College of Medicine, Charles Drew University of Medicine and Science, 1731 East 120th Street, Los Angeles, CA 90059, USA.
J Community Health. 2011 Aug;36(4):597-604. doi: 10.1007/s10900-010-9347-1.
We compared the prevalence of exposure to violence across different types of alcohol consumed and the association between the type of alcohol consumed and exposure to violence. A cross-sectional analysis of data collected from a sample of 295 Emergency Department (ED) patients identified as having an alcohol problem. Outcome measure include exposure to violence, and the main study predictor was "type of alcoholic drink" including: malt liquor beer (MLB), regular beer, wine cooler, wine, fortified wine or hard liquor. Using logistic regression analysis, ED patients who drank MLB in combination with other types of alcohol increased their odds of being both threatened and physically attacked by 8.5 compared to ED patients who drank other types of alcohol. Being female increased the odds of being both threatened and physically attacked by 2.5 and using illicit drugs increased the odds by 3.8. Analysis of covariance and estimated marginal means revealed that ED patients who only drank MLB had a higher exposure to violence compared to non-MLB drinkers, and that female illicit drug users who drank MLB in combination with other types of alcohol had the highest exposure to violence. MLB was identified as a predictor of the amount of exposure to violence and in particular, that the use of malt liquor beer in combination with other types of alcohol increased the risk of being both threatened and physically attacked. Implications for ED and community interventions are suggested.
我们比较了不同类型的酒精摄入与暴力接触之间的流行率，以及酒精摄入类型与暴力接触之间的关联。对 295 名被确定为有酒精问题的急诊部 (ED) 患者样本中收集的数据进行了横断面分析。结果测量包括暴力接触，主要的研究预测因素是“酒精饮料类型”，包括：麦芽酒啤酒 (MLB)、普通啤酒、酒精度数较低的葡萄酒、葡萄酒、加强葡萄酒或烈性酒。使用逻辑回归分析，与仅饮用其他类型酒精的 ED 患者相比，同时饮用 MLB 和其他类型酒精的 ED 患者受到威胁和身体攻击的几率增加了 8.5 倍。女性受到威胁和身体攻击的几率增加了 2.5 倍，使用非法药物的几率增加了 3.8 倍。协方差分析和估计边缘均值表明，仅饮用 MLB 的 ED 患者的暴力接触程度高于不饮用 MLB 的患者，并且同时饮用 MLB 和其他类型酒精的女性非法药物使用者的暴力接触程度最高。MLB 被确定为暴露于暴力程度的预测因素，特别是使用麦芽酒啤酒与其他类型的酒精混合使用会增加受到威胁和身体攻击的风险。对 ED 和社区干预提出了建议。
