The criteria for causation of alcohol in violent injuries based on emergency room data from six countries
The criteria for causation of alcohol in violent injuries based on emergency room data from six countries
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DOI：
10.1016/j.addbeh.2004.04.016
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发表时间：
2005-01-01
影响因子：
4.4
通讯作者：
Stockwell, T
中科院分区：
文献类型：
--
作者：
Macdonald, S;Cherpitel, CJ;Stockwell, T
本文基于使用类似方法从六个国家的30个急诊室（ER）的患者中收集的数据。这些数据进行了分析，目的是通过应用Bradford Hill [Proc. R. 58（1966）295]。通过比较暴力与意外伤害中酒精参与的各种措施进行分析。结果支持事件的时间顺序和特异性。血液酒精浓度（BAC）超过80 mg%的暴力与意外伤害的比值比在每个国家都很重要，从墨西哥的2.77到加拿大的9.45不等，这支持了关联的强度和结果的一致性。逻辑回归分析没有发现第三个变量可以更好地解释酒精和暴力之间的关系。BAC水平和暴力之间也发现了一个显着的剂量-反应关系。所有的分析进行点的因果关系，酒精在与暴力有关的伤害。(C)2004爱思唯尔有限公司保留所有权利。
This paper is based on data using similar methods collected from patients at 30 emergency rooms (ERs) in six countries. These data were analyzed with the goal of determining whether alcohol is a likely cause of violence through an application of criteria outlined by Bradford Hill [Proc. R. Soc. Med. 58 (1966) 295]. Analyses were conducted by comparing various measures of alcohol involvement in violent versus accidental injuries. The results supported temporal sequence of events and specificity. The odds ratios of violent versus accidental injury for a blood alcohol concentration (BAC) over 80 mg% were significant for each country, ranging from 2.77 for Mexico to 9.45 for Canada, which supports both the strength of associations and the consistency of findings. No third variables were found from the logistic regression analysis that better explain the relationships between alcohol and violence. A significant dose-response relationship between BAC level and violence was also found. All analyses conducted point to a causal role of alcohol in injuries related to violence. (C) 2004 Elsevier Ltd. All rights reserved.