Acute and chronic substance use among patients with a road traffic injury in Mexico City.

IF 3.1 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Salud Publica De Mexico Pub Date : 2025-02-20 DOI:10.21149/16133
Guilherme Borges, Ricardo Orozco, Rebeca Borges-Monroy
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Abstract

Objective: To report on the prevalence acute and chronic substance use among patients attending an emergency department (ED) in Mexico City because of a road traffic injury (RTI) and possible effect modifiers for the relationship between acute alcohol and cannabis use and RTI.

Materials and methods: Adult RTI patients, admitted to an ED (January to April 2022). Breath Alcohol Concentration and six types of drugs were assessed using a saliva screen test. Patients also self-reported their alcohol and drug use.

Results: 13.9% reported an alcohol use disorder in the last 12 months. Acute alcohol use was frequent, with 18.9% being positive. We found a large association between habitual and acute substance use. In a case-crossover analysis, there was no significant effect modification.

Conclusion: Patients positive for substance use at entry to the ED should have a comprehensive evaluation of their substance abuse habits and a referral to a mental health specialist.

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墨西哥城道路交通伤害患者的急性和慢性药物使用情况
目的:报告墨西哥城急诊科(ED)因道路交通伤害(RTI)就诊患者的急性和慢性物质使用情况,以及急性酒精和大麻使用与RTI之间关系的可能影响因素。材料和方法:急诊收治的成人RTI患者(2022年1月至4月)。呼气酒精浓度和六种药物使用唾液筛选试验进行评估。患者还自我报告了他们的酒精和药物使用情况。结果:13.9%的人报告在过去12个月内有酒精使用障碍。急性酒精使用频繁,18.9%呈阳性。我们发现习惯性药物使用和急性药物使用之间有很大的联系。在病例交叉分析中,没有显著的效应修正。结论:进入急诊科时药物使用呈阳性的患者应对其药物滥用习惯进行全面评估,并转介给心理健康专家。
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来源期刊
Salud Publica De Mexico
Salud Publica De Mexico PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.30
自引率
21.70%
发文量
94
审稿时长
34 weeks
期刊介绍: Salud Pública de México se crea en 1959 y comienza a publicarse bimestralmente a partir de 1961; en 1988 inicia una nueva época en la que se refuerza su carácter de publicación científica con evaluación por pares. Es una revista publicada por el Instituto Nacional de Salud Pública (INSP), organismo descentralizado de la Secretaría de Salud de México, dedicado a la investigación, docencia y difusión del conocimiento en salud pública. El INSP, de acuerdo con la normatividad internacional, otorga a la revista independencia editorial.
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