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dc.contributor.author
Borges, Guilherme
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Monteiro, Maristela
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Cherpitel, Cheryl J.
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Orozco, Ricardo
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Ye, Yu
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Poznyak, Vladimir
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Peden, Margie
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Pechansky, Flavio
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Cremonte, Mariana
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Reid, Sandra D.
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Mendez, Jesus
dc.date.available
2020-03-16T16:23:41Z
dc.date.issued
2017-10
dc.identifier.citation
Borges, Guilherme; Monteiro, Maristela; Cherpitel, Cheryl J.; Orozco, Ricardo; Ye, Yu; et al.; Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study; Wiley Blackwell Publishing, Inc; Alcoholism: Clinical And Experimental Research; 41; 10; 10-2017; 1731-1737
dc.identifier.issn
0145-6008
dc.identifier.uri
http://hdl.handle.net/11336/99649
dc.description.abstract
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 performed 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. Acute use 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 interventions 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.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Wiley Blackwell Publishing, Inc
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Alcohol
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Case-Crossover
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Emergency Department
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Risk
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Road Traffic Injury
dc.subject.classification
Otras Psicología
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dc.subject.classification
Psicología
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CIENCIAS SOCIALES
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dc.title
Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2018-10-23T14:43:49Z
dc.journal.volume
41
dc.journal.number
10
dc.journal.pagination
1731-1737
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Londres
dc.description.fil
Fil: Borges, Guilherme. Instituto Nacional de Psiquiatria Ramon de la Fuente; México
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Fil: Monteiro, Maristela. Pan American Health Organization (paho); México
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Fil: Cherpitel, Cheryl J.. Alcohol Research Group; México
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Fil: Orozco, Ricardo. Instituto Nacional de Psiquiatria Ramon de la Fuente; México
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Fil: Ye, Yu. Alcohol Research Group; México
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Fil: Poznyak, Vladimir. Organizacion Mundial de la Salud; Argentina
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Fil: Peden, Margie. Organizacion Mundial de la Salud; Argentina
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Fil: Pechansky, Flavio. Universidade Federal do Rio Grande do Sul; Brasil
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Fil: Cremonte, Mariana. Universidad Nacional de Mar del Plata; Argentina
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Fil: Reid, Sandra D.. Caribbean Institute On Alcoholism And Other Drug Problems;
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Fil: Mendez, Jesus. Instituto Sobre Alcoholismo y Farmacodependencia; Costa Rica
dc.journal.title
Alcoholism: Clinical And Experimental Research
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1111/acer.13467
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://onlinelibrary.wiley.com/doi/full/10.1111/acer.13467
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