Published Paper Details:

Abstract: This study explores the impact of neighbourhood contextual factors on alcohol use and related issues in Wayanad, Kerala, India with a notable prevalence of alcohol-related problems, particularly among the Scheduled Tribes (STs), constituting 18% of the population. Recognizing the diverse negative consequences associated with alcohol use, including health, social, economic, and psychological problems, alongside discrimination and stigma, this research employs a mixed-methods approach. Quantitative data collected from respondents Qualitative insights were gleaned from 60 purposively selected respondents through semi-structured interviews, exploring their experiences with alcohol use and problems, and the influence of contextual factors. Findings reveal higher rates of alcohol use and issues among STs compared to non-STs, varying significantly across villages. The study underscores the impact of neighbourhood contextual factors - poverty, low literacy, diminished social capital, and increased alcohol availability - on alcohol use and problems, independent of individual socio-demographics. Qualitative data corroborate and elucidate the underlying mechanisms. The study concludes that interventions should address both individual and neighbourhood factors to tackle alcohol-related challenges effectively. Additionally, it advocates for mixed-methods research to comprehensively understand these issues, suggesting spatial analysis as a valuable tool for identifying and addressing alcohol hot spots. Ultimately, the study contributes to the alcohol-related literature in India, offering valuable insights for policymakers, practitioners, and researchers in addressing alcohol dependence and discrimination in Wayanad.