Demographic and substance use factors related to violent and accidental injuries: results from an emergency room study

被引:67
作者
Macdonald, S
Wells, S
Giesbrecht, N
Cherpitel, CJ
机构
[1] Ctr Addict & Mental Hlth, Addict Res Fdn Div, London, ON N6G 4X8, Canada
[2] Ctr Addict & Mental Hlth, Addict Res Fdn Div, Toronto, ON N5S 2S1, Canada
[3] Inst Publ Hlth, Alcohol Res Grp, Berkeley, CA 94709 USA
关键词
drug metabolites; injuries; substance use;
D O I
10.1016/S0376-8716(98)00184-7
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Objective The primary goal of this study was to identify demographic and substance use factors associated with violent injuries, accidental injuries, and medical conditions or illnesses (non-injured). Method Data were examined from a sample of 1701 admissions to emergency rooms at two Canadian hospitals. These patients were interviewed and provided urine samples to detect the presence of drug metabolites for alcohol, THC, benzodiazepines, barbiturates, morphine, and codeine. Results Those with violent injuries were significantly (P < 0.0001) more likely to be male and have lower incomes compared with both the accidental injury and non-injury groups. About 37% of violent injuries occurred ata bar or restaurant, which was significantly more than 3% for accidental injuries and 2% for non-injuries (P < 0.00001). The violent injury group was significantly more likely than the other two groups to report feeling the effects off alcohol at the time of the injury and to report negative consequences of alcohol use (P < 0.00001). Furthermore, about 42% of those with violent injuries had a blood alcohol level (BAL) over 80 mg% compared to only 4% with accidental injuries (P < 0.00001) and 2% of non-injuries (P < 0.00001). In terms of drug tests for other substances, the violent injury group was significantly more likely to test positive or benzodiazepines than the accidental injury group (P < 0.01) while all between group comparisons for other drugs were not significant. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:53 / 61
页数:9
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