2015, Number 3
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Rev Cubana Hig Epidemiol 2015; 53 (3)
Nonfatal traffic accidents related to alcohol in León, Nicaragua 2004-2008
Rocha J, Herrera A, Sapag J, Giesbrecht N, Mann R
Language: English
References: 27
Page:
PDF size: 310.40 Kb.
ABSTRACT
Introduction: ninety percent of traffic deaths occur in middle and low income
countries and are a leading cause of mortality in young people.
Objectives: describe the characteristics of patients with nonfatal injuries caused by
traffic events related to alcohol abuse who were treated in the emergency room.
Methodology: the data were selected from the Injury Surveillance System (EH). The
data were obtained from clinical and epidemiological history of emergency cases
including general and specific data on the chain of events and alcohol high risk drinking
that led to the nonfatal injury.
Results: the overall incidence rate of traffic injuries was 211.5 per 10,000 inhabitants,
and higher among those 20-34 years. Of the injured, 53% were classified as drivers
and of those 70% were cyclists, 17% motorcyclists, and 13% other vehicles. Overall,
alcohol was present in 4.8% of those injured. Victims were more likely to be under the
influence of alcohol on weekends than other days: for males 4.6:1 and for women 3.24
(95% CI, 2.40-4.38, p <0.05). Almost all injured persons were not wearing a helmet
or a seat belt. The head and the upper and lower parts of the body were the most
affected.
Conclusions: we support the design and implementation of prevention plans that
should be implemented in conjunction with communities and authorities in order to
protect vulnerable users of public roads and reducing alcohol abuse among the
population.
REFERENCES
World Health Organization. Global Status Report on Alcohol and Health. Geneva: WHO; 2011.
Peden M et al, eds. World report on road traffic injury prevention. Geneva, World Health Organization. 2004.
Informe sobre la situación mundial de la seguridad vial: es hora de pasar a la acción. Ginebra, Organización Mundial de la Salud, 2009. [Citado en noviembre de 2009] Disponible en: www.who.int/violence_injury_prevention/road_safety_status/
WHO Collaborative Study Group on Alcohol and Injuries. WHO collaborative study on alcohol and injuries: final report / WHO Collaborative Study Group. World Health Organization. 2007.
Organización Panamericana de la Salud: Informe sobre el Estado de la Seguridad Vial en la Región de las Américas. Washington, D.C 2009.
Asamblea Nacional (Nicaragua), Ley para el régimen de circulación vehicular e infracciones de tránsito. La Gaceta Diario Oficial. Managua, 2014, Mayo 27.
Pickett W, Davison C, Torunian M, McFaull S, Walsh P, et al. (2012) Drinking, Substance Use and the Operation of Motor Vehicles by Young Adolescents in Canada. PLoS ONE 7(8): e42807. doi:10.1371/journal.pone.0042807.
Vanlaar W, Robertsona R, Kyla Marcouxa K, et al. Trends in alcohol-impaired driving in Canada: accident Analysis and Prevention 48 (2012) 297-02.
Susan A. Ferguson (2012): Alcohol-Impaired Driving in the United States: contributors to the problem and effective Countermeasures, Traffic Injury Prevention, 13:5,427-41.
Ramón Castano (2012): The Drink Driving Situation in Colombia, Traffic Injury Prevention, 13:2,120-25.
Híjar M, Pérez-Núñez R, Inclán-Valadez C, Silveira-Rodríguez EM. Road safety legislation in the Americas. Rev Panam Salud Publica. 2012; 32(1):70-6.
Campos V R, et al. The effect of the new traffic law on drinking and driving in São Paulo, Brazil. Accid. Anal. Prev. (2012), [Citado en noviembre de 2009] Disponible en: http://dx.doi.org/10.1016/j.aap.2012.06.011
Tercero F. (2007). Measuring injury magnitude and patterns in a low-income country: experience from Nicaragua. Dissertation. Karolinska Institutet: Stockholm. Retrieved December 12, 2009. [Citado en noviembre de 2009] Disponible en: http://diss.kib.ki.se/2007/978-91-7357-084-8/thesis.pdf
Espitia-Hardeman, V Rocha, J, Clavel-Arcas, C Dahlberg, L Mercy J A, & Concha- Eastman, A. Characteristics of non-fatal injuries in Leon, Nicaragua - 2004. Int J Inj Contr Saf Promot 2007;14(2):69-5.
Sklaver BA, Clavel-Arcas C, Fandiño-Losada A, Gutierrez-Martinez MI, Rocha- Castillo J, Morán de García S, et al. The establishment of injury surveillance systems in Colombia, El Salvador, and Nicaragua (2000-2006). Rev Panam Salud Publica. 2008;24 (6):379-89.
Holder Y, Peden M, Krug E, Lund J, Gururaj G, & Kobusingye O. (Eds.). (2001). Injury surveillance guidelines. Geneva: World Health Organization. Retrieved December 12, 2009. [Citado en noviembre de 2009] Disponible en: http://whqlibdoc.who.int/ publications/2001/9241591331.pdf
Espitia - Hardeman, V, Hungerford D, Hill H; Betancourt C, Villareal A, Cayetano L, Portillo C; Alcohol-Associated visits to emergency deparments in Pasto, Colombia in 2006. International Journal of Injury Control and Safety Promotion, 17,129-33.
Bejarano M, Rendón LF. Lesiones de causa externa en menores y mayores de 18 años en un hospital colombiano. Rev Panam Salud Pública. 2009;25(3):234-341.
Peláez Mariscal IM, Silva EC. Accidentes de tránsito y el consumo de alcohol en una unidad de urgencia de La Paz, Bolivia. Rev. Latino-Am. Enfermagem 2010 May-Jun; 18(Spec):613-19.
Monteiro MG. Alcohol y salud pública en las Américas: un caso para la acción. Washington, D.C: OPS;2007.
Organización Panamericana de la Salud Beber y conducir: Manual de seguridad vial para decisores y profesionales. Washington, D.C: OPS;2010.
Hyun Noh, Koo Young Jung, Hye Sook Park, and Young Jin Cheon. Characteristics of Alcohol-related Injuries in Adolescents Visiting the Emergency Department; J Korean Med Sci. 2011; 26:431-37.
Bogstrand Stig et al Alcohol, psychoactive substances and non-fatal road traffic accidents - a case-control study BMC Public Health. 2012, 12:734 doi:10.1186/1471- 2458-12-734.
Estrategia mundial para reducir el uso nocivo del alcohol. Organización Mundial de la Salud; 2010.
Organización Mundial de la Salud: Guías para la atención prehospitalaria de los traumatismos. Washington, D.C: OPS, 2007(publicación científica No. 625).
Stewart K, Silcock D, Wegman F (2012): Reducing Drink Driving in Low- and Middle-Income Countries: Challenges and Opportunities, Traffic Injury Prevention, 13:2,93-5.
Fiestas F. Reduciendo la carga de enfermedad generada por el consumo de alcohol en Perú: propuestas basadas en evidencia. Rev Perú Med Exp Salud Pública. 2012;29(1):112-18.