Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study
- Autores
- Borges, Guilherme; Monteiro, Maristela; Cherpitel, Cheryl J.; Orozco, Ricardo; Ye, Yu; Poznyak, Vladimir; Peden, Margie; Pechansky, Flavio; Cremonte, Mariana; Reid, Sandra D.; Mendez, Jesus
- Año de publicación
- 2017
- Idioma
- español castellano
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- 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.
Fil: Cremonte, Mariana. Facultad de Psicología. Universidad Nacional de Mar del Plata. Argentina - Materia
-
alcohol
case-crossover
emergency department
risk
road traffic injury - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by/4.0/ar/
- Repositorio
- Institución
- Universidad Nacional de Mar del Plata. Facultad de Psicología
- OAI Identificador
- oai:localhost:123456789/624
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Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover StudyBorges, GuilhermeMonteiro, MaristelaCherpitel, Cheryl J.Orozco, RicardoYe, YuPoznyak, VladimirPeden, MargiePechansky, FlavioCremonte, MarianaReid, Sandra D.Mendez, Jesusalcoholcase-crossoveremergency departmentriskroad traffic injuryBackground: 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.Fil: Cremonte, Mariana. Facultad de Psicología. Universidad Nacional de Mar del Plata. Argentina2017-09-18Articlesnrdinfo:eu-repo/semantics/publishedVersioninfo:ar-repo/semantics/articuloinfo:eu-repo/semantics/articleapplication/pdfhttp://rpsico.mdp.edu.ar/handle/123456789/624spainfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/4.0/ar/reponame:RPsico (UNMdP-FP)instname:Universidad Nacional de Mar del Plata. Facultad de Psicología2025-09-29T13:42:34Zoai:localhost:123456789/624instacron:UNMdP-FPInstitucionalhttp://rpsico.mdp.edu.ar/Universidad públicaNo correspondehttp://rpsico.mdp.edu.ar/oai/psicedoc@mdp.edu.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:25102025-09-29 13:42:34.481RPsico (UNMdP-FP) - Universidad Nacional de Mar del Plata. Facultad de Psicologíafalse |
dc.title.none.fl_str_mv |
Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study |
title |
Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study |
spellingShingle |
Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study Borges, Guilherme alcohol case-crossover emergency department risk road traffic injury |
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 |
dc.creator.none.fl_str_mv |
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 |
Borges, Guilherme |
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_role |
author |
author2 |
Monteiro, Maristela Cherpitel, Cheryl J. Orozco, Ricardo Ye, Yu Poznyak, Vladimir Peden, Margie Pechansky, Flavio Cremonte, Mariana Reid, Sandra D. Mendez, Jesus |
author2_role |
author author author author author author author author author author |
dc.subject.none.fl_str_mv |
alcohol case-crossover emergency department risk road traffic injury |
topic |
alcohol case-crossover emergency department risk road traffic injury |
dc.description.none.fl_txt_mv |
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. Fil: Cremonte, Mariana. Facultad de Psicología. Universidad Nacional de Mar del Plata. Argentina |
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. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-18 |
dc.type.none.fl_str_mv |
Article snrd info:eu-repo/semantics/publishedVersion info:ar-repo/semantics/articulo info:eu-repo/semantics/article |
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publishedVersion |
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article |
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http://rpsico.mdp.edu.ar/handle/123456789/624 |
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http://rpsico.mdp.edu.ar/handle/123456789/624 |
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info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by/4.0/ar/ |
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openAccess |
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https://creativecommons.org/licenses/by/4.0/ar/ |
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reponame:RPsico (UNMdP-FP) instname:Universidad Nacional de Mar del Plata. Facultad de Psicología |
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Universidad Nacional de Mar del Plata. Facultad de Psicología |
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RPsico (UNMdP-FP) - Universidad Nacional de Mar del Plata. Facultad de Psicología |
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psicedoc@mdp.edu.ar |
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