Catherine Staton

Datos Biográficos

ID2759518
NOMBRECatherine Staton
NOMBRESCatherine
APELLIDOStaton
FIRMASTATON C
AFILIACIONESDuke University
ORCID0000-0002-6468-2894
VERIFICADOSí
TOTAL DE OBRAS41
TOTAL DE CITAS2
TOTAL COMO AUTOR41
TOTAL COMO EDITOR0
PRIMER AÑO DE PUBLICACIÓN2015
AÑO MÁS RECIENTE DE PUBLICACIÓN2026
ÍNDICE H1

  • From understanding disaster risk to risk reduction solutions

    Open AccessBrian G McAdoo, Aaliya Aaliya et al.ARTICLEInternational Journal of Disaster…2026

    Anthropogenic global change is intensifying natural hazards, necessitating urgent, just, and sustainable solutions that mitigate risks without compromising the Earth systems crucial for human survival. Advances in the field of Disaster Risk Reduction have highlighted the pivotal role of social systems in generating risk, encompassing economic, political and cultural inequities, racial, gender-based and religious discrimination, and widespread lan…

  • Social drivers and pediatric injury outcomes in Northern Tanzania

    Open AccessNatalie J Tedford, Modesta Mitao et al.ARTICLEPLOS Global Public Health2026

    Trauma remains a leading cause of preventable childhood mortality and disability worldwide, with over 95% of pediatric injury-related deaths occurring in low- and middle-income countries (LMICs). Social drivers of health (SDH) – including socioeconomic status, insurance coverage, and community infrastructure – strongly influence these outcomes but remain underexplored in sub-Saharan Africa. To examine the association between selected SDH factors …

  • Translation and Adaptation of the Brief Intervention Adherence Scale for the Tanzanian Culture

    Open AccessAshley J Phillips, Natan Nascimento de Oliveira et al.ARTICLECambridge Prisms Global Mental…2026

    Background: Harmful and hazardous alcohol use poses significant health risks globally.Brief interventions (BI) have shown promise in reducing hazardous alcohol use, but fidelity to the protocol needs to be ensured, especially in low-and middle-income countries (LMICs) like Tanzania.Aims: Our study aimed to evaluate the psychometric properties of the Tanzanian-Swahili version of BI adherence scale (BAS) adapted to Tanzanian culture.Methods: A psyc…

  • Spatiotemporal trends in and challenges of addressing tuberculosis in Brazil before and after the Covid-19 pandemic, 2001–2023

    Open AccessDaiane Alves Da Silva, Rodrigo de Macedo Couto et al.ARTICLERevista Panamericana de Salud…2026

    Objective. To identify spatiotemporal patterns and clusters of tuberculosis (TB) in Brazil between 2001 and 2023, assess the impact of the COVID-19 pandemic on TB trends, and provide recommendations for targeted interventions. Methods. This ecological study analyzed secondary data from Brazil’s Notifiable Diseases Information System (known as SINAN), which covers all confirmed TB cases during the study period. Three main indicators were analyzed:…

  • Epidemiology, outcomes, and access to care for pediatric patients who underwent surgery in Northern Tanzania

    Open AccessPamela Espinoza, Theresia Mwakyembe et al.ARTICLEPLOS Global Public Health2025

    Lack of access to surgical care is common in low- and middle-income countries, where children and adolescents account for up to half of the population. However, the burden of surgical conditions and resources for children in Tanzania remains poorly defined. Our cross-sectional study aims to assess the epidemiology and outcomes of pediatric surgical procedures performed over one year at the Kilimanjaro Christian Medical Centre (KCMC), a tertiary c…

  • Emergency care knowledge, utilization, and barriers in Northern Tanzania

    Open AccessFrida Shayo, Gregory Goodluck Zaccheus et al.ARTICLEPLOS Global Public Health2025

    Background Emergency care systems are critical to improving care for time-sensitive emergency conditions. The growth and development of these systems in Sub-Saharan Africa is becoming a priority. Layperson knowledge and recognition of emergency symptoms and subsequent care-seeking behavior are key to achieving timely access to care and appropriate treatment. This study aimed to assess community knowledge of emergency conditions as well as barrier…

  • Using the Adapt guidance to culturally adapt a brief intervention to reduce alcohol use among injury patients in Tanzania

    Open AccessCatherine Staton, Armand Zimmerman et al.ARTICLEPLOS Global Public Health2025

    Harmful alcohol use is a leading risk factor for injury-related death and disability in low- and middle-income countries (LMICs). Brief negotiational interventions (BNIs) in emergency departments (EDs) effectively reduce alcohol intake and re-injury rates. However, most BNIs are developed in high-income countries, with limited evidence of their effectiveness in LMICs. To address this gap, we culturally adapted a BNI for alcohol-related injury pat…

  • The older the injured, the worse the outcomes

    Open AccessEdwin Joseph Shewiyo, Rosalia Njau et al.ARTICLEPLOS Global Public Health2025

    The number of older adults (>60 years) in Sub-Saharan Africa (SSA) is expected to double by 2050. This demographic shift has led to a rise in traumatic injuries among this population, with one in ten trauma patients in Tanzania being an older adult. Yet, geriatric specialization remains largely absent in many low- and middle-income countries (LMICs), including Tanzania. To inform strategies for optimizing care in this vulnerable group, we conduct…

  • “A man never cries”

    Open AccessAlena Pauley, Mia Buono et al.ARTICLEPLOS Global Public Health2025

    Globally, gender differences are well-documented in alcohol use behaviors and MDD, yet these remain understudied in Moshi, Tanzania. Understanding gender-specific nuances of these conditions is crucial for developing effective and culturally appropriate mental health treatments. This study aims to investigate gender differences in MDD, alcohol use, and other aspects of mental well-being among patients at Kilimanjaro Christian Medical Centre (KCMC…

  • “It’s his cheerfulness that gives me hope”

    Open AccessMadeline Metcalf, Happiness D Kajoka et al.ARTICLEPLOS Global Public Health2024

    Pediatric cancer is a significant and growing burden in low- and middle-income countries. The objective of this project was to describe the factors influencing access to pediatric cancer care in Northern Tanzania using the Three Delays Model. This was a cross-sectional qualitative study conducted between June and August 2023 at Kilimanjaro Christian Medical Centre (KCMC). Using purposive sampling methods, caregivers of children obtaining pediatri…

  • Sex differences in alcohol use patterns and related harms

    Open AccessMadeline McNee, Niveditha Badrinarayanan et al.ARTICLEPLOS Global Public Health2024

    In northern Tanzania, alcohol use disorders (AUD) are under-diagnosed and under-treated, and current services are mostly limited to men in clinical settings despite significant alcohol-related harm in the community. The study objective was to identify sex differences in alcohol use and alcohol-related harms within and across community and clinical settings. This was a congruent triangulation mixed methods study consisting of focus group discussio…

  • The burden of generational harm due to alcohol use in Tanzania

    Open AccessKirstin West, Alena Pauley et al.ARTICLEPLOS Global Public Health2024

    Background Rates of prenatal alcohol use in Sub-Saharan Africa (SSA) are increasing despite regulatory bodies urging pregnant women to abstain from alcohol. Tanzania has minimal policies, interventions, and educational programs addressing prenatal alcohol exposure. Consequently, a considerable number of mothers and their fetuses are exposed to alcohol, leading to serious health consequences like fetal alcohol spectrum disorder (FASD). Our study a…

  • “When a man drinks alcohol it’s cool but when a woman drinks she is a hoe”

    Open AccessAlena Pauley, Madeline Metcalf et al.ARTICLEPLOS Global Public Health2024

    Alcohol’s ever-increasing global use poses a distinct threat to human well-being, with intake and associated burdens rising especially quickly in low- and middle-income countries like Tanzania. Prior research has shown alcohol use and related consequences differ by gender in Moshi, Tanzania, with important implications for both clinical care and future alcohol-reduction interventions. This study builds upon this knowledge by providing a deeper un…

  • Development of culturally-appropriate text message booster content to follow a brief intervention focused on reducing alcohol related harms for injury patients in Moshi, Tanzania

    Open AccessCatherine Staton, Deepti Agnihotri et al.ARTICLEPLOS Global Public Health2024

    Alcohol use is a risk factor for death and disability and is attributed to almost one-third of injury deaths globally. This highlights the need for interventions aimed at alcohol reduction, especially in areas with high rates of injury with concurrent alcohol use, such as Tanzania. The aim of this study is to create a culturally appropriate text messages as a booster to a brief negotiational intervention (BNI), to in the Emergency Department of t…

  • Perinatal loss in Tanzania

    Open AccessSharla Rent, Raziya Gaffur et al.ARTICLEPLOS Global Public Health2024

    Over 98% of stillbirths and neonatal deaths occur in Low- and Middle-Income Countries, such as Tanzania. Despite the profound burden of perinatal loss in these regions, access to facility or community-based palliative and psychosocial care is poor and understudied. In this study we explore perinatal loss through the lens of front-line healthcare providers, to better understand the knowledge and beliefs that guide their engagement with bereaved fa…

  • Healthcare provider perspective on barriers and facilitators in the care of pediatric injury patients at a tertiary hospital in Northern Tanzania

    Open AccessElizabeth M Keating, Francis Sakita et al.ARTICLEPLOS Global Public Health2023

    Pediatric injuries are a leading cause of morbidity and mortality in low- and middle-income countries (LMICs). The recovery of injured children in LMICs is often impeded by barriers in accessing and receiving timely and quality care at healthcare facilities. The purpose of this study was to identify the barriers and the facilitators in pediatric injury care at Kilimanjaro Christian Medical Center (KCMC), a tertiary zonal referral hospital in Nort…

  • A feasibility assessment of a traumatic brain injury predictive modelling tool at Kilimanjaro Christian Medical Center and Duke University Hospital

    Open AccessPaige O’Leary, Alexis Domeracki et al.ARTICLEPLOS Global Public Health2023

    Traumatic brain injury (TBI) is the most common cause of death and disability globally. TBI, which disproportionately affects low middle-income countries (LMIC), uses significant amounts of health system resources in costly care and management. Innovative solutions are required to address this high burden of TBI. One possible solution is prognostic models which enhance diagnostic ability of physicians, thereby helping to tailor treatments more ef…

  • Machine learning models to predict traumatic brain injury outcomes in Tanzania

    Open AccessArmand Zimmerman, Cyrus Elahi et al.ARTICLEPLOS Global Public Health2023

    Constraints to emergency department resources may prevent the timely provision of care following a patient’s arrival to the hospital. In-hospital delays may adversely affect health outcomes, particularly among trauma patients who require prompt management. Prognostic models can help optimize resource allocation thereby reducing in-hospital delays and improving trauma outcomes. The objective of this study was to investigate the predictive value of…

  • Alcohol use among emergency medicine department patients in Tanzania

    Open AccessAlena Pauley, Emily C Thatcher et al.ARTICLEPLOS Global Public Health2023

    Background Alcohol is a leading behavioral risk factor for death and disability worldwide. Tanzania has few trained personnel and resources for treating unhealthy alcohol use. In Emergency Medicine Departments (EMDs), alcohol is a well-known risk factor for injury patients. At Kilimanjaro Christian Medical Center (KCMC) in Moshi, Tanzania, 30% of EMD injury patients (IP) test positive for alcohol upon arrival to the ED. While the IP population is…

  • Prioritization of surgical, obstetric, trauma, and anesthesia care in India over seven decades

    Open AccessRitika Shetty, Siddhesh Zadey et al.ARTICLEPLOS Global Public Health2023

    Improving access to surgical care in India requires policy-level prioritization of surgical, obstetric, trauma, and anesthesia (SOTA) care. We quantified SOTA care prioritization in the last seven decades by analyzing India’s national policy and programmatic documents. Forty documents of national importance over seven decades (1946–2017) were screened for a set of 52 surgical and 6 non-surgical keywords. The number of mentions per keyword was use…

  • A mixed-methods comparison of gender differences in alcohol consumption and drinking characteristics among patients in Moshi, Tanzania

    Open AccessAlena Pauley, Mia Buono et al.ARTICLEPLOS Global Public Health2023

    Excessive alcohol use stands as a serious threat to individual and community well-being, having been linked to a wide array of physical, social, mental, and economic harms. Alcohol consumption differs by gender, a trend seen both globally and in Moshi, Tanzania, a region with especially high rates of intake and few resources for alcohol-related care. To develop effective gender-appropriate treatment interventions, differences in drinking behavior…

  • Validation of a culturally sensitive, Swahili-translated instrument to assess suicide risk among adults living with HIV in Tanzania

    Open AccessLinda Minja, Brandon A Knettel et al.ARTICLECambridge Prisms Global Mental…2023

    In Tanzania, there are high rates of suicidal thoughts and behavior among people living with HIV (PLWH), yet few instruments exist for effective screening and referral. To address this gap, we developed and validated Swahili translations of the Columbia Suicide Severity Rating Scale (C-SSRS) Screen Version and two accompanying scales assessing self-efficacy to avoid suicidal action and reasons for living. We administered a structured survey to 80…

  • Roadblocks and solutions to planning surgical care for a billion Indians

    Open AccessSiddhesh Zadey, Swati Sonal et al.ARTICLEBMJ Global Health2022

  • Feasibility of SMS booster for alcohol reduction in injury patients in Tanzania

    Open AccessCatherine Staton, Catherine A Staton et al.ARTICLEPLOS Global Public Health2022

    Alcohol use is associated with 3 million annual deaths globally. Harmful alcohol use, which is associated with a high burden of disease in low- and middle-income countries (LMICs), often increases the probability of traumatic injury. Treatments for harmful alcohol use in LMICs, such as Tanzania, lack trained personnel and adequate infrastructure. The aim of this study was to assess the feasibility of using SMS boosters to augment a hospital based…

  • Barriers to accessing follow up care in post-hospitalized trauma patients in Moshi, Tanzania

    Open AccessAnjni Patel Joiner, D F Roy et al.ARTICLEPLOS Global Public Health2022

    Disproportionately high injury rates in Sub-Saharan Africa combined with limited access to care in both the acute injury phase and for injury patients requiring continued care after hospital discharge remains a challenge. We aimed to characterize barriers to transportation and access to care in a cohort of post-hospitalized injury patients in Moshi, Tanzania. This was a mixed-methods study of a prospective cohort of trauma registry patients prese…