ALCOHOL USE AMONG FATALLY INJURED VICTIMS IN SAO PAULO, BRAZIL: BRIDGING THE GAP BETWEEN RESEARCH AND HEALTH SERVICES IN DEVELOPING COUNTRIES
| Autor: | Gabriel, Andreuccetti, Vilma, Leyton, Nikolas P, Lemos, Ivan Dieb, Miziara, Yu, Ye, Juliana, Takitane, Daniel Romero, Munoz, Arthur L, Reingold, Cheryl J, Cherpitel, Heraclito Barbosa, de Carvalho |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Time Factors Physical Injury - Accidents and Adverse Effects Alcohol Drinking Black People Medical and Health Sciences White People Article Alcohol Use and Health Substance Misuse Prevalence Humans Traffic Developing Countries BAC injuries Research Psychology and Cognitive Sciences Accidents Traffic Substance Abuse Injuries and accidents Health Services Brain Disorders Suicide deaths Alcoholism Cross-Sectional Studies Good Health and Well Being Accidents Wounds and Injuries Female Blood Alcohol Content Autopsy Homicide Alcohol Brazil toxicology |
| Zdroj: | Addiction (Abingdon, England), vol 112, iss 4 |
| Popis: | Background and aimsMost studies reporting alcohol use among fatally injured victims are subject to bias, particularly those related to sample selection and to absence of injury context data. We developed a research method to estimate the prevalence of alcohol consumption and test correlates of alcohol use prior to fatal injuries.Design, setting and participantsCross-sectional study based on a probability sample of fatally injured adult victims (n=365) autopsied in São Paulo, Brazil. Victims were sampled within systematically selected 8-hour sampling blocks, generating a representative sample of fatal injuries occurring during all hours of the day for each day of the week between June 2014 and December 2015.MeasurementsThe presence of alcohol and blood alcohol concentration (BAC) were the primary outcomes evaluated according to victims' socio-demographic, injury context data (type, day, time and injury place) and criminal history characteristics.FindingsAlcohol was detected in 30.1% [95% confidence interval (CI)=25.6-35.1)] of the victims, with a mean blood alcohol level (BAC) level of 0.11%w/v (95% CI=0.09-0.13) among alcohol-positive cases. Black and mixed race victims presented a higher mean BAC than white victims (P=0.03). Fewer than one in every six suicides tested positive for alcohol, while almost half of traffic-related casualties were alcohol-positive. Having suffered traffic-related injuries, particularly those involving vehicle crashes, and injuries occurring during weekends and at night were associated significantly with alcohol use before injury (P |
| Databáze: | OpenAIRE |
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