Evidence map›Paper›PMID 32333948›Full record

ArticleAlcohol (Fayetteville, N.Y.)2020

Alcohol stigma as it relates to drinking behaviors and perceptions of drink drivers: A mixed method study in Moshi, Tanzania.

Deena El-Gabri, João Ricardo Nickenig Vissoci, Brian J Meier, Mark Mvungi, Michael Haglund, Monica Swahn, Blandina T Mmbaga, Charles J Gerardo, Catherine A Staton

Open access · greenAbstract read
In one paragraph

Article in Alcohol (Fayetteville, N.Y.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Deena El-GabriDuke Global Health Institute, Duke University, Durham, NC, United States.
João Ricardo Nickenig VissociDuke Global Health Institute, Duke University, Durham, NC, United States; Duke Emergency Medicine, Duke University Medical Center, Durham, NC, United States.
Brian J MeierDuke Global Health Institute, Duke University, Durham, NC, United States; Duke Emergency Medicine, Duke University Medical Center, Durham, NC, United States.
Mark MvungiKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Michael HaglundDuke Global Health Institute, Duke University, Durham, NC, United States; Division of Global Neurosurgery and Neurology, Department of Neurosurgery, Duke University Medical Center, Durham, NC, United States.
Monica SwahnGeorgia State University, Atlanta, Georgia, United States.
Blandina T MmbagaDuke Global Health Institute, Duke University, Durham, NC, United States; Kilimanjaro Christian Medical Centre, Moshi, Tanzania; Kilimanjaro Clinical Research Institute, Moshi, Tanzania; Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Charles J GerardoDuke Global Health Institute, Duke University, Durham, NC, United States; Duke Emergency Medicine, Duke University Medical Center, Durham, NC, United States.
Catherine A StatonDuke Global Health Institute, Duke University, Durham, NC, United States; Duke Emergency Medicine, Duke University Medical Center, Durham, NC, United States. Electronic address: catherine.staton@duke.edu.
Duke Medical Center · USDuke Institute for Health Innovation · USDuke University · USGeorgia State University · USKilimanjaro Christian Medical Centre · TZ

Funding

Addressing High Risk Alcohol Use Amongst Injury Patients in an Emergency Department in TanzaniaK01TW010000 · FIC · DUKE UNIVERSITY · PI STATON, CATHERINE ANN · 2015 to 2018
$477k
FIC NIH HHS K01 TW010000NIAAA NIH HHS L30 AA025227
6 · The paper itself

Abstract

backgroundAlcohol is a leading risk factor for road traffic injury in low- and middle-income countries, such as Tanzania. This research seeks to explore the drinking patterns, perceptions, and stigma of drink driving behavior of injury patients at Kilimanjaro Christian Medical Center in Moshi, Tanzania.

methodsThis mixed methods study incorporated the Perceived Alcohol Stigma (PAS), an additive Likert scale, and the Alcohol Use Disorders Identification Test (AUDIT). Results are reported as medians with IQRs. Additionally, focus groups with injury patients, their families, and community members (n = 104) were conducted and analyzed in pairs using an inductive thematic content analysis approach.

resultsThose who self-reported driving after ingesting 3 or more alcoholic drinks had a median AUDIT score (median = 11.0) significantly higher than those who denied drink driving (median = 5.5, p < 0.01). The PAS showed a high overall stigma against those who use alcohol but differed for drink drivers, drinkers, and abstainers (median = 20.8, 23.9, 34.9, p < 0.01). Thematic content analysis highlighted a 'disapproving of drink drivers', that 'problematic drinking is a drinking behavior which negatively affects others', and a 'passiveness toward drinking and drink driving'.

conclusionsStigma against those who use alcohol is present in Tanzania. Perceived stigma is significantly lower among those who drink drive than those who do not. Overall, there appears to be a community-wide disapproval of drinking and driving, which is coupled with feeling unable to change this risky behavior.

Indexed as

AlcoholismAutomobile DrivingDriving Under the InfluenceSocial StigmaAdultAlcohol DrinkingFemaleHumansMaleMiddle AgedPerceptionTanzaniaYoung Adultalcoholdrink drivingstigmaTanzania

Identifiers

PMID32333948
PMCPMC7501242
OpenAlexW3018033123

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.