ALCOHOL USE AMONG ER PATIENTS IN FOUR THAILAND HOSPITALS

急诊室的病人是一个重要的资源， 酒精滥用对疾病和伤害的贡献（SHHS，1993年）。 泰国存在与酗酒有关的严重公共卫生问题 并有一个基础设施，将支持拟议的研究。期间 我建议在泰国休假，我将进行一项调查， 在泰国四个地区的每个医院急诊室就诊的患者。 调查将包括自我报告问卷和呼气测醉器 试验.建议研究的目的是：1）制定一个 对儿童中可能有害的饮酒流行率的估计 在泰国区域急诊室接受治疗的人。这将是完成 使用10项筛选测试，AUDIT（Babor等人，1989年）， 世界卫生组织（世卫组织）制定了一项新的标准， 与酒精有关的疾病和伤害的高风险。同时效度 将通过比较AUDIT评分与病历进行检查， 呼吸测醉器数据（Babor等人，1989年）; 2）比较创伤和 非创伤患者中， 积极的呼吸酒精水平（BAC）;和3）使用创伤的子集 根据BAC对损伤原因进行分类。自我报告 和AUDIT分数。在拟议的 调查将提供重要信息， 估计酒精在泰国伤害中的作用， 需要基于ER的酒精筛查和干预计划。

Emergency room patients are an important resource for examining the contribution of alcohol misuse to illness and injury (SHHS, 1993). Thailand has significant public health problems related to alcohol abuse and has an infrastructure that will support the proposed study. During my proposed sabbatical in Thailand I will conduct a survey of consecutive patients presenting to hospital ERs in each of Thailand's four regions. The survey will consist of self-report questionnaires and breathalyzer tests. The objectives of the proposed study are: 1) to develop an estimate of the prevalence of potentially harmful alcohol use among persons treated at regional ERs in Thailand. This will be accomplished using a 10-item screening test, the AUDIT (Babor et al.. 1989), which was developed by the World Health Organization (WHO) to identify persons at high risk for alcohol-related illness and injury. Concurrent validity will be examined by comparing AUDIT scores with medical record and breathalyzer data (Babor et al., 1989); 2) to compare trauma and nontrauma patients with regards to the percentage of persons with positive breath alcohol levels (BACs); and 3) using the subset of trauma patients, to classify the cause of injury according to BAC. self-report of alcohol involvement, and AUDIT scores. Data gathered in the proposed investigation will provide important information that will be useful in estimating the role of alcohol in injuries in Thailand and determining the need for ER-based alcohol screening and intervention programs.