Systematic review and meta-analysis: prevalence of alcohol use among young people in eastern Africa.

OBJECTIVE: Systematic review and meta-analysis of published studies of alcohol use among young people (age 15-24 years) in eastern Africa to estimate prevalence of alcohol use and determine the extent of use of standardised screening questionnaires in alcohol studies. METHODS: Five databases (MEDLINE, EMBASE, Global Health, Africa-wide, and PsycINFO) were searched for publications until 30th June 2013. Results were summarised using the guidelines on preferred reporting items for systematic reviews and meta-analyses (PRISMA) and on quality assessment using the modified quality assessment tool for systematic reviews of observational studies (QATSO). Heterogeneity was assessed using the I(2) statistic (DerSimonian-Laird). RESULTS: We identified 2785 potentially relevant studies, of which 56 were eligible for inclusion. Only two studies (4%) used the standardised Alcohol Use Disorder Identification Test (AUDIT) questionnaire, and six studies (13%) used the Cut down, Annoyed, Guilt, Eye opener (CAGE) questionnaire. The reported median prevalence of alcohol use was ever-use 52% [interquartile range (IQR): 20-58%], use in the last month 28% (IQR: 17-37%), use in the last year 26% (IQR: 22-32%), and problem drinking as defined by CAGE or AUDIT 15% (IQR: 3-36%). We observed high heterogeneity between studies, with the highest prevalence of ever use of alcohol among university students (82%; 95%CI: 79-85%) and female sex workers (66%; 95%CI: 58-74%). Current use was most prevalent among male sex workers (69%; 95%CI: 63-75%). CONCLUSIONS: Reported alcohol use and problem drinking were common among diverse groups of young people in eastern Africa, indicating the urgent need for alcohol-focused interventions in this population. Few studies have used standardised alcohol screening questionnaires. Epidemiological research to investigate alcohol-focused interventions in young people should aim to apply such questionnaires that should be validated for use in this population

Limnological variability and pelagic fish abundance (Stolothrissa tanganicae and Lates stappersii) in Lake Tanganyika

The abundance of two main pelagic fish species in Lake Tanganyika (Stolothrissa tanganicae and Lates stappersii) has always been observed to fluctuate considerably at different time scales. The inverse correlation between the abundance of these species has often been interpreted as the consequence of predator-prey relations (avoidance behaviour by the prey). However, currently the two species often appear spatially segregated in the lake, S. tanganicae dominating in the north while L. stappersii is generally abundant in the south where it feeds mostly on shrimps. A fluctuating abundance of the species is nevertheless observed. As these fish species have a major importance for the fisheries, we investigated the limnological variability in relation to the short-term variability of fish catches. The abundance of S. tanganicae was positively correlated to plankton biomass (r = 0.65), while water transparency (r = 0.56), depth of mixed layer (r = -0.70) and oxygenated water appeared important drivers for the abundance of L. stappersii. Alternating "mixing" and "stable" states of the epilimnion related to seasonal and internal waves variability are probably determinant for the short-term variability in abundance of S. tanganicae and L. stappersii. In the framework of this study, remote sensing has shown a potentially interesting application for fisheries research at Lake Tanganyika. We observed a close correspondence between phytoplankton blooms at the time of trade winds changes and increased catches of S. tanganicae in the south. The anti-correlated abundance of S. tanganicae and L. stappersii probably mainly reflects the underlying fluctuating limnological environment. Fisheries studies need to integrate limnological and planktonic monitoring to better understand large and complex ecosystems such as Lake Tanganyika