Abstract
Background Previous studies have examined factors impairing alcohol policy implementation in Nigeria, but none adopted a community-based approach. Given that alcohol consumption has sociocultural, economic, religious, and legal connotations, it is pertinent that a community-based study interrogates how these, and other similar factors hinder its regulation. Methods We conducted semi-structured interviews with 30 community leaders/members in Anambra State, exploring their perspectives on factors hindering the regulation of alcohol (mis)use in their communities. Data were analyzed thematically. Results Findings show complex factors affecting alcohol regulation in Anambra communities. Participants argued that alcohol consumption is symbolic and essential to their lives; therefore, regulating it is difficult. Participants further indicated that sociocultural events in many communities promote the availability of free drinks. Thus, regulating the quantities that individuals consume on such occasions is impossible. They stated that rapid urbanization and the influx of migrants, unemployment and personal business interests are among the factors affecting regulating alcohol (mis)use among adults/minors. Participants revealed they could not establish laws banning alcohol (mis)use since the government has not implemented such policies/regulations. Conclusion Findings indicate that to implement effective alcohol regulation, community leaders/members should be involved in its development because of the sociocultural roles of alcohol.
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