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The impact of alcohol among injury patients in Moshi, Tanzania: a nested case-crossover study.

Publication ,  Journal Article
Staton, CA; Vissoci, JRN; Toomey, N; Abdelgadir, J; Chou, P; Haglund, M; Mmbaga, BT; Mvungi, M; Swahn, M
Published in: BMC Public Health
February 21, 2018

BACKGROUND: Globally, alcohol is responsible for 3.3 million deaths annually and contributes to 5.9% of the overall global burden of disease. In Sub-Saharan Africa, alcohol is the leading avoidable risk factor accounting for a substantial portion of death and disability. This project aimed to determine the proportion of injuries related to alcohol and the increased risk of injury due to alcohol among injury patients seeking care at the emergency department (ED) of Kilimanjaro Christian Medical Centre (KCMC) in Moshi, Tanzania. METHODS: A representative cross-sectional sample of adult patients presenting to the KCMC ED with acute injury were enrolled in this study with a nested case-crossover design. Patient demographics, injury characteristics, and severity as well as alcohol use behaviors were collected. Alcohol breathalyzers were administered to the enrolled patients. Data on activities and alcohol use were collected for the time period 6 h prior to injury and two control periods: 24-30 h prior to injury and 1 week prior to injury. RESULTS: During 47 weeks of data collection, 24,070 patients were screened, of which 2164 suffered injuries, and 516 met the inclusion and exclusion criteria, consented to participate, and had complete data. Of the study participants, 76% were male, and 30% tested positive for alcohol on arrival to the ED. Alcohol use was associated with being male and being employed. Alcohol use was associated with an increased risk of injury (OR 5.71; 95% CI 3.84-8.50), and specifically road traffic injuries were associated with the highest odds of injury with alcohol use (OR 6.53, 95% CI 3.98-10.71). For all injuries and road traffic injuries specifically, we found an increase in the odds of injury with an incremental increase in the dose of alcohol. CONCLUSIONS: At KCMC in Moshi, Tanzania, 3 of 10 injury patients tested positive for alcohol on presentation for care. Similarly, alcohol use conveys an increased risk for injury in this setting. Evidence-based prevention strategies for alcohol-related injuries need to be implemented to reduce alcohol misuse and alcohol-related injuries.

Duke Scholars

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Published In

BMC Public Health

DOI

EISSN

1471-2458

Publication Date

February 21, 2018

Volume

18

Issue

1

Start / End Page

275

Location

England

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Tanzania
  • Risk Assessment
  • Public Health
  • Middle Aged
  • Male
  • Humans
  • Female
  • Emergency Service, Hospital
 

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Staton, C. A., Vissoci, J. R. N., Toomey, N., Abdelgadir, J., Chou, P., Haglund, M., … Swahn, M. (2018). The impact of alcohol among injury patients in Moshi, Tanzania: a nested case-crossover study. BMC Public Health, 18(1), 275. https://doi.org/10.1186/s12889-018-5144-z
Staton, Catherine A., Joao Ricardo Nickenig Vissoci, Nicole Toomey, Jihad Abdelgadir, Patricia Chou, Michael Haglund, Blandina T. Mmbaga, Mark Mvungi, and Monica Swahn. “The impact of alcohol among injury patients in Moshi, Tanzania: a nested case-crossover study.BMC Public Health 18, no. 1 (February 21, 2018): 275. https://doi.org/10.1186/s12889-018-5144-z.
Staton CA, Vissoci JRN, Toomey N, Abdelgadir J, Chou P, Haglund M, et al. The impact of alcohol among injury patients in Moshi, Tanzania: a nested case-crossover study. BMC Public Health. 2018 Feb 21;18(1):275.
Staton, Catherine A., et al. “The impact of alcohol among injury patients in Moshi, Tanzania: a nested case-crossover study.BMC Public Health, vol. 18, no. 1, Feb. 2018, p. 275. Pubmed, doi:10.1186/s12889-018-5144-z.
Staton CA, Vissoci JRN, Toomey N, Abdelgadir J, Chou P, Haglund M, Mmbaga BT, Mvungi M, Swahn M. The impact of alcohol among injury patients in Moshi, Tanzania: a nested case-crossover study. BMC Public Health. 2018 Feb 21;18(1):275.
Journal cover image

Published In

BMC Public Health

DOI

EISSN

1471-2458

Publication Date

February 21, 2018

Volume

18

Issue

1

Start / End Page

275

Location

England

Related Subject Headings

  • Young Adult
  • Wounds and Injuries
  • Tanzania
  • Risk Assessment
  • Public Health
  • Middle Aged
  • Male
  • Humans
  • Female
  • Emergency Service, Hospital