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Multi-level analysis of alcohol-related injury and drinking pattern: emergency department data from 19 countries.

dc.creatorCherpitel, Cheryl J.
dc.creatorYe, Yu
dc.creatorBond, Jason
dc.creatorBorges, Guilherme
dc.creatorChou, Patricia
dc.creatorNilsen, Per
dc.creatorRuan, June
dc.creatorXiang, Xiaojun
dc.date.accessioned2017-06-30T04:00:30Z
dc.date.available2017-06-30T04:00:30Z
dc.date.issued2012es_ES
dc.identifier2446es_ES
dc.identifier.issn0965-2140es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7087
dc.identifier.urihttps://doi.org/10.1111/j.1360-0443.2012.03793.xes_ES
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3330192/es_ES
dc.language.isoenges_ES
dc.publisherOxford : Wiley-Blackwelles_ES
dc.relation107 (7) 1263-1272 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdultes_ES
dc.subject.meshAgedes_ES
dc.subject.meshAlcohol drinking-Adverse effectses_ES
dc.subject.meshAlcohol drinking-Bloodes_ES
dc.subject.meshAlcohol drinking-Epidemiologyes_ES
dc.subject.meshAlcoholic beverages-Statistics & numerical dataes_ES
dc.subject.meshEmergency Service, Hospital-Statistics & numerical dataes_ES
dc.subject.meshEthanol-Bloodes_ES
dc.subject.meshFemalees_ES
dc.subject.meshHealth policyes_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMiddle agedes_ES
dc.subject.meshOdds ratioes_ES
dc.subject.meshWounds and injuries-Bloodes_ES
dc.subject.meshWounds and injuries-Epidemiologyes_ES
dc.subject.meshYoung adultes_ES
dc.subject.meshSubstanceses_ES
dc.subject.meshEthanoles_ES
dc.titleMulti-level analysis of alcohol-related injury and drinking pattern: emergency department data from 19 countries.es_ES
dc.typearticlees_ES
dc.contributor.affiliationAlcohol Research Group, 6475 Christie Avenue, Emeryville, CA 94608, USA.es_ES
dc.contributor.emailccherpitel@arg.orges_ES
dc.relation.jnabreviadoADDICTIONes_ES
dc.relation.journalAddictiones_ES
dc.identifier.placeInglaterraes_ES
dc.date.published2012es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1360-0443es_ES
dc.identifier.doi10.1111/j.1360-0443.2012.03793.xes_ES
dc.description.monthJules_ES
dc.description.abstractotrodiomaABSTRACT Aim While drinking in the event is an important factor in injury occurrence, the pattern of usual drinking may also be important in risk of injury. Explored here is the relationship of an alcohol-related injury with an individual usual drinking pattern. Design Alcohol-related injury is examined using hierarchical linear models, taking into account individual usual volume of consumption over the past 12 months, as well as aggregate-level detrimental drinking pattern (DDP) and alcohol policy measures. Setting Data analyzed are from emergency departments (EDs) in 19 countries, comprising three collaborative studies on alcohol and injury, all of which used a similar methodology. Participants The sample comprised 14 132 injured drinkers across 46 emergency room (ER) studies. Measurements Alcohol-related injury was measured, separately, by any self-reported drinking prior to injury, a blood alcohol concentration (BAC) ≥ 0.08 and self-reported causal attribution of injury to drinking. Findings While individual usual volume strongly predicted an alcohol-related injury for all three measures, usual drinking pattern also predicted an alcohol-related injury (controlling for volume), with episodic heavy and frequent heavy drinking both more predictive of alcohol-related injury than other drinking patterns. When individual usual volume and drinking pattern were controlled, DDP was no longer a significant predictor of alcohol-related injury. Alcohol policy measures were predictive of both BAC and causal attribution (the stronger the policy the lower the rates of alcohol-related injury). Conclusions Volume of alcohol typically consumed and occurrence of heavy drinking episodes are associated independently with incidence of alcohol-related injury. The stronger the anti-alcohol policies in a country, the lower the rates of alcohol-related injury.es_ES


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