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dc.creatorCherpitel, Cheryl J.
dc.creatorBond, Jason
dc.creatorYe, Yu
dc.creatorBorges, Guilherme
dc.creatorRoom, Robín
dc.creatorPoznyak, Vladimir
dc.creatorHao, Wei
dc.date.accessioned2017-06-30T04:00:36Z
dc.date.available2017-06-30T04:00:36Z
dc.date.issued2006es_ES
dc.identifier2447es_ES
dc.identifier.issn0376-8716es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7088
dc.identifier.urihttps://doi.org/10.1016/j.drugalcdep.2005.10.002es_ES
dc.language.isoenges_ES
dc.publisherLimerick : Elsevieres_ES
dc.relation82 (3) 258-268 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdultes_ES
dc.subject.meshAlcohol drinkinges_ES
dc.subject.meshAlcoholic intoxication-Complicationses_ES
dc.subject.meshEmergency Service, Hospital-Statistics & numerical dataes_ES
dc.subject.meshFemalees_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshWorld Health Organizationes_ES
dc.subject.meshWounds and injuries-Epidemiologyes_ES
dc.subject.meshWounds and Injuries-Etiologyes_ES
dc.titleMulti-level analysis of causal attribution of injury to alcohol and modifying effects: Data from two international emergency room projects.es_ES
dc.typearticlees_ES
dc.contributor.affiliationAlcohol Research Group, 2000 Hearst Avenue, Berkeley, CA 94709, USA.es_ES
dc.relation.jnabreviadoDRUG ALCOHOL DEPENDes_ES
dc.relation.journalDrug and Alcohol Dependencees_ES
dc.identifier.placeIrlandaes_ES
dc.date.published2006es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1879-0046es_ES
dc.identifier.doi10.1016/j.drugalcdep.2005.10.002es_ES
dc.description.monthMayes_ES
dc.description.abstractotrodiomaAlthough alcohol consumption and injury has received a great deal of attention in the literature, less is known about patient's causal attribution of the injury event to their drinking or factors which modify attribution. Hierarchical linear modeling is used to analyze the relationships of the volume of alcohol consumed prior to injury and feeling drunk at the time of the event with causal attribution, as well as the association of aggregate individual-level and socio-cultural variables on these relationships. Data analyzed are from 1955 ER patients who reported drinking prior to injury included in 35 ERs from 24 studies covering 15 countries from the combined Emergency Room Collaborative Alcohol Analysis Project (ERCAAP) and the WHO Collaborative Study on Alcohol and Injuries. Half of those patients drinking prior to injury attributed a causal association of their injury with alcohol consumption, but the rate of causal attribution varied significantly across studies. When controlling for gender and age, the volume of alcohol consumed and feeling drunk (controlling for volume) were both significantly predictive of attribution and this did not vary across studies. Those who drink at least weekly were less likely to attribute causality at a low volume level, but more likely at high volume levels than less frequent drinkers. Attribution of causality was also less likely at low volume levels in those societies with low detrimental drinking patterns, but more likely at high volume levels or when feeling drunk compared to societies with high detrimental drinking patterns. These findings have important implications for brief intervention in the ER if motivation to change drinking behavior is greater among those attributing a causal association of their drinking with injury.es_ES


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