Alcohol problems in women admitted to a Level I trauma center: A gender-based comparison
Alcohol problems in women admitted to a Level I trauma center: A gender-based comparison
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DOI：
10.1097/00005373-200001000-00018
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发表时间：
2000-01-01
影响因子：
--
通讯作者：
Ries, RR
中科院分区：
文献类型：
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作者：
Gentilello, LM;Rivara, FP;Ries, RR
背景：男性患者在创伤患者中占很大比例，以至于大多数关于创伤患者酒精问题的研究都是以男性患者提供的大部分或全部临床数据为基础的。假设女性和男性的酗酒本质是相同的，或者认为女性的问题规模很小，从而消除了专门研究女性患者的必要性，这可能是不正确的。这项研究的目的是对创伤患者的酒精问题进行性别比较。方法：入院的创伤患者接受常规筛查，包括血液酒精浓度、血清γ-谷氨酰转肽酶和短密歇根酒精筛查试验。结果：男性筛查阳性率高于男性，分别为51%和34%(P<；0.01)。然而，筛查阳性的女性和男性的问题严重程度相似，反映在平均血液酒精浓度(162 mg/dL对142 mg/dL，p=0.16)和密歇根酒精筛选测试分数(4.6对5.0，p=0.32)、酒精使用障碍识别测试、NIMH-DIS和酒精依赖严重程度数据表格显示，有酒精问题的女性创伤患者的依赖症状与男性相同。然而，女性明显更有可能出现肝功能障碍、抑郁、心理困扰和最近的身体、情感或性虐待。结论：酒精问题在男性创伤患者中更常见，但有酒精问题的女性也同样严重受损。饮酒造成的不良后果至少与男性一样多，而且有更多与酒精有关的身体和心理伤害的证据。
Background: Male patients constitute such a large proportion of trauma patients that most studies of alcohol problems in trauma patients have been carried out with clinical data largely or totally contributed by male patients. It may be incorrect to assume that the nature of alcoholism in women and men is identical, or that the size of the problem among women is small, eliminating the need to specifically study female patients. The purpose of this study was to perform a gender-based comparison of alcohol problems in trauma patients.Methods: Admitted injured patients underwent routine screening, including a blood alcohol concentration, serum gamma-glutamyl transpeptidase, and the Short Michigan Alcohol Screening Test. A random sample of screen positive women and men underwent a comprehensive alcohol use and psychosocial assessment, and the results were compared by gender.Results: The screen-positive rate was higher for men, 51% versus 34% (p < 0.01). However, screen-positive women and men had similar problem severity as reflected by mean blood alcohol concentration (162 mg/dL vs. 142 mg/dL, p = 0.16) and Short Michigan Alcohol Screening Test scores (4.6 vs. 5.0, p = 0.32), The Alcohol Use Disorders Identification Test, NIMH-DIS, and Severity of Alcohol Dependence Data form showed that female trauma patients with alcohol problems have the same severity of dependence symptoms as men. However, women were significantly more likely to have liver dysfunction, depression, psychological distress, and recent physical, emotional, or sexual abuse.Conclusion: Alcohol problems are more common in male trauma patients, but women with alcohol problems are just as severely impaired. have at least as many adverse consequences of alcohol use as their male counterparts, and have more evidence of alcohol-related physical and psychological harm.