Levinson Daphna, Rosca Paola, Vilner Doron, Brimberg Idit, Stall Yael, Rimon Ayelet
Research & Planning, Mental Health Services, Ministry of Health, Jerusalem, Israel.
Department for the Treatment of Substance Abuse, Ministry of Health, Jerusalem, Israel & Hebrew University Jerusalem, Jerusalem, Israel.
Isr J Health Policy Res. 2017 Jul 1;6(1):34. doi: 10.1186/s13584-017-0156-1.
Alcohol use is a major preventable public health problem with serious health and social consequences especially among youth. In Israel, alcohol use has become an emerging problem during the last decade, and its use has increased among adolescents and young adults. Binge drinking is the common pattern of alcohol consumption among young adults who drink for recreational purposes. The present survey was conducted among 16-35 years old visitors to the ED. The aim was specifically to identify binge drinkers in order to assess the scope of the need for a brief counseling intervention among young people who arrive intoxicated to a large tertiary care urban ED in Israel.
The survey was conducted throughout a 1 week period (24 h per day) at the general EDs in a large, tertiary care center, situated in Tel Aviv. During the survey week, 946 individuals, aged 16-35, visited the ED and 573 (63%) of them were approached for an interview. 89% of those approached agreed to be interviewed. Consenting patients [N = 348] were asked whether they drink any alcohol, how often they drink and how much.
About one fifth of those interviewed were in the habit of consuming more than four units of alcohol per occasion. Drinking several times a week or every day was reported by 19% of the males and 26% of the females. Frequency of the drinking episodes was highly correlated with the number of units of drink per occasion.
The study found a very high rate of binge drinking among ED visitors, and this suggests a need for large scale ED-based interventions. As binge drinkers are at elevated risk for accidents, violence and related problems, effective ED-based interventions could make an important contribution to public health. Accordingly, Israel is in the process of assessing the effectiveness of a large-scale ED-based counseling intervention.
Trial registration number 0230-13-TLV.
饮酒是一个主要的可预防的公共卫生问题，会造成严重的健康和社会后果，在年轻人中尤为如此。在以色列，饮酒在过去十年中已成为一个新出现的问题，其在青少年和年轻人中的使用有所增加。暴饮是为娱乐目的而饮酒的年轻人中常见的饮酒模式。本次调查是在年龄为16至35岁的急诊部就诊者中进行的。目的是特别识别暴饮者，以便评估在以色列一家大型城市三级医疗急诊部因醉酒前来就诊的年轻人中进行简短咨询干预的需求范围。
调查在位于特拉维夫的一家大型三级医疗中心的普通急诊部进行，为期1周（每天24小时）。在调查周期间，946名年龄在16至35岁之间的人前往急诊部就诊，其中573人（63%）被邀请接受访谈。被邀请者中有89%同意接受访谈。同意参与的患者（N = 348）被问及他们是否饮酒、饮酒频率以及饮酒量。
约五分之一的受访者有每次饮酒超过四个酒精单位的习惯。19%的男性和26%的女性报告每周饮酒几次或每天饮酒。饮酒频率与每次饮酒的酒精单位数量高度相关。
研究发现急诊部就诊者中暴饮率非常高，这表明需要在急诊部开展大规模干预措施。由于暴饮者发生事故、暴力及相关问题的风险较高，有效的急诊部干预措施可为公共卫生做出重要贡献。因此，以色列正在评估基于急诊部的大规模咨询干预措施的有效性。
试验注册号0230 - 13 - TLV。
