ArticleSubstance abuse treatment, prevention, and policy2022
Missed opportunity for alcohol use disorder screening and management in primary health care facilities in northern rural Tanzania: a cross-sectional survey.
Article in Substance abuse treatment, prevention, and policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 35 citations in OpenAlex.
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- Article
- Alcohol Use, Risky Alcohol Use, and Associated Factors Among Adults Living with HIV in Urban Dar es Salaam, Tanzania.AIDS and behavior · 2026Article
- Alcohol use and alcohol use disorders as a mediator between common mental disorders and antiretroviral therapy adherence among people living with HIV in Tanzania.AIDS research and therapy · 2025Article
- 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
- Early signs of cardiovascular abnormalities in patients with alcohol misuse.Alcohol, clinical & experimental research · 2025Article
- Barriers to alcohol intervention program: a scoping review.Korean journal of family medicine · 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
- Article
- Navigating alcohol's impact: A mixed-methods analysis of community perceptions and consequences in Northern Tanzania.PloS one · 2025Article
- Prevalence and Factors Associated With Alcohol Use Disorder Among People Attending Primary Health Care Facilities in Rupandehi District, Nepal.Global health, epidemiology and genomics · 2025Article
- Global and regional burden of alcohol-associated liver disease and alcohol use disorder in the elderly.JHEP reports : innovation in hepatology · 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
- The landscape and level of alcohol policy enforcement in Tanzania.PLOS global public health · 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
- Type 2 Diabetes Mellitus in Tanzania. A Narrative Review of Epidemiology and Disease Trend.Current diabetes reviews · 2024Review
- "medRxiv : the preprint server for health sciences · 2023Article
- Adaptation of a model for integration of interventions for alcohol use disorders in primary health care in Tanzania.BMC primary care · 2023Article
- Alcohol use among emergency medicine department patients in Tanzania: A comparative analysis of injury versus non-injury patients.PLOS global public health · 2023Article
- A mixed-methods comparison of gender differences in alcohol consumption and drinking characteristics among patients in Moshi, Tanzania.PLOS global public health · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 4 countries.
Funding
Abstract
objectiveThe study aimed to identify the missed opportunity for detection and management of alcohol use disorder by primary health care workers.
designA cross-sectional survey
settingOutpatient services in the six governmental primary health care facilities in Moshi district council in Tanzania.
participantsA total of 1604 adults were screened for alcohol use disorder (AUD) using the Alcohol Use Disorder Identification Test (AUDIT). Participants scoring 8 or above then provided details about their help-seeking behavior and barriers to seeking care. Participants' records were reviewed to assess the screening and management of AUD.
resultsIn the last 12 months, 60.7% reported alcohol use, and heavy episodic drinking (HED) was reported by 37.3%. AUD (AUDIT ≥ 8) was present in 23.9%. Males were more likely to have HED (aPR = 1.43;95% CI:1.3 to 1.4) or AUD (aPR = 2.9; 95% CI 1.9 to 4.2). Both HED and AUD increased with age. Only one participant (0.3%) had documented AUD screening and management. Only 5% of participants screening positive for AUD had sought help. Reasons for not seeking care were thinking that the problem would get better by itself (55.0%), wanting to handle the problem alone (42.0%), or not being bothered by the problem (40.0%).
conclusionWhile reported alcohol use, HED, and AUD are common among patients presenting to primary healthcare facilities in northern Tanzania, help-seeking behavior and detection are very low. Not screening for AUD in primary health care is a missed opportunity for early detection and management. There is an urgent need to develop interventions to increase the detection of AUD by health care providers, while also addressing help-seeking behavior and barriers to seeking care.
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