ArticleAlcoholism, clinical and experimental research2020
A Mixed-Methods Study: Sex Differences in Experiences of Stigma Associated With Alcoholism and Alcohol Use Disorders Among Injury Patients in Tanzania.
Article in Alcoholism, clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 28 citations in OpenAlex.
- Decoding the bidirectional links between alcohol misuse and aggression: toward a unified translational framework.Psychopharmacology · 2026Review
- Intersectional Stigma and Health of People Living with HIV on ART Who Use Alcohol in Southwestern Uganda.AIDS and behavior · 2026Article
- Article
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- Alcohol use disorder among people diagnosed with tuberculosis in a large urban case-finding project in central Uganda: prevalence, associated factors and challenges to treatment adherence.Substance abuse treatment, prevention, and policy · 2025Article
- Exploring perceptions of the services offered in Tanzanian sober houses: a mixed- methods study among service users and providers.BMC health services research · 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
- Epidemiology of alcohol use disorder in the general population of Togo and Benin: the ALCOTRANS study.BMC public health · 2024Article
- Stigmatization of drinking patients with liver cancer: The role of socioeconomic status.Heliyon · 2024Article
- Global and regional burden of alcohol-associated liver disease and alcohol use disorder in the elderly.JHEP reports : innovation in hepatology · 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
- "medRxiv : the preprint server for health sciences · 2023Article
- "medRxiv : the preprint server for health sciences · 2023Article
- Factors influencing the acceptability of alcohol drinking for a patient with colorectal cancer.PloS one · 2023Article
- A mixed-methods comparison of gender differences in alcohol consumption and drinking characteristics among patients in Moshi, Tanzania.PLOS global public health · 2023Article
- Hazardous alcohol use and HIV indicators in six African countries: results from the Population-based HIV Impact Assessments, 2015-2017.Journal of the International AIDS Society · 2022Article
- Utility of Family Reports in Predicting Emergency Department Patient Alcohol Use in Tanzania.Journal of studies on alcohol and drugs · 2022Article
- Heavy drinking and problem drinking among youth in Uganda: A structural equation model of alcohol marketing, advertisement perceptions and social norms.Drug and alcohol review · 2022Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundEach year, alcohol use causes 3.3 million deaths globally and accounts for nearly 30% of injuries treated at Kilimanjaro Christian Medical Center (KCMC) in Moshi, Tanzania. Prior research found significant stigma toward patients reporting alcohol use in general and among healthcare providers for this population.
methodsThis mixed-methods study aimed to identify sex-based perspectives of stigma among injury patients, family members, and local community advisory board (CAB) members. Injury patients from the emergency room at KCMC were asked to complete surveys capturing consumption of alcohol, perceived stigma, and consequences of drinking. Patients who completed the survey, their family members, and members of a CAB were also recruited to take part in focus groups led by a trained bilingual research nurse. Data were analyzed using multiple linear regression and Wilcoxon rank sum tests with alpha level set at 0.05.
resultsResults showed that sex was a significant predictor of perceived discrimination (p = 0.037, Standard Error (SE) = 1.71 (0.81)) but not for perceived devaluation (p = 0.667, SE = -0.38 (0.89)). Focus groups revealed there were global negative perceptions of the amount of alcohol consumed as well as negative perceptions toward disclosure of alcohol use to healthcare providers. Sex differences in stigma emerged when participants were specifically asked about women and their alcohol consumption.
conclusionsThe findings of this study suggest there is an underlying sex difference, further stigmatizing women for alcohol use among the injury patient population at KCMC. Tanzanian women suffer from unequal access to health care, and the stigmatization of alcohol use likely increases this disparity.
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