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Instituto Nacional de Salud Pública

2008, Número S1

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salud publica mex 2008; 50 (S1)


Consumo de alcohol y violencia en los servicios de urgencia: resultados regionales del Estudio Colaborativo de Alcohol y Accidentes de la Organización Mundial de la Salud

Borges G, Orozco R, Cremonte M, Buzi-Figlie N, Cherpitel C, Poznyak V

Idioma: Ingles.
Referencias bibliográficas: 33
Paginas: 6-11
Archivo PDF: 157.39 Kb.


RESUMEN

Objetivo. Determinar el riesgo relativo (RR) de lesiones no intencionales y relacionadas con la violencia, asociadas al consumo de alcohol en tres Servicios de Urgencia de América Latina (2001-2002). Material y métodos. Se usó un diseño case-crossover en 447 pacientes de Argentina (A), 489 de Brasil (B) y 455 de México (M). Resultados. El 46% de los casos relacionados a la violencia consumieron alcohol (vs. 11.5% de los no-violentos). El riesgo de una lesión relacionada con la violencia se incrementó con el consumo, y tuvo una RM= 15.0, intervalo de confianza al 95% (IC= 5.8-39.1), pero correspondió a 4.2 (IC= 2.7-6.5) para las lesiones nointencionales. Conclusiones. Mayores cantidades de alcohol tienen consecuencias en el riesgo de desencadenar una lesión, especialmente en lesiones relacionadas con la violencia. Los estimadores del RR que se presentan pueden ser usados como nuevas fuentes para estimadores de la carga de la enfermedad asociada al consumo de alcohol.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Pan American Health Organization (PAHO). Pan American Health Organization: Health in the Americas. Washington: PAHO, 2002.

  2. Briceno-Leon R. Urban violence and public health in Latin America: a sociological explanatory framework. Cad Saude Publica 2005;21:1629-1648.

  3. Soares RR. The welfare cost of violence across countries. J Health Econ 2005;25:821-846.

  4. Room R, Babor T, Rehm J. Alcohol and public health. Lancet 2005;365:519-530.

  5. Cherpitel CJ. Alcohol and violence-related injuries in the emergency room. Recent Dev Alcohol 1997;13:105-118.

  6. Ogden EJ, Moskowitz H. Effects of alcohol and other drugs on driver performance. Traffic Inj Prev 2004;5:185-198.

  7. Borges G, Cherpitel CJ, Rosovsky H. Male drinking and violence-related injury in the emergency room. Addiction 1998;93:103-112.

  8. Cherpitel CJ. Drinking patterns and problems associated with injury status in emergency room admissions. Alcohol Clin Exp Res 1988;12:105-110.

  9. Vinson DC, Borges G, Cherpitel CJ. The risk of intentional injury with acute and chronic alcohol exposures: a case-control and case-crossover study. J Stud Alcohol 2003;64:350-357.

  10. Cherpitel CJ, Bond J, Ye Y, Borges G, Macdonald S, Giesbrecht N. A cross-national meta-analysis of alcohol and injury: data from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP). Addiction 2003;98:1277-1286.

  11. Cherpitel CJ, Bond J, Ye Y, Room R, Poznyak V, Rehm J, et al. Clinical assessment compared to breathalyzer readings in the ER: Concordance of ICD-10 Y90 and Y91 codes. Emerg Med J 2005;22:689-695.

  12. Borges G, Cherpitel CJ, Medina-Mora ME, Mondragon L. Violence related injuries in the emergency room: alcohol, depression, and conduct problems. Subst Use Misuse 2004;39:911-930.

  13. Maclure M. The case-crossover design: a method for studying transient effects on the risk of acute events. Am J Epidemiol 1991;133:144-153.

  14. Rothman KJ, Greenland S. Modern epidemiology. 2a. edición. Philadelphia, PA: Lippincott-Raven Publishers, 1998.

  15. Gioino G, Hansen C, Pacchioni A, Rocca F, Barrios SM, Brocca E, et al. Use of high-performance liquid chromatography with diode-array detection after a primary drug screening in patients admitted to the emergency department. Ther Drug Monit 2003;25:99-106.

  16. Míguez H. Epidemiología de la alcoholización juvenil en Argentina. Acta Psiquiatr Psicol Am Lat 2004;50:43-47.

  17. Adeodato VG, Carvalho RR, de Siqueira VR, de Matos, Souza FG. Quality of life and depression in women abused by their partners. Rev Saude Publica 2005;39:108-113.

  18. Carvalho CG, Cotrim BC, Silva AO, Sauaia N. Blood alcohol content prevalence among trauma patients seen at a level 1 trauma center. Rev Saude Publica 2002;36:47-54.

  19. Galduroz JC, Caetano R. Epidemiology of alcohol use in Brazil. Rev Bras Psiquiatr 2004;26 Suppl 1:S3-S6.

  20. Laranjeira R, Hinkly D. Evaluation of alcohol outlet density and its relation with violence. Rev Saude Publica 2002;36:455-461.

  21. Zilberman ML, Blume SB. Domestic violence, alcohol and substance abuse. Rev Bras Psiquiatr 2005;27 Suppl 2:S51-S55.

  22. Caballero MA, Ramos L. Violencia: una revisión del tema dentro del marco de trabajo de investigación en el Instituto Nacional de Psiquiatría. Salud Mental 2004;27:21-30.

  23. Smith GS, Barss P. Unintentional injuries in developing countries: the epidemiology of a neglected problem. Epidemiol Rev 1991;13:228-266.

  24. Hijar M, Carrillo C, Flores M, Anaya R, Lopez V. Risk factors in highway traffic accidents: a case control study. Accid Anal Prev 2000;32:703-709.

  25. Marin-Leon L, Vizzotto MM. Driving-related behavior: an epidemiologic study of undergraduate students. Cad Saude Publica 2003;19:515-523.

  26. Liberatti CL, Andrade SM, Soares DA. The new Brazilian traffic code and some characteristics of victims in southern Brazil. Inj Prev 2001;7:190-193.

  27. Pinsky I, Labouvie E, Laranjeira R. Willingness and alternatives to drunk driving among young people from Sao Paulo city, Brazil. Rev Bras Psiquiatr 2004;26:234-241.

  28. Hoaken PN, Stewart SH. Drugs of abuse and the elicitation of human aggressive behavior. Addict Behav 2003;28:1533-1554.

  29. Borges G, Cherpitel CJ, Mondragón L, Poznyak V, Peden M, Gutiérrez I. Episodic alcohol use and risk of nonfatal injury. Am J Epidemiol 2004;159:565-571.

  30. Borges G, Cherpitel C, Mittleman M. Risk of injury after alcohol consumption: a case-crossover study in the emergency department. Soc Sci Med 2004;58:1191-1200.

  31. Vinson DC, Mabe N, Leonard LL, Alexander J, Becker J, Boyer J, et al. Alcohol and injury. A case-crossover study. Arch Fam Med 1995;4:505-511.

  32. Vinson DC, Maclure M, Reidinger C, Smith GS. A population-based case-crossover and case-control study of alcohol and the risk of injury. J Stud Alcohol 2003;64:358-366.

  33. MacAndrew C, Edgerton RB. Drunken comportment: A social explanation. Chicago: Aldine Publishing Co., 1969.




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