Stephens C J
Institute of Epidemiology and Behavioral Medicine, Medical Research Institute of San Francisco, Berkeley, CA 94709.
Drug Alcohol Depend. 1987 Nov;20(2):115-27. doi: 10.1016/0376-8716(87)90060-3.
The data reported are from a 20% probability sample (n = 2516) of all adult patients seeking care in the emergency room at San Francisco General Hospital during a 60-day period. Thirty-five percent (35%) of the injured and 18% of the non-injured reported drinking prior to the event. This paper compares the following variables related to drinking-in-the-event for injured and non-injured: drinking places, drinking companions, amount consumed, time lapsed between drinking and the event, effects of drinking and causality attributed by the patient to drinking and the event. When these variables were entered into a logistic regression to evaluate their predictive value on injury status, only time lapsed since the last drink and drug use prior to the event were predictive of injury with both being negatively associated with admission to the emergency room for an injury. Injuries were more likely than non-injuries to occur in close proximity to drinking (44% of injuries occurred in less than 1 h of the last drink), and close to a third of the injured attributed a causal association of drinking with the event, with 60% of these feeling they were drunk at the time of injury.
所报告的数据来自于旧金山总医院急诊室在60天内所有寻求治疗的成年患者的20%概率样本(n = 2516)。35%的受伤患者和18%的未受伤患者报告在事件发生前饮酒。本文比较了受伤患者和未受伤患者在事件中与饮酒相关的以下变量:饮酒场所、饮酒同伴、饮酒量、饮酒与事件之间的时间间隔、饮酒的影响以及患者归因于饮酒和事件的因果关系。当将这些变量纳入逻辑回归以评估它们对受伤状态的预测价值时,只有事件发生前最后一次饮酒和吸毒后的时间间隔可预测受伤情况,且两者均与因伤入住急诊室呈负相关。受伤情况比未受伤情况更有可能发生在饮酒场所附近(44%的受伤情况发生在最后一次饮酒后不到1小时内),近三分之一的受伤患者将饮酒与事件归因于因果关系,其中60%的人感觉自己在受伤时喝醉了。