Alcohol use and related harm among older adolescents treated in an emergency department: The importance of alcohol status and college status
Alcohol use and related harm among older adolescents treated in an emergency department: The importance of alcohol status and college status
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DOI：
10.15288/jsa.2003.64.342
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发表时间：
2003-05-01
期刊：
影响因子：
--
通讯作者：
Woolard, R
中科院分区：
文献类型：
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作者：
Barnett, NP;Monti, PM;Woolard, R
目的：在城市急诊科接受治疗的患者进行了研究，以确定是否大学地位，性别和有酒精作为医疗的原因与酒精使用和相关的问题行为。方法：对18-19岁的患者（N = 250; 55%为男性）在促使其接受治疗的事件之前饮酒或未饮酒，评估其饮酒、酒精相关问题和药物使用情况。结果：有高水平的酒精使用，烟草使用和其他药物使用的样本，无论是医疗的原因。分析一致表明，与酒精阴性患者相比，因酒精相关原因接受治疗的患者有更严重的饮酒模式和问题。未上大学的患者表现出与上大学的同龄人相似的饮酒模式，但有更严重的酒精相关行为和问题。几乎没有发现性别差异，性别，酒精状态和大学状态之间没有相互作用。结论：研究结果表明，年龄较大的青少年接受治疗的酒精使用是没有经验的饮酒者。此外，在这个方便的样本中，大学生似乎没有更大的风险使用物质或问题。研究结果强调了酒精干预计划对酒精相关医疗患者的潜在用处，以及关注非学生人群酒精和药物使用的必要性。
Objective: Patients treated in an urban emergency department were studied to determine if college status, gender and having alcohol as a reason for medical treatment were related to alcohol use and related problem behaviors. Method: Patients ages 18-19 years (N = 250; 55% men) who had or had not been drinking alcohol prior to the event that precipitated their medical treatment were assessed on their alcohol use, alcohol-related problems and drug use. Results: There were high levels of alcohol use, tobacco use and other drug use in the sample, regardless of the reason for medical treatment. Analyses consistently showed that patients treated for alcohol-related reasons had more severe drinking patterns and problems than patients who were alcohol negative. Patients not enrolled in college showed similar patterns of alcohol consumption as their college-attending peers, but had more severe alcohol-related behaviors and problems. Few gender differences were found and no interactions were found between gender, alcohol status and college status. Conclusions: Findings indicate that older adolescents who receive medical treatment for alcohol use are not inexperienced drinkers. Furthermore, in this convenience sample, college students did not appear to be at greater risk for substance use or problems. Findings underscore the potential usefulness of alcohol intervention programs for alcohol-involved medical patients, and the need to attend to the alcohol and drug use of nonstudent populations.