Perceptions of alcohol use among injury patients and their family members in Tanzanian society

Meier, Brian; El-Gabri, Deena; Friedman, Kaitlyn; Mvungi, Mark; Mmbaga, Blandina T.; Vissoci, João Ricardo Nickenig; Staton, Catherine A.

doi:10.1016/j.alcohol.2019.06.001

Cited by 16 publications

(20 citation statements)

References 31 publications

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“…The other important factor for the variation is the difference in availability and patterns of alcohol use in the general population across countries. 37 , 42 Alcoholic beverages like Tella, Areqe, Tej and Beer are common in the study area 37 that might be contributed to the high prevalence of AUD. This study had shown that many patients with severe mental disorders have co-morbid AUD and suffering from negative health effects of alcohol drinking in Ethiopia.…”

Section: Discussionmentioning

confidence: 93%

Alcohol Use Disorder and Its Associate Factors Relating to Patients with Severe Mental Disorders Attending Psychiatric Follow-Ups in Northwest Ethiopia

Kassew

Kiflie

Minichil

et al. 2021

NDT

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Background Patients with mental disorders have high rates of co-existing alcohol use disorder and vice versa. Alcohol use disorder has emerged as a major challenge to intervene patients with severe mental disorders. It is under-recognized and has not been investigated well in low-income countries like Ethiopia. The aim of this study was to assess the prevalence and associate factors of alcohol use disorder among patients with severe mental disorders attending psychiatric follow-ups at the University of Gondar comprehensive specialized hospital, northwest Ethiopia. Methods A total of 384 patients with severe mental disorders selected by a systematic random sampling technique took part in the interviews for this cross-sectional study. The alcohol use disorder identification test was used to assess the problem. Univariate and multivariate binary logistic regressions were computed to examine the associated factors. An adjusted odds ratio with a 95% confidence interval (CI) was used for reporting the result. Results The prevalence of alcohol use disorder among patients with severe mental disorders was 36.2%. Of the participants, 23.5%, 8.6%, and 4.1% had hazardous, harmful alcohol drinking and alcohol dependency, respectively. In the multivariate analysis, male sex, younger age, psychotic and bipolar disorder diagnoses, having poor social support, moderate and high perceived stress, and current tobacco smoking were factors significantly associated with alcohol use disorder. Conclusion The prevalence of alcohol use disorder among patients with severe mental disorders was found to be high. Early intervention and integrating treatment services for co-existing mental disorders and alcohol use disorder is important. The special treatment, where it is offered for young male patients and those with the diagnosis of psychotic and bipolar disorders, is recommended to promote the uptake of alcohol and mental health treatment services.

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Section: Discussionmentioning

confidence: 93%

Alcohol Use Disorder and Its Associate Factors Relating to Patients with Severe Mental Disorders Attending Psychiatric Follow-Ups in Northwest Ethiopia

Kassew

Kiflie

Minichil

et al. 2021

NDT

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“…Concurred with other studies, curiosity, peers, and family members seemed to considerably influence on the students' ABC behaviors [12]. In this study, alcoholic beverages seemed to be a social symbol of young people for celebration as seen in a study of Meier and colleagues [13]. Therefore, health-related agencies, schools and students' families may need to work collectively in solving such risk behaviors of young children [14] [15] [16].…”

Section: Conclusion and Recommendationmentioning

confidence: 62%

Alcoholic Beverage Consumption Behaviors Among Primary School Students

Chotchai¹

2021

Advances in Health Sciences Research

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In 1997, WHO reported that 25% of pre-adolescents used to drink alcohol worldwide. The purpose of this cross-sectional research was to explore the alcoholic beverage consumption (ABC) behaviors among 380 primary school students in Khon Kaen Province, Thailand. Data were collected by questionnaires and analyzed by descriptive statistics. The results revealed that 68 students (17.90%) used to drink and started drinking at 8 years old. For those who were in the alcohol consumption group, the average (SD) age onset of alcohol consumption was 10.78 (1.28) ; range 8-13 years. The most common reason for the first time of their ABC behaviors was curiosity in testing alcohol (64.71%). Most of them shared the drink with friends (75.00%). There were 60.29% and 48.52% of them that consumed alcohol after finishing their final examinations and birthday parties respectively. Most students can buy alcohol at the convenience stores (66.17%). There were 69.11% who had alcohol consumption with their family members. Conclusion: Curiosity, peers, celebrating events and family members seemed to considerably influence on the students' ABC behaviors. Therefore, health-related agencies, schools and students' families may need to help together in solving this drawback behavior of young children.

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“…KCMC serves the Kilimanjaro Region of Northern Tanzania as a major referral center, admitting nearly 2,000 patients annually in the emergency department (ED) alone [31]. About 30% of adult injury patients who present to KCMC have a positive alcohol by breathalyzer on arrival, and prior work has shown there is limited patient knowledge about treatment options in the region [9,31]. In the Kilimanjaro region, successful mobile health technology-based interventions have taken place providing a basis for this study [32][33][34][35][36].…”

Section: Settingmentioning

confidence: 99%

“…Harmful alcohol use in Tanzania has also been shown to be linked with lower socioeconomic status, unemployment, and male sex [6,7]. Rates of alcohol consumption are higher in the Kilimanjaro region of Tanzania than in other Northern regions of the country likely as a result of differences in reporting measures, socioeconomic status, and other cultural practices [8,9].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of SMS booster for alcohol reduction in injury patients in Tanzania

Staton

Minnig

Kozhumam

et al. 2022

PLOS Glob Public Health

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Alcohol use is associated with 3 million annual deaths globally. Harmful alcohol use, which is associated with a high burden of disease in low- and middle-income countries (LMICs), often increases the probability of traumatic injury. Treatments for harmful alcohol use in LMICs, such as Tanzania, lack trained personnel and adequate infrastructure. The aim of this study was to assess the feasibility of using SMS boosters to augment a hospital based brief negotiational intervention (BNI) in this low resourced setting. We conducted a three stage, four arm feasibility trial of a culturally adapted BNI for injury patients with harmful and hazardous drinking admitted to Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania. Post hospital discharge, two of the four arms included patients receiving either a standard or personalized short message service (SMS) booster to enhance and or perpetuate the effect of the in-hospital BNI. Text messages were sent weekly throughout a 3-month follow-up period. SMS feasibility was assessed according to the TIDier checklist evaluating what, when, how much, tailoring processes, modifications and how well (intervention fidelity). Data was collected with SMS logs and short answer surveys to participants. A total of 41 study participants were assigned to each receive 12 SMS over a three-month period; 38 received messages correctly, 3 did not receive intended messages, and 1 received a message who was not intended to. Of the 258 attempted texts, 73% were successfully sent through the messaging system. Of the messages that failed delivery, the majority were not able to be sent due to participants traveling out of cellular service range or turning off their phones. Participants interviewed in both booster arms reported that messages were appropriate, and that they would appreciate the continuation of such reminders. At 6-month follow-up, 100% (n = 11) of participants interviewed believed that the boosters had a positive impact on their behavior, with 90% reporting a large impact. This study demonstrated feasibility and acceptability of the integration of SMS mobile health technology to supplement this type of nurse-led BNI. SMS booster is a practical tool that can potentially prolong the impact of a brief hospital based intervention to enact behavioral change in injury patients with AUD.

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Perceptions of alcohol use among injury patients and their family members in Tanzanian society

Cited by 16 publications

References 31 publications

Alcohol Use Disorder and Its Associate Factors Relating to Patients with Severe Mental Disorders Attending Psychiatric Follow-Ups in Northwest Ethiopia

Alcohol Use Disorder and Its Associate Factors Relating to Patients with Severe Mental Disorders Attending Psychiatric Follow-Ups in Northwest Ethiopia

Alcoholic Beverage Consumption Behaviors Among Primary School Students

Feasibility of SMS booster for alcohol reduction in injury patients in Tanzania

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