Trends in Alcohol- and Drug-Related Emergency Department and Primary Care Visits: Data From Four U.S. National Surveys (1995-2010)
Trends in Alcohol- and Drug-Related Emergency Department and Primary Care Visits: Data From Four U.S. National Surveys (1995-2010)
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DOI：
10.15288/jsad.2012.73.454
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发表时间：
2012-05-01
影响因子：
3.4
通讯作者：
Ye, Yu
中科院分区：
文献类型：
--
作者：
Cherpitel, Cheryl J.;Ye, Yu
目的：这项研究的目的是更新过去15年来美国与酒精和毒品相关的急诊室和初级保健就诊的最新趋势。方法：根据1995年、2000年、2005年和2010年的四次全国酒精调查，根据伤害和/或疾病事件发生前6小时内自我报告的酒精或其他药物使用情况，对与物质相关的卫生服务就诊进行趋势分析。结果：从1995年到2010年，与酒精相关的急诊科就诊有明显的上升趋势，但与酒精相关的初级保健就诊没有明显的上升趋势。与酒精相关的急诊科就诊的几率在1995至2010年间翻了一番(优势比=2.36)。1995至2010年间，无论是与毒品有关的急诊科还是与毒品有关的初级保健就诊，都没有发现明显的趋势。结论：这些数据表明，在过去的15年里，与酒精相关的急诊科就诊人数显著增加，而与毒品相关的急诊科就诊人数可能已经稳定下来。这些发现强调了急诊科为酒精相关问题提供的筛查和短暂干预的机会，并表明呼吁减少与物质相关的急诊科就诊的2010年健康人目标没有实现。因此，相应地调整健康人2020年的目标可能是谨慎的。(J.Stud.酒精类毒品，73,454-458,2012年)
Objective: The purpose of this study was to update trends in alcohol- and drug-related emergency department and primary care visits over the last 15 years in the United States. Method: A trend analysis was conducted on substance-related health services visits, based on self-reported alcohol or other drug use within 6 hours before an injury and/or illness event, from four National Alcohol Surveys: 1995, 2000, 2005, and 2010. Results: A significant upward trend was found from 1995 to 2010 in alcohol-related emergency department visits but not in alcohol-related primary care visits. The odds of an alcohol-related emergency department visit doubled between 1995 and 2010 (odds ratio = 2.36). No significant trend was found in either drug-related emergency department or drug-related primary care visits between 1995 and 2010. Conclusions: These data suggest that alcohol-related emergency department visits have increased significantly over the past 15 years, whereas drug-related emergency department visits may have stabilized. These findings underscore the opportunity provided by the emergency department for screening and brief intervention for alcohol-related problems and suggest that Healthy People 2010 objectives calling for a reduction in substance-related emergency department visits were not realized. Thus, it might be prudent to adjust Healthy People 2020 objectives accordingly. (J. Stud. Alcohol Drugs, 73, 454-458, 2012)