INVESTIGADORES
CREMONTE Mariana
congresos y reuniones científicas
Título:
Alcohol and Violence in the emergeny department: A regional report from the WHO Collaborative Study on alcohol and Injuries
Autor/es:
BORGES, G.; OROZCO, R.; CREMONTE, M.; BUZI FIGLIE N.; CHERPITEL, C.; POZNIAK, V.
Lugar:
Maastricht Holanda
Reunión:
Congreso; Reunión anual de la Kettil Bruun Society for social and Epidemiological Research in alcohol; 2006
Institución organizadora:
Kettil Bruun Society for social and Epidemiological Research in alcohol
Resumen:
ABSTRACT Objective: To determine the relative risk (RR) of non-fatal unintentional and violence-related injury associated with alcohol consumption in three Emergency Departments (EDs) in Latin America (2001-2002). Design: The pair matched case-crossover was used to obtain RR estimates of alcohol on non-fatal injuries, by causes of injury. Setting and Patients: Data are from the WHO Collaborative Study on Alcohol and Injuries with probability samples of 1391 injured patients, 447 patients in Argentina (A), 489 in Brazil (B) and 455 in Mexico (M). Interventions: Exposed cases where those that consumed alcohol six hours prior to the injury. For the pair-matching we compared the use of alcohol during the six hours prior to the injury with the same day in the previous week. Main outcome measures: Intentional (violence) or unintentional (non-violence) injury status. Results: Prevalence of violence in the ED patients was 13.5% (A=12.5%, B=10.2%, M=18.0%). About 46% of violence-related cases used alcohol (v 11.5% Non-Violence), 80% were males (v 63%), and 66% under 30 years (v 44%). The risk of a violence-related injury increased with drinking, and was OR=15.0, 95% Confidence Interval (CI) 5.8-39.1) but was 4.2 (C.I.=2.7-6.5) for the unintentional injuries. A larger dose-response for number of drinks was found for violence-related injuries than for unintentional injuries. Conclusions: Increasing amounts of drinking may have pronounced consequences in their risk of triggering an injury, especially for a violence-related injury. The RR estimates provided here can be used as new input for new estimates on alcohol and the burden of disease.