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Cited by 21Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsMental Health Treatment and Access

Perceptions of alcohol use among injury patients and their family members in Tanzanian society

Open access
Meier, Brian J., El-Gabri, Deena, Friedman, Kaitlyn, Mvungi, Mark, Mmbaga, Blandina T., Nickenig Vissoci, João Ricardo, Staton, Catherine A.·2020·Alcohol
DOI 10.1016/j.alcohol.2019.06.001PMC PMC7197291
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Abstract

Alcohol is one of the leading causes of death and disability worldwide. Rates of alcohol abuse in Moshi, Tanzania, are about 2.5 times higher than the Tanzanian average. We sought to qualitatively assess the perceptions of alcohol use among injury patients in Moshi, including availability, consumption patterns, abuse, and treatments. Participants were Emergency Department injury patients, their families, and community advisory board members. Participants were included if they were ≥18 years of age, a patient or patient's family member seeking care at the Kilimanjaro Christian Medical Center Emergency Department, Moshi, Tanzania, for an acute injury, clinically sober at the time of enrollment, medically stable, able to communicate in Swahili and consented to participate. Focus group discussions were audiotaped, transcribed, translated, and analyzed in parallel using an inductive thematic content analysis approach. Resultant themes were then reanalyzed to ensure internal homogeneity and external heterogeneity. Fourteen focus group discussions, with a total of 104 participants (40 patients, 50 family members, 14 community advisory board members), were conducted. Major themes resulting from the analysis included: 1) Early/repeated exposure; 2) Moderate use as a social norm with positive attributes; 3) Complications of abuse are widely stigmatized; and 4) Limited knowledge of availability of treatment. Our findings suggest that, among our unique injury population and their families, despite the normalization of alcohol-related behaviors, there is strong stigma toward complications stemming from excess alcohol use. Overall, resources for alcohol treatment and cessation, although broadly desired, are unknown to the injury population.

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Authors
Meier, B. J., El-Gabri, D., Friedman, K., Mvungi, M., Mmbaga, B. T., Nickenig Vissoci, J. R., & Staton, C. A.
Affiliations
  • Duke University (US)
  • Kilimanjaro Christian Medical Centre (TZ)
Corresponding author
Staton, Catherine A.
ORCID
Venue
Alcohol
Publisher
Elsevier BV
Published
2020-03
Volume
83
Pages
9-15
ISSN
0741-8329 (ISSN-L)
DOI
10.1016/j.alcohol.2019.06.001
PMC
PMC7197291
OpenAlex
W2953094058
Cited by
21
References
37
Citations by year
2026: 2 · 2025: 4 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 2
FWCI
1.71
Type
journal article
Language
en
Open access
Licence
Locations
  • Alcohol (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • OSTI OAI (U.S. Department of Energy Office of Scientific and Technical Information) (submittedVersion)
Funders
Fogarty International Center
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
alcohol consumption, alcohol abuse, trauma patients, family members, social norms, stigma, alcohol cessation, emergency department patients, Moshi, Tanzania, alcohol-related injuries
MeSH terms
Adolescent, Adult, Alcohol Drinking, Alcoholism, Emergency Service, Hospital, Family, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Perception, Tanzania, Wounds and Injuries, Focus Groups, Young Adult, Social Stigma

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