ArticleBMC public health2018
The impact of alcohol among injury patients in Moshi, Tanzania: a nested case-crossover study.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
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Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of Alcohol and Other Drug Use in Patients Presenting to Hospital for Violence-Related Injuries: A Systematic Review.Trauma, violence & abuse · 2024Pooled it
- Trial
- Comparative study of alcohol use, alcohol use disorder, and consequences among young people and adults with injuries in Northern Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Translation and adaptation of the Brief Intervention Adherence Scale for the Tanzanian culture.Global mental health (Cambridge, England) · 2026Article
- The impact and experience of a culturally adapted brief intervention for harmful alcohol use in an emergency care setting (PPKAY: Punguza Pombe Kwa Afya Yako): A case series.medRxiv : the preprint server for health sciences · 2025Article
- Prioritization of methods for assessing alcohol use in emergency room settings: findings from a qualitative study.Health policy and planning · 2025Article
- Using the ADAPT guidance to culturally adapt a brief intervention to reduce alcohol use among injury patients in Tanzania.PLOS global public health · 2025Article
- Navigating alcohol's impact: A mixed-methods analysis of community perceptions and consequences in Northern Tanzania.PloS one · 2025Article
- "A man never cries": A mixed-methods analysis of gender differences in depression and alcohol use in Moshi, Tanzania.PLOS global public health · 2025Article
- The utility of alcohol saliva test strips compared to the breathalyzer in trauma patients in a resource-limited setting.World journal of surgery · 2024Article
- Prevalence and Factors Associated With Alcohol-Related Road Traffic Injuries in Cameroon.The Journal of surgical research · 2024Article
- A pilot study of implementing an adapted model for integration of interventions for people with alcohol use disorders in Tanzanian primary healthcare facilities.BMC health services research · 2024Article
- Identifying and Validating Alcohol Diagnostics for Injury-Related Trauma in South Africa: Protocol for a Mixed Methods Study.JMIR research protocols · 2024Article
- Financial toxicity and acute injury in the Kilimanjaro region: An application of the Three Delays Model.PloS one · 2024Article
- "When a man drinks alcohol it's cool but when a woman drinks she is a hoe": A qualitative exploration of alcohol, gender, stigma, and sexual assault in Moshi, Tanzania.PLOS global public health · 2024Article
- The burden of generational harm due to alcohol use in Tanzania: A mixed method study of pregnant women.PLOS global public health · 2024Article
- Sex differences in alcohol use patterns and related harms: A mixed-methods, cross-sectional study of men and women in northern Tanzania.PLOS global public health · 2024Article
- Development of culturally-appropriate text message booster content to follow a brief intervention focused on reducing alcohol related harms for injury patients in Moshi, Tanzania.PLOS global public health · 2024Article
- "medRxiv : the preprint server for health sciences · 2023Article
- "medRxiv : the preprint server for health sciences · 2023Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundGlobally, alcohol is responsible for 3.3 million deaths annually and contributes to 5.9% of the overall global burden of disease. In Sub-Saharan Africa, alcohol is the leading avoidable risk factor accounting for a substantial portion of death and disability. This project aimed to determine the proportion of injuries related to alcohol and the increased risk of injury due to alcohol among injury patients seeking care at the emergency department (ED) of Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania.
methodsA representative cross-sectional sample of adult patients presenting to the KCMC ED with acute injury were enrolled in this study with a nested case-crossover design. Patient demographics, injury characteristics, and severity as well as alcohol use behaviors were collected. Alcohol breathalyzers were administered to the enrolled patients. Data on activities and alcohol use were collected for the time period 6 h prior to injury and two control periods: 24-30 h prior to injury and 1 week prior to injury.
resultsDuring 47 weeks of data collection, 24,070 patients were screened, of which 2164 suffered injuries, and 516 met the inclusion and exclusion criteria, consented to participate, and had complete data. Of the study participants, 76% were male, and 30% tested positive for alcohol on arrival to the ED. Alcohol use was associated with being male and being employed. Alcohol use was associated with an increased risk of injury (OR 5.71; 95% CI 3.84-8.50), and specifically road traffic injuries were associated with the highest odds of injury with alcohol use (OR 6.53, 95% CI 3.98-10.71). For all injuries and road traffic injuries specifically, we found an increase in the odds of injury with an incremental increase in the dose of alcohol.
conclusionsAt KCMC in Moshi, Tanzania, 3 of 10 injury patients tested positive for alcohol on presentation for care. Similarly, alcohol use conveys an increased risk for injury in this setting. Evidence-based prevention strategies for alcohol-related injuries need to be implemented to reduce alcohol misuse and alcohol-related injuries.
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