Prevalence of and Risk Factors Associated With Alcohol Abuse in Moshi, Northern Tanzania

Mitsunaga, Tisha; Larsen, Ulla

doi:10.1017/s0021932007002441

Cited by 35 publications

(36 citation statements)

References 29 publications

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“…While only 7% of women with partners and 9.3% of women without partners were classified as probable or definite problem drinkers in a population-based survey in Moshi [30], 37% of our study participants were classified as having probable or definite problem drinking on the same alcohol scale. This indicates that problem drinking is a major public health concern among women working in these settings and effective interventions are needed to address this issue.…”

Section: Discussionmentioning

confidence: 54%

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Risk Factors of Alcohol Problem Drinking Among Female Bar/Hotel Workers in Moshi, Tanzania: A Multi-level Analysis

Sam

Kiwelu

et al. 2010

AIDS Behav

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There is limited information on alcohol problem drinking, which has been associated with sexually transmitted infections (STIs), including HIV, among female bar/hotel workers in Africa. This paper aimed to identify the individual- and facility-level determinants of alcohol problem drinking in this setting. Problem drinking was defined based on the CAGE alcohol screening scale. Multi-level logistic regression was used to identify individual- and facility-level factors associated with problem drinking. About 37.3% of women (N = 1629) were classified as having probable or definite problem drinking. In multi-level analysis, main characteristics associated with problem drinking included: having 3-4 partners in the past 5 years compared to having 1-2, used a condom in the last sex comparing to non-use, history of transactional sex, having more pregnancies, and facilities whose employees do not live on the premises. Interventions which combine alcohol and sexual risk reduction counseling are urgently needed in this population.

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Section: Discussionmentioning

confidence: 54%

“…The population based study found Christian women were more likely to be problem drinkers in the same area [30]. These observations present an opportunity to engage religious leaders in future alcohol abuse prevention initiatives.…”

Section: Discussionmentioning

confidence: 78%

Risk Factors of Alcohol Problem Drinking Among Female Bar/Hotel Workers in Moshi, Tanzania: A Multi-level Analysis

Sam

Kiwelu

et al. 2010

AIDS Behav

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“…Two further studies among women, one by Sa and Larsen, (2008) on the same data set, and another by Zuma et al (2003) conducted in Carletonville, South Africa corroborated these findings. A later study among the aforementioned community in Moshi, Tanzania, found no significant relationship between HIV infection and alcohol abuse (CAGE score of 2 -4) by women or men (Mitsunaga & Larsen, 2008). …”

Section: Original Articlementioning

confidence: 89%

“…In another study using data from the same community-based survey, Mitsunaga and Larsen (2008) The association between self-reported alcohol use before sex, physical violence/sexual coercion in the past and HIV prevalence was examined in a sample of young women from a population-based cohort in Rakai, Uganda (Zablotska et al, 2009 …”

Section: Community/population-based Studiesmentioning

confidence: 99%

Descriptive systematic review of sub-Saharan African studies on the association between alcohol use and HIV infection

Pithey

Parry

2009

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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The purpose of this review was to identify and assess studies that have quantified the association between alcohol consumption and HIV infection in sub-Saharan Africa. PubMed, CAB Abstracts and article references were searched to identify studies published in English between 2000 and 2008 that reported relative measures of the association between alcohol use and HIV prevalence and/or seroconversion rates. Twenty-one eligible studies were described in detail and information on study characteristics extracted. All of the identified studies were conducted either in east or southern Africa, and varied substantially regarding study population and alcohol use definitions. Overall, users of alcohol and especially problem drinkers were more likely to be HIV seropositive (HIV+) than non-users, frequency or quantity of alcohol use was positively associated with HIV prevalence, and the association varied by gender. The use of alcohol in sexual contexts was significantly associated with an increased risk of HIV acquisition and prevalence.The findings of this review of sub-Saharan African research strongly support an association between alcohol consumption and HIV infection. Although a causal relationship could not be established with certainty from the mainly cross-sectional studies, the negative consequences of such an association have profound implications for the burden of disease in this region. To confirm causality, future research should use prospective study designs, use clearly defined standardised measures of alcohol use (and problematic drinking) and an 'event-specific' approach to examine the situational links between alcohol use and HIV acquisition. Keywords: Alcohol, HIV, sexual risk, Africa.Anne Pithey is an independent researcher who has worked for the Alcohol and Drug Abuse Research Unit (ADARU) of the South African Medical Research Council (MRC) over a number of years. Her primary role has been to undertake systematic reviews of the literature and to assist with a variety of writing tasks. She holds an MSc (Med) from the University of Cape Town. Charles

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“…An additional eight nonoverlapping studies published prior to 2009 were identified from our previous narrative review (Allen et al, 1992;Bassett et al, 1996;Clift et al, 2003;Dunkle et al, 2004;Fisher, Cook, Sam, & Kapiga, 2008;Msuya et al, 2006;St. Lawrence et al, 2006;Zablotska et al, 2009) and three additional studies reported in Pithy and Parry (2009) (Mitsunaga & Larsen, 2008;Mmbaga et al, 2007;Seme, Mariam, & Worku, 2005). These additional three studies were likely not included in our review due to the use of different electronic databases (PsycINFO vs. PubMed).…”

Section: Methods Literature Reviewmentioning

confidence: 99%

An update on alcohol use and risk of HIV infection in sub-Saharan Africa: Meta-analysis and future research directions

Woolf‐King

Steinmaus

Reingold

et al. 2013

IJADR

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Aims: Sub-Saharan Africa is disproportionately affected by HIV/AIDS, and growing evidence suggests that alcohol consumption is a co-occurring problem in the region. We conducted a meta-analysis on studies of alcohol use and HIV infection in subSaharan Africa in order to assess associations, evaluate heterogeneity in the literature, identify susceptible subgroups, and suggest avenues for future research.Design: We performed a systematic review, including published review articles and electronic database searches, and identified 35 studies on alcohol use and HIV. Setting and participants:All of the studies included in the meta-analysis occurred with adults in sub-Saharan Africa.Measurements: Pooled odds ratio (OR) estimates were calculated using both the fixed inverse variance weighting method and the random effects method when evidence of heterogeneity was present. Findings:The pooled OR estimate for all studies was 1.61 (95% CI: 1.44-1.80). The association between alcohol use and prevalence or incident HIV infection was particularly large among samples who reported problem drinking (OR = 2.17, 95% CI: 1.64-2.87) and drinking in sexual contexts (OR = 1.79, 95% CI: 1.55-2.06). Some evidence of publication bias was present; however, the OR remained statistically significant in small and large studies and with population-based and high-risk samples.

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Prevalence of and Risk Factors Associated With Alcohol Abuse in Moshi, Northern Tanzania

Cited by 35 publications

References 29 publications

Risk Factors of Alcohol Problem Drinking Among Female Bar/Hotel Workers in Moshi, Tanzania: A Multi-level Analysis

Risk Factors of Alcohol Problem Drinking Among Female Bar/Hotel Workers in Moshi, Tanzania: A Multi-level Analysis

Descriptive systematic review of sub-Saharan African studies on the association between alcohol use and HIV infection

An update on alcohol use and risk of HIV infection in sub-Saharan Africa: Meta-analysis and future research directions

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