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A Comparison of Alcohol Use and Correlates of Drinking Patterns among Men and Women Aged 50 and Above in Ghana and South Africa 加纳和南非50岁及以上男性和女性酒精使用和饮酒模式相关因素的比较
Q4 Medicine Pub Date : 2011-01-01 DOI: 10.4314/AJDAS.V10I2
P. Martinez, A. Landheim, T. Clausen, L. Lien
Alcohol use is an important part of the health profile of older adults, and little is known about the prevalence and correlates of drinking among this population in Ghana and South Africa. This study aimed to describe and compare the prevalence and correlates of drinking patterns among adults aged 50 and above in Ghana and South Africa, and to determine which correlates explain differences in drinking patterns between the two countries. We used data from the WHO Study on global AGEing and adult health (SAGE) conducted in Ghana and South Africa. The sample of participants aged 50+ was 4289 in Ghana and 3666 in South Africa. Alcohol measures included a self-report of the number of standard drinks consumed over the previous 7 days, from which we constructed the mutually exclusive drinking categories of lifetime abstainers, low risk and at risk drinkers by gender. We used multivariate analysis to identify independent correlates for the different drinking patterns and those contributing to drinking differences between countries. Lifetime abstainers comprised 41.9% and 74.6% of the Ghana and South Africa samples, respectively. Among current drinkers, there were significantly more at risk drinkers among both genders in South Africa compared to Ghana. Factors independently associated drinking patterns differed between countries and by gender, although similarities included religion and smoking. Smoking status contributed to the difference in drinking patterns between Ghana and South Africa more than socio-demographics. Different patterns of drinking and associated correlates exist among older adults between Ghana and South Africa, and differences in drinking patterns were more strongly associated with smoking than socio-demographics. Drinking may increase in Ghana as economic development continues, although other health behaviors such as smoking may also play an important role and should be monitored in future surveys.
饮酒是老年人健康状况的一个重要组成部分,但人们对加纳和南非老年人饮酒的流行程度及其相关性知之甚少。本研究旨在描述和比较加纳和南非50岁及以上成年人饮酒模式的患病率和相关因素,并确定哪些相关因素可以解释两国之间饮酒模式的差异。我们使用了在加纳和南非进行的世卫组织全球老龄化和成人健康研究(SAGE)的数据。50岁以上的参与者在加纳有4289人,在南非有3666人。酒精测量包括在过去7天内标准饮酒量的自我报告,从中我们按性别构建了终身戒酒者,低风险和有风险饮酒者的相互排斥的饮酒类别。我们使用多变量分析来确定不同饮酒模式的独立相关因素以及导致国家之间饮酒差异的因素。终生戒酒者分别占加纳和南非样本的41.9%和74.6%。在目前的饮酒者中,与加纳相比,南非男女中的高危饮酒者明显更多。与饮酒模式相关的独立因素因国家和性别而异,尽管相似之处包括宗教和吸烟。吸烟状况对加纳和南非之间饮酒模式差异的影响大于社会人口统计学因素。在加纳和南非的老年人中存在不同的饮酒模式和相关因素,饮酒模式的差异与吸烟的关系比社会人口统计学更强。随着经济的持续发展,加纳的饮酒人数可能会增加,尽管吸烟等其他健康行为也可能发挥重要作用,应在今后的调查中加以监测。
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引用次数: 4
Determination of Caffeine Content in Non-Alcoholic Beverages and Energy Drinks Using Hplc-Uv Method. Hplc-Uv法测定非酒精饮料和能量饮料中咖啡因含量。
Q4 Medicine Pub Date : 2010-11-10 DOI: 10.4314/AJDAS.V9I1.61754
M. Karau, James n Kihunyu, nahashon M Kathenya, L. Wangai, D. Kariuki, R. Kibet
The purpose of this study was to determine the amount of caffeine in non-alcoholic energy drinks and prepared teas using reverse phase HPLC. Caffeine was extracted from 19 different types of non-alcoholic beverages and prepared teas sampled from supermarkets in Nairobi Central Business District, Kenya. These were analyzed alongside a caffeine standard of 99 % purity by use of HPLC-UV detector at the wavelength of 272nm, Supelco HS C18 column 25 cm x 4.6 cm x 5 μm, oven temperature of 40 oC, mobile phase 80:20 (v/v) of methanol: water and mobile phase flow rate of 1.5mL/min. For quantitation purposes, serial dilution of the caffeine standard gave correlation coefficient (r) of 0.9993 and the retention time of 2.11±0.03 minute. Percentage recovery of caffeine from the column ranged from 89.78 to 105.59%. Limits of detection and quantitation were found to be 0.279 and 0.931 μg/mL respectively. It was found that Burn®, XL energy drink® and Red Bull® had the highest amount of caffeine. It was however noted that though most of the non-alcoholic beverages had high caffeine content they had no label claim. Key Words: Reverse Phase High Performance Liquid chromatography (HPLC), Ultra violet visible (UV/VIS), caffeine, non-alcoholic beverages
本研究的目的是用反相高效液相色谱法测定非酒精能量饮料和制备茶中的咖啡因含量。咖啡因是从肯尼亚内罗毕中央商务区超市取样的19种不同类型的非酒精饮料和预制茶中提取的。采用HPLC-UV检测器,波长为272nm, Supelco HS C18色谱柱为25 cm × 4.6 cm × 5 μm,烤箱温度为40℃,流动相为甲醇:水80:20 (v/v),流动相流速为1.5mL/min,纯度为99%。为定量目的,连续稀释咖啡因标准品的相关系数(r)为0.9993,保留时间为2.11±0.03分钟。柱中咖啡因的回收率为89.78 ~ 105.59%。检测限和定量限分别为0.279和0.931 μg/mL。研究发现,Burn®、XL能量饮料®和红牛®的咖啡因含量最高。然而,有人指出,尽管大多数非酒精饮料的咖啡因含量很高,但它们没有标签声明。关键词:反相高效液相色谱法,紫外可见,咖啡因,非酒精饮料
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引用次数: 7
Is Cannabis Use Related to Road Crashes? A Study of Long Distance Commercial Drivers in Nigeria 大麻的使用与交通事故有关吗?尼日利亚长途商业司机的研究
Q4 Medicine Pub Date : 2010-11-10 DOI: 10.4314/AJDAS.V9I1.61755
V. Lasebikan
Factors associated with driving under the influence of cannabis (DUIC) and related road crashes among 422 commercial drivers were studied. A multivariate analysis was conducted to understand the associations between risk factors and DUIC and car crashes respectively. Young age, OR = 3.6, 95% CI 1.9-7.6; cannabis abuse, OR = 4.1, 95% CI, 1.9-8.2; cannabis dependence, OR = 4.4, 95% CI, 2.1- 7.8; hire- driver, OR = 5.3, 95% CI, 2.0- 14.2, remained associated with DUIC after model adjustments while previous DUIC accidents, OR = 4.5, 95% CI, 2.2 -11.0; combined DUIC and driving under influence of alcohol (DUIA), OR = 5.1, 95% CI, 2.7 – 14.0, remained associated with cannabis related crashes after model adjustment. DUIC increases the risk of involvement in a crash most particularly if there is associated DUIA. Key Words: Cannabis, driving under influence, Nigeria, road crashes, commercial drivers
对422名商业司机中与大麻影响下驾驶有关的因素和相关的道路碰撞进行了研究。通过多变量分析分别了解危险因素与DUIC和车祸之间的关系。年轻,OR = 3.6, 95% CI 1.9-7.6;大麻滥用,OR = 4.1, 95% CI, 1.9-8.2;大麻依赖,OR = 4.4, 95% CI, 2.1- 7.8;模型调整后,雇佣司机(OR = 5.3, 95% CI, 2.0- 14.2)仍与DUIC相关,而之前的DUIC事故(OR = 4.5, 95% CI, 2.2 -11.0);经模型调整后,DUIC和酒精影响下驾驶(DUIA)的合并(OR = 5.1, 95% CI, 2.7 - 14.0)仍与大麻相关的车祸有关。DUIC增加了参与撞车的风险,特别是如果有相关的DUIA。关键词:大麻,酒后驾驶,尼日利亚,道路交通事故,商业司机
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引用次数: 8
South African health care providers’ recognition of the links between alcohol and HIV in their daily practice: a pilot study. 南非卫生保健提供者在日常实践中认识到酒精与艾滋病毒之间的联系:一项试点研究。
Q4 Medicine Pub Date : 2010-11-10 DOI: 10.4314/AJDAS.V9I1.61753
N. Morojele, Alitha Pithey, C. Kekwaletswe, M. Joubert-Wallis, M. Pule, C. Parry
This pilot study assessed the extent to which health care providers in HIV care and treatment, substance abuse intervention and employee assistance programmes (EAPs) consider and inform their clients about the role of alcohol use/abuse in HIV transmission, HIV disease progression and adherence to antiretroviral therapy (ART). A web- and telephone-based survey was conducted among 84 of the aforementioned programmes. Albeit not routinely, respondents from most organisations reported addressing the issues of alcohol in HIV transmission, disease progression and ART adherence among their clients. Contrary to expectations, many programmes do consider the links between alcohol and HIV and AIDS in their operations, but seem to lack adequate resources, information and skills to intervene in a comprehensive way. Key Words: Alcohol, HIV/AIDS, South Africa, health care providers, antiretroviral therapy, adherence
这项试点研究评估了艾滋病毒护理和治疗、药物滥用干预和雇员援助方案(EAPs)的卫生保健提供者在多大程度上考虑并告知其客户酒精使用/滥用在艾滋病毒传播、艾滋病毒疾病进展和坚持抗逆转录病毒治疗(ART)方面的作用。对上述84个方案进行了网络和电话调查。尽管不是例行公事,但大多数组织的答复者报告说,在其客户中解决了酒精在艾滋病毒传播、疾病进展和抗逆转录病毒治疗依从性方面的问题。与预期相反,许多方案在实施过程中确实考虑到酒精与艾滋病毒和艾滋病之间的联系,但似乎缺乏充分的资源、信息和技能,无法进行全面干预。关键词:酒精,艾滋病毒/艾滋病,南非,卫生保健提供者,抗逆转录病毒治疗,依从性
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引用次数: 6
Chang’aa Drinking in Kibera Slum: The Harmful Effects of Contemporary Changes in the Production and Consumption of Traditional Spirits 基贝拉贫民窟的昌阿酒:传统烈酒生产和消费的当代变化的有害影响
Q4 Medicine Pub Date : 2010-11-10 DOI: 10.4314/AJDAS.V9I1.61759
C. Bodewes
This article examines the harmful effects of drinking chang’aa, an illegal spirit produced locally, in Kibera slum in Nairobi, Kenya. The negative impact of chang’aa on the community’s physical, social and economic life is traced, in part, to contemporary changes in consumption patterns as well as the production of chang’aa during the late 1990s. This article also analyzes the efforts of a local Catholic parish to launch a campaign to raise awareness on the dangers of chang’aa and to lobby the government to enforce its ban on the sale and use of the illicit brew. The parish was limited in its efforts primarily due to fears of violent reprisal by local government officials and chang’aa sellers who profited from the illegal, but lucrative trade. Key Words: Chang’aa, Kibera, Kenya, traditional drinks, spirits, alcohol
这篇文章探讨了在肯尼亚内罗毕的基贝拉贫民窟,饮用当地生产的非法烈酒chang 'aa的有害影响。长安对当地居民物质、社会和经济生活的负面影响部分可以追溯到消费模式的当代变化以及20世纪90年代末长安的生产。本文还分析了当地一个天主教教区发起的一项运动,旨在提高人们对长安酒危害的认识,并游说政府执行禁止销售和使用这种非法啤酒的禁令。教区的努力受到限制,主要原因是担心当地政府官员和从这种非法但利润丰厚的交易中获利的昌aa卖家的暴力报复。关键词:昌加,基贝拉,肯尼亚,传统饮料,烈酒,酒精
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引用次数: 8
Extent and Influence of Recreational Drug Use on Men and Women Aged 15 Years and Older in South Africa 南非15岁及以上男性和女性娱乐性药物使用的程度和影响
Q4 Medicine Pub Date : 2010-11-10 DOI: 10.4314/AJDAS.V9I1.68394
P. Njuho, A. Davids
Illicit drug use negatively affects development of human and physical capital of any nation. Huge financial resources are allocated to prevent and curb illicit drug use. The use of these drugs continue to spread across race and age groups, despite application of various control measures. The information provided in this paper contributes towards understanding the extent and influence of illicit drugs use in South Africa. A population-based national HIV prevalence, behaviour and health survey conducted in 2008, incorporated questions on the extent and use of illicit drugs. A multistage random population sample of 15 845 persons aged 15 years or older (58% women and 42% men) was included in the survey. The use of combined illicit drugs excluding cannabis was reported by 1.7% of the 13 119 participants, and including cannabis by 4.3 % of the 13 128 participants. The Coloured men (14.3%) were the most likely to use cannabis, where as the Indian women (0.6%) were the least likely. The urban residents (5.4%) were more likely to report use of any illicit drug including cannabis than rural dwellers (2.5%). Illicit drug use has a high association with illnesses thus call for interventions to address this serious problem. Key Words: Recreational drug use, South Africa, illicit drug use, HIV prevalence survey
非法药物的使用对任何国家的人力资本和物质资本的发展都有负面影响。政府拨出大量财政资源,以防止和遏止非法药物的使用。尽管采取了各种控制措施,但这些药物的使用继续在不同种族和年龄组中蔓延。本文提供的信息有助于了解南非非法药物使用的程度和影响。2008年进行了一项以人口为基础的全国艾滋病毒流行情况、行为和健康调查,其中纳入了关于非法药物使用程度和使用情况的问题。调查包括15 845名15岁或15岁以上的人(58%为女性,42%为男性)的多阶段随机人口样本。在13 119名参与者中,1.7%报告使用除大麻外的综合非法药物,在13 128名参与者中,4.3%报告使用大麻。有色人种(14.3%)最有可能使用大麻,而印度女性(0.6%)最不可能使用大麻。城市居民(5.4%)比农村居民(2.5%)更有可能报告使用包括大麻在内的任何非法药物。非法药物使用与疾病密切相关,因此要求采取干预措施来解决这一严重问题。关键词:娱乐性药物使用;南非;非法药物使用
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引用次数: 21
Pentazocine abuse in sickle cell anaemia patients: a report of two case vignetes 镰状细胞性贫血患者滥用戊唑嗪:两例报告
Q4 Medicine Pub Date : 2010-03-16 DOI: 10.4314/AJDAS.V8I2.52933
A. Makanjuola, P. Olatunji
The article aims to draw attention of clinicians to the addictive potentials of Pentazocine use in sickle cell anaemia patients and to highlight some of the associated problems of pentazocine abuse. It also hopes to stimulate the need to review guidelines for the use of analgesics in the management of bone pain crisis or other chronic pains. Two case reports of pentazocine abuse seen in a psychiatry clinic at the University of Ilorin Teaching Hospital (UITH) Ilorin, Nigeria were made. It was found that both patients who were sickle cell anaemia (HbS) patients were first given intramuscular pentazocine in private hospitals during an episode of bone pain crises. They claimed that though the bone pain crises subsided after a few days on admission, they continued to feign pains in order to be given pentazocine because they enjoyed its dysphoric effect. There were features of pentazocine dependence as shown by intense craving for the drug, excessive sweating, body (not bone) pains, signs of needle pricks on the body, sudden extravagance, begging for money, stealing and poor academic performance among other things. There was no clinical evidence of bone crisis or complications of sickle cell anaemia. It was concluded that more than before, clinicians should be cautious in the use of analgesics which has potential for addiction in sickle cell anaemia and chronic pain patients. Keywords: Pentazocine abuse; Sickle cell anaemia, Nigeria Key words: Pentazocine abuse; Sickle cell anaemia, Nigeria
本文旨在引起临床医生对镰状细胞性贫血患者使用戊唑嗪的成瘾潜力的注意,并强调了戊唑嗪滥用的一些相关问题。它也希望刺激需要审查使用镇痛药在骨痛危机或其他慢性疼痛的管理指南。在尼日利亚伊洛林的伊洛林大学教学医院(UITH)的精神病学诊所中发现了两例戊唑嗪滥用病例报告。结果发现,镰状细胞性贫血(HbS)患者在一次骨痛危机发作期间首次在私立医院肌肉注射戊唑嗪。他们声称,虽然入院几天后骨痛危机消退,但他们继续假装疼痛,以获得戊唑嗪,因为他们喜欢它的烦躁作用。pentazocine依赖的特征表现为对药物的强烈渴望,过度出汗,身体(不是骨头)疼痛,身体针刺的迹象,突然奢侈,乞讨钱,偷窃和学习成绩差等。没有临床证据表明骨危象或镰状细胞性贫血的并发症。结论:镰状细胞性贫血和慢性疼痛患者在使用有成瘾性的镇痛药时,临床医生应比以往更加谨慎。关键词:戊唑嗪滥用;关键词:戊唑嗪滥用;镰状细胞性贫血,尼日利亚
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引用次数: 14
The impact of Thaba-Bosiu Centre alternative livelihoods programme on alcohol problems: a case study of Ha Mothae Thaba-Bosiu中心替代生计方案对酒精问题的影响:以Ha Mothae为例研究
Q4 Medicine Pub Date : 2010-03-16 DOI: 10.4314/AJDAS.V8I2.52934
M. Masihleho, T. Khalanyane
This paper is based on a study that was conducted in March 2009 aimed at assessing the impact of alternative livelihoods programme on the social and economic lives of Ha Mothae residents. A case study approach was used and a purposeful sampling technique was used in selecting respondents, while data were analyzed qualitatively. The findings indicated that the programme has benefited most of the respondents despite the problems they encountered at its implementation stage. Also that it has had relative impact on the social and economic lives of the recipients. Therefore, it is recommended that the programme should be introduced and implemented in other parts of the country to reduce the problem of alcohol dependence, and that it should be government funded. Key Words: Alcohol dependence, alcohol problems, alternative livelihoods, case study
本文基于2009年3月进行的一项研究,该研究旨在评估替代生计方案对Ha Mothae居民社会和经济生活的影响。在选择受访者时,采用了案例研究方法和有目的的抽样技术,同时对数据进行定性分析。调查结果表明,尽管大多数答复者在执行阶段遇到了问题,但该方案使他们受益。它还对受助人的社会和经济生活产生了相对的影响。因此,建议在该国其他地区推行和实施该方案,以减少酒精依赖问题,并建议由政府资助。关键词:酒精依赖;酒精问题;替代生计
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引用次数: 2
Khat (Catha edulis): academic, health and psychosocial efects on “mature” students 阿拉伯语(Catha edulis):对"成熟"学生的学术、健康和心理社会影响
Q4 Medicine Pub Date : 2010-03-16 DOI: 10.4314/AJDAS.V8I2.52932
L. Sikiru, S. Babu
The leaves of the plant khat (Catha edulis) are commonly chewed in certain countries of East Africa and the Arabian Peninsula. Chewing of khat leaves has a deep-rooted religious and sociocultural tradition and has a peculiarity of certain influences on the physical, physiological and psychosocial well-being of those involved in the habit of chewing the leaves. The objective of this study was to investigate psychosocial, academic and health implications and reasons for students’ involvement in khat chewing habit. A cross-sectional survey of students aged 22 years and above was studied; Five hundred and twenty eight subjects participated. They were summer school students of Jimma University, Ethiopia. A self structured questionnaire was used in data collection on the socio-demographic, academic, economic and health effects of khat. Results clearly indicated that males dominated in chewing khat (63.52%); 54.9% of khat chewers were Muslims; 46.3% of the students reported focus and concentration on their studies as the reason for chewing khat. Insomnia was the major health problem indicated by 50% of the students; while 71% of the study participants reported being more sociable following khat chewing. Self acclaimed positive academic achievements were reported by 89% of the participants but there were no reported significant effects on objective academic results. It was concluded that to gain concentration and focus was the main reason for students’ khat chewing habit. However, there was no evidence of subjective academic achievement. Key Words: Khat; Catha edulis; academic achievement; health effects; mature students; socioeconomic factors; religion.
在东非和阿拉伯半岛的某些国家,阿拉伯茶(Catha edulis)的叶子通常被咀嚼。咀嚼阿拉伯茶叶具有根深蒂固的宗教和社会文化传统,并且对咀嚼叶子习惯的人的身体、生理和社会心理健康具有一定的影响。本研究的目的是调查学生参与阿拉伯茶咀嚼习惯的心理社会、学术和健康影响及其原因。对22岁及以上学生进行横断面调查;共有528名受试者参与。他们是埃塞俄比亚吉玛大学暑期学校的学生。在收集阿拉伯茶的社会人口、学术、经济和健康影响方面的数据时,使用了一份自结构问卷。结果表明,咀嚼阿拉伯茶以雄性为主(63.52%);54.9%的阿拉伯茶咀嚼者是穆斯林;46.3%的学生表示,咀嚼阿拉伯茶是为了集中精力学习。50%的学生认为失眠是主要的健康问题;而71%的研究参与者报告说,咀嚼阿拉伯茶后,他们更善于交际。89%的参与者报告了自我赞扬的积极学术成就,但没有报告对客观学术成绩的显著影响。结果表明,学生咀嚼阿拉伯茶习惯的主要原因是为了集中注意力。然而,没有证据表明主观学业成绩。关键词:阿拉伯茶;Catha鸡蛋果;学术成就;健康的影响;成熟的学生;社会经济因素;宗教。
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引用次数: 15
The feasibility of integrating alcohol risk-reduction counseling into existing VCT services in Kenya 将减少酒精风险咨询纳入肯尼亚现有自愿自愿咨询服务的可行性
Q4 Medicine Pub Date : 2010-03-16 DOI: 10.4314/AJDAS.V8I2.52935
C. Mackenzie, K. Kiragu, G. Odingo, R. Yassin, P. Shikuku, P. Angala, W. Sinkele, Melania Akinyi, N. Kilonzo
This pretest-posttest separate-sample study with intervention and comparison groups documented the abilities and willingness of trained voluntary counseling and testing (VCT) service providers to integrate alcohol screening and risk reduction counseling into their routine service delivery. Pre-test (n=1073) and post-test data (n=1058) were collected from different clients exiting from 25 VCT centers. A 12-month intervention that required all VCT providers from the intervention groups to screen all VCT clients for their alcohol use and offer them brief risk reduction alcoholrelated counseling was implemented. At post-test, the intervention group clients (n=456) had better study outcomes than the comparison group clients (n=602). Intervention clients were more likely to report that their VCT service provider had: asked them about their alcohol use (83% vs. 41%: p<0.05); asked them about their partner’s alcohol use (72% vs. 22%); screened them for their alcohol use (77% vs. 33%: p<0.05); and gave them feedback about their screening results (67% vs. 35%: p<0.05). The study concluded that VCT service providers are able and willing to integrate alcohol risk reduction services during routine VCT services, and supports the integration of alcohol risk reduction counseling at VCT services in Kenya. Key Words: Alcohol, VCT, Integration, Service provision, Risk reduction, Counseling, Kenya
这项干预组和对照组的前测后分离样本研究记录了训练有素的自愿咨询和测试(VCT)服务提供者将酒精筛查和降低风险咨询纳入其常规服务提供的能力和意愿。测试前(n=1073)和测试后数据(n=1058)来自25个VCT中心的不同客户。一项为期12个月的干预,要求来自干预组的所有VCT提供者筛查所有VCT客户的酒精使用情况,并向他们提供简短的降低酒精相关风险的咨询。后测时,干预组患者(n=456)的研究结果优于对照组患者(n=602)。干预对象更有可能报告他们的VCT服务提供者询问过他们的酒精使用情况(83%对41%:p<0.05);询问他们伴侣的饮酒情况(72%对22%);筛查他们的酒精使用情况(77%对33%:p<0.05);并对筛查结果给予反馈(67% vs. 35%: p<0.05)。该研究的结论是,VCT服务提供者能够并且愿意在常规的VCT服务中整合降低酒精风险的服务,并支持在肯尼亚的VCT服务中整合降低酒精风险的咨询。关键词:酒精,VCT,整合,服务提供,降低风险,咨询,肯尼亚
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引用次数: 6
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African Journal of Drug and Alcohol Studies
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