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Alcohol use perceptions and risky behaviors—a mixed method study in Moshi, Tanzania

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Date
2019
Author
Zhao, Duan
Advisors
Abdullah, Abu
Staton, Catherine A
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Abstract

Background: The Kilimanjaro region has one of the highest rates of reported alcohol use per capita in Tanzania. Alcohol-related risky behaviors pose substantial threats to the health and well-being of alcohol users and people around them. This study sought to provide a better understanding of how risky behaviors are associated with alcohol use perceptions. Methods: This mixed method study took place in the Kilimanjaro Christian Medical Center. Quantitative data on alcohol use, the alcohol use disorder identification tool, alcohol-related consequences, and qualitative data on alcohol use perception and risky behaviors were collected from a hospital- and non-hospital-based sample in Moshi, Tanzania. Latent class analysis was applied to examine alcohol-related risky behaviors. Results: Three classes of risky behavior patterns were identified: “no risky behavior”, “moderate risky behaviors” and “high risky behaviors”. Membership of classes 3 was associated with the most alcohol use quantity and frequency. No association between classes and alcohol-stigma was found. Our qualitative results explored alcohol perceptions and risky behaviors and illustrated their possible associations. Conclusions: Although alcohol stigma may not associate the number of risky behaviors directly, our qualitative result helped us to understand how stigma associates with risky behaviors. This study may serve as a reference for designing and adjusting interventions for alcohol-related injury patients' needs; we can improve interventions by using our knowledge about misconception and stigma and the identified risky behaviors classes as a form of classification system.

Description
Master's thesis
Type
Master's thesis
Department
DKU- Global Health Master of Science Program
Subject
Health sciences
Alcohol stigma
Alcohol use
Latent class analysis
Risky behaviors
Tanzania
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https://hdl.handle.net/10161/18925
Citation
Zhao, Duan (2019). Alcohol use perceptions and risky behaviors—a mixed method study in Moshi, Tanzania. Master's thesis, Duke University. Retrieved from https://hdl.handle.net/10161/18925.
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