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Titolo:
Effect of community-based interventions on high-risk drinking and alcohol-related injuries
Autore:
Holder, HD; Gruenewald, PJ; Ponicki, WR; Treno, AJ; Grube, JW; Saltz, RF; Voas, RB; Reynolds, R; Davis, J; Sanchez, L; Gaumont, G; Roeper, P;
Indirizzi:
Pacific Inst Res & Evaluat, Prevent Res Ctr, Berkeley, CA 94704 USA Pacific Inst Res & Evaluat Berkeley CA USA 94704 , Berkeley, CA 94704 USA Pacific Inst Res & Evaluat, Landover, MD USA Pacific Inst Res & Evaluat Landover MD USA s & Evaluat, Landover, MD USA Pacific Inst Res & Evaluat, Rockville, MD USA Pacific Inst Res & Evaluat Rockville MD USA & Evaluat, Rockville, MD USA PARTS, Salinas, CA USA PARTS Salinas CA USAPARTS, Salinas, CA USA Pacific Inst Res & Evaluat, Prevent Res Ctr, Oceanside, CA USA Pacific Inst Res & Evaluat Oceanside CA USA t Res Ctr, Oceanside, CA USA
Titolo Testata:
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
fascicolo: 18, volume: 284, anno: 2000,
pagine: 2341 - 2347
SICI:
0098-7484(20001108)284:18<2341:EOCIOH>2.0.ZU;2-2
Fonte:
ISI
Lingua:
ENG
Soggetto:
EMERGENCY ROOM; AVAILABILITY; VIOLENCE; HEALTH;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Holder, HD Pacific Inst Res & Evaluat, Prevent Res Ctr, 2150 Shattuck Ave,Suite 900, Berkeley, CA 94704 USA Pacific Inst Res & Evaluat 2150 Shattuck Ave,Suite 900 Berkeley CA USA 94704
Citazione:
H.D. Holder et al., "Effect of community-based interventions on high-risk drinking and alcohol-related injuries", J AM MED A, 284(18), 2000, pp. 2341-2347

Abstract

Context High-risk alcohol consumption patterns, such as binge drinking anddrinking before driving, and underage drinking may be lin ked to traffic crashes and violent assaults in community settings. Objectives To determine the effect of community-based environmental interventions in reducing the rate of high-risk drinking and alcohol-related motor vehicle injuries and assaults. Design and Setting A longitudinal multiple time series of 3 matched intervention communities (northern California, southern California, and South Carolina) conducted from April 1992 to December 1996. Outcomes were assessed by 120 general population telephone surveys per month of randomly selected individuals in the intervention and comparison sites, traffic data on motor vehicle crashes, and emergency department surveys in 1 intervention-comparison pair and 1 additional intervention site. Interventions Mobilize the community; encourage responsible beverage service, reduce underage drinking by limiting access to alcohol; increase local enforcement of drinking and driving laws; and limit access to alcohol by using zoning. Main Outcome Measures Self-reported alcohol consumption and driving after drinking; rates of alcohol-related crashes and assault injuries observed inemergency departments and admitted to hospitals. Results Population surveys revealed that the self-reported amount of alcohol consumed per drinking occasion declined 6% from 1.37 to 1.29 drinks. Self-reported rate of "having had too much to drink" declined 49% from 0.43 to0.22 times per 6-month period. Self-reported driving when "over the legal limit" was 51% lower (0.77 vs 0.38 times) per 6-month period in the intervention communities relative to the comparison communities. Traffic data revealed that, in the intervention vs comparison communities, nighttime injury crashes declined by 10% and crashes in which the driver had been drinking declined by 6%. Assault injuries observed in emergency departments declined by 43% in the intervention communities vs the comparison communities, and all hospitalized assault injuries declined by 2%. Conclusion A coordinated, comprehensive, community-based intervention can reduce high-risk alcohol consumption and alcohol-related injuries resultingfrom motor vehicle crashes and assaults.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 13:39:38