Sex differences in alcohol misuse and estimated blood alcohol concentrations among emergency department patients: implications for brief interventions.
Sex differences in alcohol misuse and estimated blood alcohol concentrations among emergency department patients: implications for brief interventions.
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急诊科患者酒精滥用和估计血液酒精浓度的性别差异：对简短干预措施的影响。
DOI：
10.1111/j.1553-2712.2012.01408.x
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Nirenberg,TedD
中科院分区：
文献类型：
--
作者：
Trillo,AlexisD;Merchant,RolandC;Baird,JanetteR;Liu,Tao;Nirenberg,TedD
ACADEMIC EMERGENCY MEDICINE 2012; 19:924–933 © 2012 by the Society for Academic Emergency MedicineAbstractObjectives:The objective was to assess the relationship between alcohol use and misuse and patient sex among emergency department (ED) patients by comparing self‐reported estimates of quantity and frequency of alcohol use, estimated blood alcohol concentrations (eBACs) when typically drinking and during heavy episodic drinking (binging), and alcohol misuse severity, to understand sex differences in alcohol use and misuse for this population.Methods:The authors surveyed a random sample of nonintoxicated, subcritically ill or injured, 18‐ to 64‐year‐old English‐ or Spanish‐speaking patients on randomly selected dates and times at two EDs during July 2009 and August 2009. Participants self‐administered a questionnaire about their self‐reported alcohol use during a typical month within the past 12 months and the Alcohol Use Disorders Identification Test (AUDIT). Using the formulae by Matthews and Miller, sex‐specific eBACs were calculated for participants according to their reported weight and the number of reported alcoholic drinks consumed on days when typically drinking and on days of heavy episodic (binge) drinking (five or more drinks/occasion for men, four or more drinks for women). Sex‐specific alcohol misuse severity levels (low‐risk, harmful, hazardous, and dependence) were calculated using AUDIT scores. Wilcoxon rank‐sum and Pearson’s chi‐square tests were used to compare outcomes by sex. Negative binomial regression was used to assess the relationship between sex and the number of drinks consumed on a typical day, the number of days spent drinking and binging, and estimated AUDIT scores. Logistic regression was used to assess the outcome of the presence of binging according to sex. Multinomial logistic regression was used to compare by sex the percentage of days spent drinking and binging in 1 month, eBACs when typically drinking and when binging, and AUDIT at‐risk drinking levels. Incidence rate ratios (IRRs) and adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were estimated. All models were adjusted for patient demographic characteristics.Results:Of the 513 participants, 52.1% were women, 55.8% were white non‐Hispanic, and their median age was 34 years (interquartile range [IQR] = 25 to 46 years). Men reported greater mean alcohol consumption than women when typically drinking (4.3 vs. 3.3 drinks/day; p < 0.001) and during heavy episodic drinking (8.6 vs. 5.3 drinks/occasion; p < 0.001). Men spent more days drinking (IRR = 1.41, 95% CI = 1.19 to 1.65) and engaging in heavy episodic drinking (IRR = 1.68, 95% CI = 1.31 to 2.17) than women. Additionally, men were more likely to engage in heavy episodic drinking (AOR = 1.72, 95% CI = 1.16 to 2.56) than women. However, the mean eBACs for men and women were similar when typically drinking (0.05 vs. 0.06; p < 0.13) and during heavy episodic drinking (0.13 vs. 0.12; p < 0.13). Mean AUDIT scores were greater for men than women (7.5 vs. 5.3; p < 0.001), although alcohol misuse severity levels were similar between men and women (24.4% vs. 26.6% for hazardous, 2.8% vs. 2.2% for harmful, and 6.5% vs. 3.4% for dependence; p < 0.38).Conclusions:Although men drink more than women, women have similar eBACs with comparable levels of alcohol misuse. Women may benefit from recognizing that they are reaching similar levels of intoxication compared to men. Addressing these differences and possible health implications in future ED brief …
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DOI：
10.15288/jsa.1995.56.695
发表时间：
1995-11-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
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作者：
CHERPITEL, CJ
通讯作者：
CHERPITEL, CJ
饮酒问题患者的急诊科检测和转诊率
DOI：
--
发表时间：
1996
期刊：
影响因子：
--
作者：
E. Bernstein;Audrey Tracey;Judith A Bernstein;Carol N. Williams
通讯作者：
Carol N. Williams
一般人群调查中自我报告的饮酒量的可靠性。
DOI：
--
发表时间：
1985
期刊：
Journal of Studies on Alcohol
影响因子：
--
作者：
Gerald;D. Williams;SHERRIES.;Aitken;Henry;'. Malin
通讯作者：
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影响因子：
6
作者：
Ballesteros, J;González-Pinto, A;Ariño, J
通讯作者：
Ariño, J
DOI：
10.1385/fsmp:3:1:33
发表时间：
2007-03-01
期刊：
Forensic science, medicine, and pathology
影响因子：
--
作者：
Posey, Douglas;Mozayani, Ashraf
通讯作者：
Mozayani, Ashraf