Explanatory models and coping with alcohol misuse among conflict-affected men in Ukraine

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dc.contributor.authorBogdanov, Sergiy en_US
dc.contributor.authorKoss, Kateryna en_US
dc.contributor.authorHook, Kimberly en_US
dc.contributor.authorMoore, Quincy en_US
dc.contributor.authorVan Der Boor, Catharina en_US
dc.contributor.authorMassazza, Alessandro en_US
dc.contributor.authorFuhr, Daniela en_US
dc.contributor.authorRoberts, Bayard en_US
dc.contributor.authorMay, Carl en_US
dc.contributor.authorFedorets, Olha en_US
dc.contributor.authorBayer, Oxana en_US
dc.contributor.authorKarachevskyy, Andrii en_US
dc.contributor.authorNadkarni, Abhijit en_US
dc.date.accessioned2025-03-13T06:00:51Z
dc.date.available2025-03-13T06:00:51Z
dc.date.issued2025
dc.description.abstractAffecting nearly 10% of men globally, alcohol use disorders (AUDs) represent a significant public health burden. Existing work, including from Ukraine, suggests that living in conflict settings may exacerbate the risk of AUDs. However, there is a dearth of evidence regarding alcohol misuse, as well as knowledge of factors associated with alcohol misuse patterns, in conflict settings. The aim of this qualitative study was to investigate explanatory models of alcohol misuse among conflict-affected men in Ukraine. Purposive and snowball sampling were used to recruit 66 conflict-affected men with alcohol misuse, family members of men who misuse alcohol, community health workers, and mental health and psychosocial support providers from locations across Ukraine. In the group of men who misuse alcohol (n = 25), we recruited individuals with diverse experiences of adversity: 1) internally displaced persons from eastern Ukraine and Crimea displaced after 2014; 2) Ukrainian military veterans or territorial defense volunteers from various regions; and 3) men living 5–15 km from the frontline. Semistructured interviews were conducted in Ukrainian or Russian, and analysed using deductive and inductive analysis. Qualitative data received from each subgroup were analysed separately. The resulting explanatory model represents how Ukrainian conflict-affected men describe causes of alcohol misuse. Participants identified that alcohol misuse among Ukrainian men is often used as "self-treatment" to address mental health symptoms and feelings of demoralization that are exacerbated by a lack of supportive social environments and socioeconomic problems; these behaviours also occur in an environment that deems alcohol misuse to be culturally appropriate. Family members and service providers offered a similar understanding of alcohol misuse as the men themselves. Strategies suggested by conflict-affected men to protect against alcohol misuse included engaging in alternative activities, finding supportive social environments, fear of negative consequences from alcohol misuse and increasing self-awareness and self-control. These findings indicate possible implications for interventions that target alcohol misuse among conflict-affected men, as well as demonstrate a need for developing culturally sensitive interventions that can address this unaddressed public health need. en_US
dc.identifier.citationExplanatory models and coping with alcohol misuse among conflict-affected men in Ukraine / Sergiy Bogdanov, Kateryna Koss, Kimberly Hook, Quincy Moore, Catharina Van der Boor, Alessandro Massazza, Daniela C. Fuhr [et al.] // SSM - Mental Health. - 2025. - Vol. 7. - Art. no. 100398. - https://doi.org/10.1016/j.ssmmh.2025.100398 en_US
dc.identifier.issn2666-5603
dc.identifier.urihttps://doi.org/10.1016/j.ssmmh.2025.100398
dc.identifier.urihttps://ekmair.ukma.edu.ua/handle/123456789/33926
dc.language.isoen en_US
dc.relation.sourceSSM - Mental Health en_US
dc.statusfirst published en_US
dc.subjectalcohol misuse en_US
dc.subjectUkraine en_US
dc.subjectexplanatory model en_US
dc.subjectlow- and middle-income countries en_US
dc.subjectarticle en_US
dc.titleExplanatory models and coping with alcohol misuse among conflict-affected men in Ukraine en_US
dc.typeArticle en_US
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