Blackouts among male and female youth seeking emergency department care.
Blackouts among male and female youth seeking emergency department care.
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寻求急诊科护理的男性和女性青少年停电。
DOI：
10.1080/00952990.2016.1265975
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Walton,MaureenA
中科院分区：
文献类型：
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作者：
Voloshyna,DianaM;Bonar,ErinE;Cunningham,RebeccaM;Ilgen,MarkA;Blow,FredericC;Walton,MaureenA
背景资料：酒精相关的停电是一种常见的后果，大量饮酒，这些停电造成伤害和其他不良的健康outcomes.Objective的风险：探讨未成年drinkers.Methods的患病率和相关的停电之间：青少年（14-20岁）提出郊区急诊科（艾德）完成筛选调查。在那些报告过去一年饮酒的人中，我们检查了过去3个月的停电与以下方面的关系：背景特征（例如，人口统计学，兄弟会/姐妹会参与），物质使用，性风险行为和无行为能力的性侵犯（不知道/无法同意，由于酒精/药物），强迫性侵犯，积极的抑郁症筛查，和艾德访问的原因（伤害与医疗）。关于过去3个月的停电，72.7%的人报告没有停电，19.3%的人报告每月或更少停电，8%的人报告每月或更多停电。多变量累积logit回归表明，停电频率与以下因素呈正相关：大学参与希腊生活，酒精使用严重程度，处方药滥用，大麻，抑郁症筛查阳性，丧失能力的性侵犯，以及酒精使用严重程度的性别相互作用。有四分之一的临床样本报告最近停电，以及停电频率与健康风险行为和其他结果之间的关联，研究结果强调了关注物质使用，抑郁症和预防性侵犯的计划的必要性。干预措施还应解决多种物质的使用和饮酒动机。尽管研究结果强调了希腊生活中的大学生可能面临停电的高风险，但许多未上大学的参与者也报告了停电，这表明在其他环境中也需要干预。
Background: Alcohol-related blackouts are a common consequence of heavy drinking, and these blackouts pose risk for injury and other adverse health outcomes.Objective: To examine the prevalence and correlates of blackouts among underage drinkers.Methods: Youth (ages 14–20) presenting to a suburban Emergency Department (ED) completed screening surveys. Among those reporting past-year alcohol consumption, we examined past 3-month blackouts in relation to: background characteristics (e.g., demographics, fraternity/sorority involvement), substance use, sexual risk behaviors and incapacitated sexual assault (unaware/unable to consent due to alcohol/drugs), forced sexual assault, positive depression screening, and reason for ED visit (injury vs. medical).Results: In total, 2,300 past-year drinkers participated: 58% female, 75% Caucasian, and mean age = 18.4. Regarding past 3-month blackouts, 72.7% reported none, 19.3% reported monthly or less, and 8% reported monthly or more. Multivariate cumulative logit regression indicated that blackout frequency was positively associated with: college involvement in Greek life, alcohol use severity, prescription drug misuse, marijuana, screening positive for depression, incapacitated sexual assault, and a gender by alcohol use severity interaction.Conclusion: With one-quarter of this clinical sample reporting recent blackouts, as well as the association between blackout frequency and health risk behaviors and other outcomes, findings underscore the need for programs focusing on substance use, depression, and preventing sexual assault. Interventions should also address poly-substance use and drinking motives. Although findings highlight how college students in Greek life may be at high risk for blackouts, many participants not in college also reported blackouts, suggesting that interventions in other settings are also needed.