El-Gabri Deena, Toomey Nicole, Gil Nelly Moraes, de Oliveira Aline Chotte, Calvo Paulo Rafael Sanches, Tchuisseu Yolande Pokam, Williams Sarah, Andrade Luciano, Vissoci Joao Ricardo Nickenig, Staton Catherine
Duke Global Health Institute, Duke University, Durham, NC, United States.
Division of Emergency Medicine, Duke University Medical Center, Durham, NC, United States.
Front Public Health. 2020 Mar 25;8:66. doi: 10.3389/fpubh.2020.00066. eCollection 2020.
Previous research has corroborated a high burden of alcohol-related injury in Brazil and the presence of socioeconomic disparities among the injured. Yet, individual-level data is scarce. To fill this gap, we examined the association between demographic and socioeconomic characteristics with non-fatal alcohol-related injury in Maringá, Brazil. We used household survey data collected during a 2015 cross-sectional study. We conducted univariate and multivariate analyses to evaluate associations of demographic (age, gender, race) and socioeconomic characteristics (employment, education, income) with non-fatal alcohol-related injury. Of the 995 participants who reported injuries, 62 (6.26%) were alcohol-related. Fifty-three (85%) alcohol-related injuries were reported by males. Multivariate analysis indicated being male (OR = 5.98 95% CI = 3.02, 13.28), 15-29 years of age (OR = 3.62 95% CI = 1.72, 7.71), and identifying as Black (OR = 2.38 95% CI = 1.09, 4.95) were all significantly associated with increased likelihood of reporting an alcohol-related injury, whereas unemployment was significantly associated with decreased likelihood of reporting an alcohol-related injury (OR = 0.41 95% CI = 0.18, 0.88). Our findings suggest that in Maringá, being male, between the ages of 15 and 29, employed, or identifying as Black were characteristics associated with a higher risk for non-fatal alcohol-related injury. Individual level data, such as ours, should be considered in combination with area-level and country-level data when developing evidence-based public-health policies.
先前的研究证实,巴西与酒精相关的伤害负担沉重,且受伤者之间存在社会经济差异。然而,个体层面的数据却很匮乏。为填补这一空白,我们研究了巴西马林加市人口统计学和社会经济特征与非致命性酒精相关伤害之间的关联。我们使用了在2015年横断面研究中收集的家庭调查数据。我们进行了单变量和多变量分析,以评估人口统计学特征(年龄、性别、种族)和社会经济特征(就业、教育、收入)与非致命性酒精相关伤害之间的关联。在报告受伤的995名参与者中,62人(6.26%)的伤害与酒精有关。53例(85%)与酒精相关的伤害是男性报告的。多变量分析表明,男性(比值比=5.98,95%置信区间=3.02,13.28)、15至29岁(比值比=3.62,95%置信区间=1.72,7.71)以及自认为是黑人(比值比=2.38,95%置信区间=1.09,4.95)均与报告酒精相关伤害的可能性增加显著相关,而失业与报告酒精相关伤害的可能性降低显著相关(比值比=0.41,95%置信区间=0.18,0.88)。我们的研究结果表明,在马林加市,男性、年龄在15至29岁之间、就业或自认为是黑人是与非致命性酒精相关伤害风险较高相关的特征。在制定基于证据的公共卫生政策时,应将我们这样的个体层面数据与地区层面和国家层面的数据结合起来考虑。