CULTURAL NORMS AS A SOCIAL DETERMINANT OF ALCOHOLISM AMONG YOUTHS IN MAKUENI COUNTY, KENYA

  • TOM KYALO KITAVI Department of Public Policy and Administration, Kenyatta University, Kenya
  • HEATHER KIPCHUMBA, PhD Lecturer, Department of Public Policy and Administration, Kenyatta University, Kenya
Keywords: Cultural Norms, Alcoholism, Youth Behavior, Social Determinants, Substance Abuse

Abstract

Alcoholism among youths remains a significant public health and social concern in Makueni County, Kenya, despite the presence of regulatory frameworks and intervention programs aimed at controlling alcohol consumption. Cultural practices, beliefs, and social expectations continue to shape drinking behavior, particularly through the normalization of alcohol use during ceremonies, social events, and community gatherings. The aim was to establish how cultural norms influence alcoholism among youths, with a specific focus on social acceptance of alcohol use, traditional beliefs, peer influence, and cultural expectations. The study examined the role of cultural norms as a key social determinant shaping alcohol consumption behavior among youths. The study employed a descriptive research design targeting youths aged between 15 and 35 years residing in Makueni County. Simple random sampling was used to select 398 respondents from the target population. Data were collected using structured questionnaires. Semi-structured questionnaires were used to gather data from youth respondents, along with interview guides developed for key informants. The instruments were reviewed for content validity and pretested to ensure clarity and reliability. Quantitative data were analyzed using descriptive statistics, correlation, and multiple regression, while qualitative data were analyzed thematically to provide deeper insights into cultural beliefs and social influences on alcohol consumption. The findings revealed that cultural norms have a positive and significant influence on alcoholism among youths, with practices such as alcohol consumption during social events, peer pressure, and social acceptance contributing to increased drinking behavior. The results further showed that cultural norms explain a substantial proportion of variation in alcohol consumption among youths. Strengthening community sensitization, promoting culturally responsive interventions, and enhancing youth awareness programs were identified as key measures necessary to reduce alcohol abuse and improve youth well-being.

Author Biographies

TOM KYALO KITAVI, Department of Public Policy and Administration, Kenyatta University, Kenya

Department of Public Policy and Administration, Kenyatta University, Kenya

HEATHER KIPCHUMBA, PhD, Lecturer, Department of Public Policy and Administration, Kenyatta University, Kenya

Lecturer, Department of Public Policy and Administration, Kenyatta University, Kenya

References

Adu, J., Tenkorang, E. Y., & Banchani, E. (2021). Alcohol consumption and cultural practices in sub-Saharan Africa: A review of social determinants. BMC Public Health, 21, 1455.

Azzopardi, P. S., Hearps, S. J. C., Francis, K. L., Kennedy, E. C., Mokdad, A. H., Kassebaum, N. J., Lim, S., Irvine, C. M. S., Vos, T., Brown, A. D., Dogra, S., Kinner, S. A., Kaoma, N. S., Naghavi, M., Reavley, N. J., Reiner, R. C., Santelli, J. S., Sawyer, S. M., Skirbekk, V., & Patton, G. C. (2022). Progress in adolescent health and wellbeing: Tracking 12 headline indicators for 195 countries and territories. The Lancet Child & Adolescent Health, 6(4), 230–240.

Bandura, A. (1977). Social learning theory. Prentice-Hall.

Bicchieri, C., & Dimant, E. (2019). Nudging with care: The risks and benefits of social information. Public Choice, 191(3–4), 443–464.

Caluzzi, G., Pennay, A., & MacLean, S. (2021). Reflexive habitus and the new obligation of choice: Understanding young people’s light drinking and alcohol abstinence. Journal of Youth Studies, 24(7), 886–900.

Carbia, C., López-Caneda, E., Corral, M., & Cadaveira, F. (2020). A systematic review of neuropsychological studies involving young binge drinkers. Neuroscience & Biobehavioral Reviews, 113, 247–267.

Carvalho, A. F., Heilig, M., Perez, A., Probst, C., & Rehm, J. (2019). Alcohol use disorders. The Lancet, 394(10200), 781–792.

Davoren, M. P., Demant, J., Shiely, F., & Perry, I. J. (2016). Alcohol consumption among university students: A cross-sectional study. BMC Public Health, 16, 173.

Dempsey, R. C., McAlaney, J., & Bewick, B. M. (2018). A critical appraisal of the social norms approach as an intervention strategy for health-related behavior. Frontiers in Psychology, 9, 2180.

Debele, M. L., Tolla, T. T., Zekiros, B. K., Abegaz, H. A., & Ayalew, M. Z. (2023). Societal and cultural norms that expose children to early alcohol use in Amhara Region rural community, Ethiopia. Acta Psychologica, 232, 103801.

Ferreira-Borges, C., Esser, M. B., Dias, S., Babor, T., & Parry, C. D. H. (2019). Alcohol control policies in Africa: A systematic review. The Lancet Global Health, 7(1), e116–e128.

Francis, J. M., Myers, B., Nkosi, S., Petersen Williams, P., Carney, T., Lombard, C., & Morojele, N. K. (2019). The prevalence of religiosity and association between religiosity and alcohol use, other drug use, and risky sexual behaviours among grade 8–10 learners in Western Cape, South Africa. PLOS ONE, 14(2), e0211322.

Getliff, S., & Barker, A. B. (2025). The effect of exposure to alcohol media content on young people’s alcohol use: A qualitative systematic review and meta-synthesis. International Journal of Environmental Research and Public Health, 22(7), 1078.

Griswold, M. G., Fullman, N., Hawley, C., Arian, N., Zimsen, S. R. M., Tymeson, H. D., Venkateswaran, V., Tapp, A. D., Forouzanfar, M. H., Salama, J. S., Abate, K. H., Abate, D., Abay, S. M., Abbafati, C., Abdulkader, R. S., Abebe, Z., Aboyans, V., Abrar, M. M., Acharya, P., & Gakidou, E. (2018). Alcohol use and burden for 195 countries and territories, 1990–2016. The Lancet, 392(10152), 1015–1035.

Hall, W. D., Patton, G., Stockings, E., Weier, M., Lynskey, M., Morley, K. I., & Degenhardt, L. (2020). Why young people’s substance use matters for global health. The Lancet Psychiatry, 7(3), 265–279.

Jernigan, D. H., & Trangenstein, P. J. (2020). What’s next for alcohol policy? Addiction, 115(S1), 95–103.

Kilian, C., Manthey, J., Probst, C., Brunborg, G. S., Bye, E. K., Ekholm, O., & Rehm, J. (2020). Why is per capita consumption underestimated in alcohol surveys? Results from 39 surveys in 23 European countries. Alcohol and Alcoholism, 55(5), 554–563.

Kilian, C., Manthey, J., Probst, C., Brunborg, G. S., & Rehm, J. (2021). Why is per capita consumption underestimated in surveys? Addiction, 116(4), 817–826.

Lees, B., Meredith, L. R., Kirkland, A. E., Bryant, B. E., & Squeglia, L. M. (2020). Effect of alcohol use on the adolescent brain and behavior. Pharmacology Biochemistry and Behavior, 192, 172906.

Liu, M., Zhao, W.-Q., Zhao, Q.-R., Wang, Y., & Li, S.-G. (2023). The impact of the peer effect on adolescent drinking behavior: Instrumental-variable evidence from China. Frontiers in Psychiatry, 14, 1306220.

Manthey, J., Shield, K. D., Rylett, M., Hasan, O. S. M., Probst, C., & Rehm, J. (2019). Global alcohol exposure between 1990 and 2017 and forecasts until 2030. The Lancet, 393(10190), 2493–2502.

McCarty, D., & Donovan, D. M. (2020). The National Drug Abuse Treatment Clinical Trials Network: From 2000 to 2020 and beyond. Journal of Substance Abuse Treatment, 112, 1–3.

Measham, F., & Brain, K. (2020). ‘Binge’ drinking, British alcohol policy and the new culture of intoxication. Crime, Media, Culture, 16(3), 401–417.

Mmereki, D., Li, Z., Baldwin, A., & Kolawole, O. (2022). The influence of socio-cultural factors on alcohol consumption in Africa. Heliyon, 8(2), e08781.

Morojele, N. K., Ramsoomar, L., Dumbili, E. W., & Kapiga, S. (2021). Alcohol, tobacco, and other drug use among adolescents in sub-Saharan Africa: A narrative review. Tropical Medicine & International Health, 26(12), 1528–1538.

Morojele, N. K., Ramsoomar, L., Dumbili, E. W., & Lombard, C. (2021). Alcohol consumption, social norms, and policy in sub-Saharan Africa. Journal of Substance Use, 26(5), 1–8.

Pedersen, E. R., Osilla, K. C., Miles, J. N. V., Tucker, J. S., Ewing, B. A., Shih, R. A., & D’Amico, E. J. (2018). The role of perceived norms in college student drinking. Journal of Studies on Alcohol and Drugs, 79(3), 371–380.

Rehm, J., & Shield, K. D. (2019). Global burden of alcohol use disorders and alcohol liver disease. Biomedicines, 7(4), 99.

Rehm, J., Kilian, C., Ferreira-Borges, C., Jernigan, D., Monteiro, M., Parry, C. D. H., Sanchez, Z. M., & Manthey, J. (2019). Alcohol use in times of the COVID-19 pandemic: Implications for monitoring and policy. The Lancet Gastroenterology & Hepatology, 5(4), 301–303.

Savic, M., Best, D., Rodda, S., & Lubman, D. I. (2020). Exploring the role of social identity in alcohol use: A systematic review. Drug and Alcohol Review, 39(7), 687–695.

Savic, M., Room, R., Mugavin, J., Pennay, A., & Livingston, M. (2016). Defining “drinking culture”: A critical review. Drug and Alcohol Review, 35(3), 270–282.

Shield, K. D., Parry, C., & Rehm, J. (2020). Chronic diseases and conditions related to alcohol use. Alcohol Research: Current Reviews, 40(1), 01.

Smit, K., Voogt, C., Otten, R., Kleinjan, M., & Engels, R. C. M. E. (2020). Social norms and alcohol use among adolescents. Journal of Youth and Adolescence, 49(4), 846–861.

Tankard, M. E., & Paluck, E. L. (2020). Norm perception as a vehicle for social change. Social Issues and Policy Review, 14(1), 181–211.

Tarrant, M., Smith, J., Ball, S., Winlove, C., Gul, S., & Charles, N. (2019). Alcohol consumption among university students in the night-time economy in the UK. Drug and Alcohol Dependence, 204, 107522.

Tiongson, P., & Jernigan, D. H. (2025). The prevalence of effective campus alcohol policies. Journal of American College Health, 1–11.

Turyasiima, M., Akot, B. G., Makongwa, I., Yusuf, H. M., & Epuitai, J. (2025). Addressing high alcohol consumption among adolescents in Sub-Saharan Africa. Substance Abuse and Rehabilitation, 16, 165–175.

Vashishtha, R., Pennay, A., Dietze, P., Marzan, M. B., Room, R., & Livingston, M. (2020). Trends in adolescent drinking across 39 countries. Drug and Alcohol Dependence, 206, 107731.
Published
2026-06-23
Section
Articles