Methods. A random sample of 938 respondents (61.9% males and 38.1% females) below 18 years was obtained from Kajiado and Murang’a on proportionate to statum size.A multilevel logistic regression was used to investigate potential predictors to alcohol use. Results.The prevalence of current alcohol use was 37% and was significantly associated with being male (AOR=1.58; 95% CI 1.40, 2.42) ;ease of getting an adult to buy alcohol (AOR=2.20; 95% CI 1.57,3.10); cigarette use (AOR=3.8; 95% CI 1.86, 8.28) and having multiple sexual partners (AOR=1.17; 95% 1.15,1.20).Conclusion. There is a high level of underage alcohol use in the study areas. Key words:Prevalence,underage,alcohol use,predict
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