Association between alcohol use and violence-related injury in emergency department patients in Moshi, Tanzania: analysis of a prospective trauma registry

Background: Harmful and hazardous alcohol use and violence are major contributors to global mortality and morbidity, despite being both predictable and preventable. This study seeks to quantify the association between violence-related injury and alcohol use disorders in a referral hospital in Moshi,...

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Main Authors: Kaitlyn Friedman, MScGH (Author), Julius Raymond (Author), Mary Catherine Minnig (Author), Francis Sakita, MD (Author), Joao Ricardo Nickenig Vissoci, PhD (Author), Catherine Staton, MD (Author)
Format: Book
Published: Elsevier, 2020-04-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Kaitlyn Friedman, MScGH  |e author 
700 1 0 |a Julius Raymond  |e author 
700 1 0 |a Mary Catherine Minnig  |e author 
700 1 0 |a Francis Sakita, MD  |e author 
700 1 0 |a Joao Ricardo Nickenig Vissoci, PhD  |e author 
700 1 0 |a Catherine Staton, MD  |e author 
245 0 0 |a Association between alcohol use and violence-related injury in emergency department patients in Moshi, Tanzania: analysis of a prospective trauma registry 
260 |b Elsevier,   |c 2020-04-01T00:00:00Z. 
500 |a 2214-109X 
500 |a 10.1016/S2214-109X(20)30159-5 
520 |a Background: Harmful and hazardous alcohol use and violence are major contributors to global mortality and morbidity, despite being both predictable and preventable. This study seeks to quantify the association between violence-related injury and alcohol use disorders in a referral hospital in Moshi, Tanzania using a prospective trauma registry. Methods: We included all adult trauma patients (>17 years of age) presenting to the Kilimanjaro Christian Medical Center in Moshi, Tanzania in the registry. The trauma registry is an extensive instrument that was translated and back-translated from English to Kiswahili by local research assistants. The registry includes demographic information, patient history, clinical diagnosis and treatment, injury and surgery information, the Patient Health Questionnaire-2 (PHQ2), a behavioural health assessment, the Alcohol Use Disorders Identification Test (AUDIT), and substance use screening. An AUDIT score of ≥8 indicates harmful alcohol use in this setting. Alcohol use in the 6 h prior before injury was determined either from self-report or a blood alcohol concentration above 0. Category of injury (violence or non-violence) was self-reported. Findings: We included data from 500 patients enrolled in the trauma registry between April 17, 2018, and Jan 12, 2019. Of these, 84 patients (16·8%) reported that their injury was due to violence. Patients with violence-related injuries were 2·21 times more likely to have a positive alcohol status than were patients who presented with injuries not related to violence (95% CI 1·36-3·60; p<0·01). Among patients with violence-related injuries, those with a positive alcohol status were 6·26 times more likely to have an AUDIT score ≥8 than were patients with a negative alcohol status (95% CI 2·13-18·39; p<0·001). Interpretation: Alcohol use and violence-related injury pose a significant threat to health and wellbeing globally. In Moshi, Tanzania, both issues are prevalent and contribute to the burden of injury. To adequately reduce violence-related injuries in this setting, it is necessary to address harmful alcohol use. Funding: Fogarty International Center of the National Institutes of Health under Award Number K01TW010000 (PI, Staton) and the Duke Global Health Institute. 
546 |a EN 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n The Lancet Global Health, Vol 8, Iss , Pp S18- (2020) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2214109X20301595 
787 0 |n https://doaj.org/toc/2214-109X 
856 4 1 |u https://doaj.org/article/b3c59b3bccba4c37bf772eaf5887be5b  |z Connect to this object online.