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
RPsico (UNMdP-FP)
Institución
Universidad Nacional de Mar del Plata. Facultad de Psicología
OAI Identificador
oai:localhost:123456789/624

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spelling 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
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