Factors Impacting Reporting Behavior of Alcohol Use in Moshi, Tanzania

Catherine A. Staton MD, MScGHDeena El Gabri, MScGHKaitlyn Friedman, MScGH-cMonica H Swahn, PhDJon Mark Hirshon MD PhDMark Mvungi MDBlandina Mmbaga MD, PHDJoao Ricardo Nickenig Vissoci, PhD
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Background & Aims: There are limited resources and treatment for alcohol use disorders in low and middle income countries, where alcohol use disorders are under-reported. This study examines the potential factors associated with a patient’s disclosure of alcohol use to a healthcare practitioner in Moshi, Tanzania. Design: We conducted surveys amongst injury patients seeking care at Kilimanjaro Christian Medical Center, Moshi, Tanzania on demographics, alcohol use behaviors, alcohol use disorders, perceived alcohol stigma, and alcohol related complications and their impact on disclosure of alcohol use to a healthcare provider. We used path analysis modeling to evaluate the complex relationship between these variables. Setting: Kilimanjaro Christian Medical Center (KCMC), is the third largest hospital in the country and the referral hospital for northwestern Tanzania. KCMC was selected as a central location to assess general perceptions related to alcohol use in this relatively affluent region.