Treatment of Alcohol Intoxication at University Health Services: Examining Clinical Characteristics, Drinking Patterns, and Adherence with Referral.

Margaret M Benningfield, Elisa M Trucco, Paul J Barreira, Shelly F Greenfield
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Abstract

OBJECTIVE: This study examines demographics, clinical characteristics, and drinking patterns of students presenting with alcohol intoxication at a university health service. PARTICIPANTS: The sample included one hundred students (50% female, 48% freshmen) treated for alcohol intoxication at university student health services. Complete medical charts were obtained for 80 students (43% female, 46% freshmen). METHODS: A prospective case review was performed between September 2005 and March 2006. RESULTS: Although males reported having more drinks before admission, drinking more frequently, and having more drinks per drinking day than females, there were no other gender differences. Freshmen comprised almost half the admissions, but there were no significant differences in drinking patterns across school years. While only 54% of students were given follow-up referrals, 72.2% of students complied with recommended referrals. Additional assessment information included alcohol use disorders sceening scores, history of previous alcohol intoxication and problems related to use, symptoms of anxiety and depression, and use of anti-depressant medication. CONCLUSIONS: These results suggest that further investigations of student characteristics and experiences prior to contact with university health services are warranted and may necessary to the development and implementation of programs to reduce harmful alcohol consumption.

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大学卫生服务部门对酒精中毒的治疗:检查临床特征、饮酒模式和依从性。
目的:本研究考察了在大学卫生服务中心出现酒精中毒的学生的人口统计学、临床特征和饮酒模式。参与者:样本包括100名在大学生健康服务中心接受酒精中毒治疗的学生(50%为女性,48%为新生)。80名学生(女性43%,新生46%)获得完整病历。方法:2005年9月至2006年3月进行前瞻性病例回顾。结果:尽管男性报告在入院前饮酒较多,饮酒频率较高,并且每个饮酒日的饮酒量高于女性,但没有其他性别差异。新生几乎占入学人数的一半,但各学年的饮酒模式没有显著差异。虽然只有54%的学生得到后续转介,但72.2%的学生遵守了推荐的转介。其他评估信息包括酒精使用障碍筛查得分、以前的酒精中毒史和与使用有关的问题、焦虑和抑郁症状以及抗抑郁药物的使用。结论:这些结果表明,在接触大学健康服务之前,有必要对学生的特征和经历进行进一步的调查,这对于制定和实施减少有害酒精消费的计划是必要的。
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