ArticleAlcoholism, clinical and experimental research2020
Alcohol Availability, Cost, Age of First Drink, and Its Association with At-Risk Alcohol Use in Moshi, Tanzania.
Article in Alcoholism, clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 26 citations in OpenAlex.
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- Schistosomiasis mansoni and alcohol abuse comorbidity: Prevalence and risk factors among adults in Makenene, Cameroon.PLoS neglected tropical diseases · 2026Article
- Article
- Translation and adaptation of the Brief Intervention Adherence Scale for the Tanzanian culture.Global mental health (Cambridge, England) · 2026Article
- Maternal alcohol consumption during pregnancy and associated factors among pregnant women in Tanzania: evidence from the 2022 Tanzania Demographic and Health Survey.BMC pregnancy and childbirth · 2025Article
- "A man never cries": A mixed-methods analysis of gender differences in depression and alcohol use in Moshi, Tanzania.PLOS global public health · 2025Article
- Using the ADAPT guidance to culturally adapt a brief intervention to reduce alcohol use among injury patients in Tanzania.PLOS global public health · 2025Article
- Navigating alcohol's impact: A mixed-methods analysis of community perceptions and consequences in Northern Tanzania.PloS one · 2025Article
- "When a man drinks alcohol it's cool but when a woman drinks she is a hoe": A qualitative exploration of alcohol, gender, stigma, and sexual assault in Moshi, Tanzania.PLOS global public health · 2024Article
- The association between alcohol consumption and intimate partner violence in young male perpetrators in Mwanza, Tanzania: a cross-sectional study.Global health action · 2023Article
- "medRxiv : the preprint server for health sciences · 2023Article
- "medRxiv : the preprint server for health sciences · 2023Article
- Prevalence and factors associated with potential substance use disorders among police officers in urban Tanzania: a cross-sectional study.BMC psychiatry · 2023Article
- Alcohol use among emergency medicine department patients in Tanzania: A comparative analysis of injury versus non-injury patients.PLOS global public health · 2023Article
- A mixed-methods comparison of gender differences in alcohol consumption and drinking characteristics among patients in Moshi, Tanzania.PLOS global public health · 2023Article
- Article
- Utility of Family Reports in Predicting Emergency Department Patient Alcohol Use in Tanzania.Journal of studies on alcohol and drugs · 2022Article
- Heavy drinking and problem drinking among youth in Uganda: A structural equation model of alcohol marketing, advertisement perceptions and social norms.Drug and alcohol review · 2022Article
- Features of alcohol advertisements across five urban slums in Kampala, Uganda: pilot testing a container-based approach.BMC public health · 2022Article
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Authors and funding
8 authors at 6 institutions in 3 countries.
Funding
Abstract
backgroundThe Kilimanjaro region has one of the highest levels of reported alcohol intake per capita in Tanzania. Age at first drink has been found to be associated with alcohol problems in adulthood, but there is less information on the age of first drink in the Kilimanjaro region and its associations with alcohol-related consequences later in life. Furthermore, local alcohol cost and availability may influence the prevalence of alcohol use and alcohol use disorders.
methodsData on the age of first drink, alcohol use disorder identification tool (AUDIT), number and type of alcohol consequences (DrInC), and perceived alcohol at low cost and high availability for children and adolescents were collected from an alcohol and health behavior survey of injury patients (N = 242) in Moshi, Tanzania. Generalized linear models were used to test age at first drink, perceived alcohol cost and availability, and their association with the AUDIT and DrInC scores, and current alcohol use, respectively.
resultsConsuming alcohol before age 18 was significantly associated with higher AUDIT and DrInC scores, with odds ratios of 1.22 (CI: 1.004, 1.47) and 1.72 (CI: 1.11, 2.63), respectively. Female gender is strongly associated with less alcohol use and alcohol consequences, represented by an odds ratio of 3.70 (CI: 1.72, 8.33) for an AUDIT score above 8 and an odds ratio of 3.84 (CI: 2.13, 6.67) with the DrInC score. Perceived high availability of alcohol for children is significantly related to higher alcohol use quantity, with the odds ratio of 1.6 (CI: 1.17, 2.20).
conclusionsThe first use of alcohol before the age of 18 is associated with higher alcohol use and alcohol-related adverse consequences. In Tanzania, age at first drink is an important target for interventions aiming to prevent negative alcohol-related consequences later in life.
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