Korcha Rachael A, Cherpitel Cheryl J, Bond Jason, Ye Yu, Monteiro Maristela, Chou Patricia, Borges Guiherme, Cook Won Kim, Bassier-Paltoo Marcia, Hao Wei
Alcohol Research Group, 6475 Christie Ave. #400, Emeryville, CA USA 94608, 001-510-597-3440.
Pan American Health Organization (PAHO), Washington, DC, USA.
J Subst Use. 2018;23(3):240-246. doi: 10.1080/14659891.2017.1378747. Epub 2017 Oct 11.
It is estimated that up to a third of injuries requiring emergency department admission are alcohol-related. While injuries that are alcohol-related are unsurprising to emergency department staff, less is understood about the precursors to the injury event.
Using data from representative emergency department injury patients in 22 countries, we examined associations between context of injury (private or public), cause of injury (fall or trip, being stuck/cut/ or burned and violence) and alcohol use. Alcohol-related policy data were also obtained from each study locale.
Injuries were similarly reported in private (54%) and public settings (46%) while cause of injury was most often due to falls (39%) or being struck/cut or burned (38%). Violence-related injuries were reported by approximately 1 in 5 patients (23%). Increased odds of drinking prior to the injury event was associated with injury due to violence in private settings but not public venues. Similarly, patients from regions with fewer restrictive alcohol policies were more likely to report drinking prior to an injury event and have elevated violence-related injuries in private settings.
Understanding the cause and context of injury and alcohol use are important components to evaluation and development of alcohol policies.
据估计，高达三分之一需要急诊入院治疗的损伤与酒精有关。虽然与酒精相关的损伤对急诊科工作人员来说并不意外，但对于损伤事件的先兆了解较少。
利用来自22个国家具有代表性的急诊科损伤患者的数据，我们研究了损伤环境（私人或公共）、损伤原因（跌倒或绊倒、被卡住/割伤/烧伤以及暴力）与酒精使用之间的关联。还从每个研究地点获取了与酒精相关的政策数据。
私人环境（54%）和公共环境（46%）中报告的损伤情况相似，而损伤原因最常见的是跌倒（39%）或被撞击/割伤或烧伤（38%）。约五分之一的患者（23%）报告了与暴力相关的损伤。损伤事件前饮酒几率增加与私人环境而非公共场所因暴力导致的损伤有关。同样，来自酒精政策限制较少地区的患者更有可能报告在损伤事件前饮酒，并且在私人环境中与暴力相关的损伤有所增加。
了解损伤的原因和环境以及酒精使用情况是评估和制定酒精政策的重要组成部分。
