The Epidemiology of Alcohol Use and Alcohol Use Disorders among Young People in Northern Tanzania
Open accessAbstract
INTRODUCTION: Alcohol use is a global public health problem, including as a risk factor for HIV infection, but few data are available on the epidemiology of alcohol use and alcohol use disorders (AUD) among young people in sub-Saharan Africa. METHODS: We conducted a cross-sectional survey among 4 groups of young people aged 15-24 years old (secondary school students, college/university students, employees of local industries and casual labourers) in two regions (Kilimanjaro and Mwanza) of northern Tanzania. Using a multistage stratified random sampling strategy, we collected information on demographics, alcohol use, and behavioural factors. We screened severity of alcohol use using the Alcohol Use Disorder Identification Test (AUDIT) and estimated the quantity and frequency of alcohol consumption using the timeline-follow-back-calendar (TLFB) method. RESULTS: A total of 1954 young people were surveyed. The prevalence of reported alcohol use was higher among males (47-70% ever users and 20-45% current users) than females (24-54% ever users and 12-47% current users). Prevalence of use was substantially higher in Kilimanjaro than Mwanza region. In both regions, participants reported high exposure to alcohol advertisements, and wide alcohol availability. College students reported the highest prevalence of current alcohol use (45% among males; 26% among females) and of heavy episodic drinking (71% among males; 27% among females) followed by casual labourers. Males were more likely to have AUD (an AUDIT score ≥8) than females, with 11-28% of males screening positive for AUD. Alcohol use was associated with male gender, being in a relationship, greater disposable income, non-Muslim religion and a higher number of sexual partners. CONCLUSIONS: Alcohol use is a significant problem among young people in northern Tanzania. There is an urgent need to develop, pilot and deliver interventions to help young people delay initiation and reduce levels of harmful drinking, particularly among college students and casual labourers.
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The landscape and level of alcohol policy enforcement in Tanzania
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Optimal Control Model for Alcohol–Related Risk Behaviors and Beliefs in Tanzania
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Fatores associados ao consumo de álcool entre trabalhadores públicos da manutenção
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Alcohol Use in Sub-Saharan Africa
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(2020) · Communications in Mathematical Biology and Neuroscience · doi:10.28919/cmbn/4749 · Cited by 4 · see citing works
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“The Kilimanjaro region has one of the highest, and rapidly increasing, reported rates of alcohol consumption per capita in the country [21].”
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Utility of Family Reports in Predicting Emergency Department Patient Alcohol Use in Tanzania
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Self-citationAlcohol education in Ugandan primary schools: teaching approaches and learners’ perspectives
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The Significance of Culture and Regulations on Alcohol Abuse Among Youths in Rombo District Council
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High-Risk Behaviors and Associated Factors among Iranian Adult Population: A National Survey
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Alcohol Use among Orphans in Sub-saharan Africa: a Literature Review
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- Authors
- Francis, J. M., Weiss, H. A., Mshana, G., Baisley, K., Grosskurth, H., & Kapiga, S. H.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- National Institute for Medical Research (TZ)
- Corresponding author
- Francis, Joel M.
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-10-07
- Volume
- 10
- Issue
- 10
- Pages
- e0140041
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4596556
- OpenAlex
- W2196354193
- Cited by
- 114
- References
- 38
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 15 · 2023: 17 · 2022: 14 · 2021: 9 · 2020: 18 · 2019: 10 · 2018: 9 · 2017: 4 · 2016: 1 · 2015: 1
- FWCI
- 3.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Funders
- Department for International Development
- Medical Research Council (MR/K012126/1)
- 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, alcoholism, youth, university students, binge drinking, alcohol availability, sex differences, sexual partners, HIV risk, northern Tanzania, Mount Kilimanjaro, Mwanza
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Cross-Sectional Studies, Female, Humans, Income, Male, Risk Factors, Sex Factors, Sexual Partners, Students, Tanzania, Prevalence, Alcohol-Related Disorders, Young Adult
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