Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study

Background: This study reports dose response estimates for the odds ratio (OR) and population attributable risk of acute alcohol use and road traffic injury (RTI). Methods: Data were analyzed on 1,119 RTI patients arriving at 16 emergency departments (EDs) in Argentina, Brazil, Costa Rica, Dominican...

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Autores principales: Borges, Guilherme, Monteiro, Maristela, Cherpitel, Cheryl J., Orozco, Ricardo, Ye, Yu, Poznyak, Vladimir, Peden, Margie, Pechansky, Flavio, Cremonte, Mariana, Reid, Sandra D., Mendez, Jesus
Formato: Artículo snrd publishedVersion info:ar-repo/semantics/articulo Artículo
Lenguaje:Español
Publicado: 2017
Materias:
alcohol
case-crossover
emergency department
risk
road traffic injury
Acceso en línea:http://rpsico.mdp.edu.ar/handle/123456789/624
Aporte de:
RPsico - Facultad de Psicología (UNMdP) de Universidad Nacional de Mar del Plata (UNMdP)
id I29-R179-123456789-624
record_format dspace
institution Universidad Nacional de Mar del Plata (UNMdP)
institution_str I-29
repository_str R-179
collection RPsico - Facultad de Psicología (UNMdP)
language Español
topic alcohol
case-crossover
emergency department
risk
road traffic injury
spellingShingle alcohol
case-crossover
emergency department
risk
road traffic injury
Borges, Guilherme
Monteiro, Maristela
Cherpitel, Cheryl J.
Orozco, Ricardo
Ye, Yu
Poznyak, Vladimir
Peden, Margie
Pechansky, Flavio
Cremonte, Mariana
Reid, Sandra D.
Mendez, Jesus
Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study
topic_facet alcohol
case-crossover
emergency department
risk
road traffic injury
description Background: This study reports dose response estimates for the odds ratio (OR) and population attributable risk of acute alcohol use and road traffic injury (RTI). Methods: Data were analyzed on 1,119 RTI patients arriving at 16 emergency departments (EDs) in Argentina, Brazil, Costa Rica, Dominican Republic, Guatemala, Guyana, Mexico, Nicaragua, Panama, and Trinidad and Tobago. Case-crossover analysis, pair-matching the number of standard drinks consumed within the 6 hours prior to the RTI with 2 control periods (prior d/wk), was per-formed using fractional polynomial analysis for dose response. Results: About 1 in 6 RTI patients in EDs were positive for self-reported alcohol 6 hours prior to the injury (country range 8.6 to 24.1%). The likelihood of an RTI with any drinking prior (compared to not drinking) was 5 times higher (country range OR 2.50 to 15.00) and the more a person drinks the higher the risk. Every drink (12.8 g alcohol) increased the risk of an RTI by 13%, even 1 to 2 drinks were associated with a sizable increase in risk of an RTI and a dose response was found. Differences in ORs for drivers (OR = 3.51; 95% CI = 2.25 to 5.45), passengers (OR = 8.12; 95% CI = 4.22 to 15.61), and pedestrians (OR = 6.30; 95% CI = 3.14 to 12.64) and attributable fractions were noted. Acuteuse of alcohol was attributable to 14% of all RTIs, varying from 7% for females to 19% for being injured as a passenger. Conclusions: The finding that the presence of alcohol increases risk among drivers and nondrivers alike may further help to urge interve ntions targeting passengers and pedestrians. Routine screening and brief interventions in all health services could also have a beneficial impact in decreasing rates of RTIs. Higher priority should be given to alcohol as a risk factor for RTIs, particularly in Latin America and the Caribbean.
format Article
snrd
snrd
publishedVersion
info:ar-repo/semantics/articulo
Artículo
author Borges, Guilherme
Monteiro, Maristela
Cherpitel, Cheryl J.
Orozco, Ricardo
Ye, Yu
Poznyak, Vladimir
Peden, Margie
Pechansky, Flavio
Cremonte, Mariana
Reid, Sandra D.
Mendez, Jesus
author_facet Borges, Guilherme
Monteiro, Maristela
Cherpitel, Cheryl J.
Orozco, Ricardo
Ye, Yu
Poznyak, Vladimir
Peden, Margie
Pechansky, Flavio
Cremonte, Mariana
Reid, Sandra D.
Mendez, Jesus
author_sort Borges, Guilherme
title Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study
title_short Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study
title_full Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study
title_fullStr Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study
title_full_unstemmed Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study
title_sort alcohol and road traffic injuries in latin america and the caribbean: a case-crossover study
publishDate 2017
url http://rpsico.mdp.edu.ar/handle/123456789/624
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