Cherpitel C J
Public Health Institute Alcohol Research Group, Berkeley, CA 94709, USA.
Drug Alcohol Depend. 1999 Feb 1;53(3):231-7. doi: 10.1016/s0376-8716(98)00138-0.
While substance abuse has been found to be over-represented in some primary care settings, we do not know under what circumstances this association may vary, and whether it may be linked to differences in attitudes regarding alcohol use as reflected in regional rates of abstention and heavy or problem drinking. Data are reported from the Southern and Western regions of the 1995 National Alcohol Survey. Alcohol consumption variables were not found to be predictive of primary care utilization. Main effects were found for heavier drinking on emergency room (ER) use for an injury, and interactive effects of region were found for consequences of drinking, with those in the South who reported consequences more likely to have used the ER for either an injury or illness than those in the West. These data suggest that ER utilization may be related to regional differences in drinking patterns, while primary care utilization may not be.
虽然在一些初级保健机构中发现药物滥用现象较为普遍，但我们并不清楚这种关联在何种情况下可能会有所不同，以及它是否可能与地区戒酒率、重度饮酒或问题饮酒所反映的对酒精使用态度的差异有关。本文报告了1995年全国酒精调查中南部和西部地区的数据。未发现酒精消费变量可预测初级保健的利用率。发现重度饮酒对因伤使用急诊室有主效应，并且发现饮酒后果存在地区交互效应，与西部相比，南部报告有饮酒后果的人因伤或因病使用急诊室的可能性更大。这些数据表明，急诊室的利用率可能与饮酒模式的地区差异有关，而初级保健的利用率可能并非如此。
