使用情况，同时通过GAD-7、PSS和PHQ-9仪器测量焦虑、压力和抑郁症状。调查结果显示，五分之四的矿工（79.8%）报告在过去一个月内饮酒。其中38.1%的人属于危险饮酒者，16.4%的人属于豪饮者。饮酒的动机包括应对恶劣的工作条件、容易获得和负担得起、社会联系和同伴的影响，特别是在年轻矿工中。年龄在18-35岁的年轻矿工比年龄较大的矿工（35岁）更有可能报告同伴压力（33.3%比11.8%;χ 2 = 24.48, p < .001, V = 0.192）、压力和疲劳管理（56.1%比35.3%;χ 2 = 18.68, p < .001, V = 0.168）和疼痛缓解（22.7%比11.8%;χ 2 = 7.98, p = 0.005, V = 0.110）是饮酒的主要原因。多变量回归分析显示，酒精使用与较高的焦虑水平显著相关（B = 0.84, 95% CI）。60, 1.08])，应激(B = 0.14, 95% CI[。[02, 0.26])和抑郁(B = 0.28, 95% CI]。11日,0.45])。然而，酒精和压力之间的联系只在老年人中有意义。这些发现突出了迫切需要有针对性的、针对年龄的公共卫生干预措施，将物质使用预防与精神卫生服务结合起来，特别是在非正规和高风险的劳动环境中，如手工采矿。

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Alcohol use and mental health distress correlates among artisanal gold miners in Ghana

Despite rising concerns about alcohol use in artisanal mining, a focused investigation into its psychosocial drivers and mental health implications within sub-Saharan Africa’s informal mining sector remains scarce. This study investigates the prevalence, motivations, and the association between alcohol use and mental health outcomes (depression, anxiety, and stress) among artisanal miners in Ghana. Using community based cross-sectional survey data from 664 miners, alcohol use was assessed using the Alcohol Use Disorders Identification Test, while symptoms of anxiety, stress, and depression were measured via the GAD-7, PSS, and PHQ-9 instruments. The findings revealed that 4 out of 5 miners (79.8 %) reported consuming alcohol within the past month. Among them, 38.1 % were classified as hazardous drinkers, while 16.4 % met criteria for binge drinking. Motivations for alcohol use included coping with harsh working conditions, easy access and affordability, social bonding, and peer influence, particularly among younger miners. Younger miners aged 18–35 years were significantly more likely than their older counterparts (>35 years) to report peer pressure (33.3 % vs. 11.8 %; χ² = 24.48, p < .001, V = 0.192), stress and fatigue management (56.1 % vs. 35.3 %; χ² = 18.68, p < .001, V = 0.168), and pain relief (22.7 % vs. 11.8 %; χ² = 7.98, p = .005, V = 0.110) as key reasons for drinking. Multivariable regression analyses showed that alcohol use was significantly associated with higher levels of anxiety (B = 0.84, 95 % CI [.60, 1.08]), stress (B = 0.14, 95 % CI [.02, 0.26]) and depression (B = 0.28, 95 % CI [.11, 0.45]). However, the link between alcohol and stress was significant only among the older group. These findings highlight the urgent need for targeted, age-responsive public health interventions that integrate substance use prevention with mental health services, particularly within informal and high-risk labor environments such as artisanal mining.

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来源期刊

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.