Assessment of Alcohol Use Patterns among Spanish-Speaking Patients

Lotfipour, Shahram; Cisneros, Victor; Anderson, Craig L.; Roumani, Samer; Hoonpongsimanont, Wirachin; Weiss, Jie W; Chakravarthy, Bharath; Dykzeul, Brad; Vaca, Federico E.

doi:10.1080/08897077.2012.728990

Cited by 12 publications

(14 citation statements)

References 19 publications

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“…Studies showed that CASI was effective at identifying at-risk and consistent-with-dependency drinkers in less than 7 minutes, and demonstrated good acceptability by patients. It can be implemented in bilingual settings (English and Spanish) with minimal time commitment, and has shown to be an effective tool among the Spanish-speaking population in the ED 8,9. A follow-up study by Vaca et al10 supported the use of such SBIRT systems as holding “promise as a viable screening and intervention modality for a wide range of emergency department patients,” with up to 47% reduction in drinking amongst at-risk patients, 6 months afterwards.…”

Section: Methodsmentioning

confidence: 99%

Readiness to Change and Reasons for Intended Reduction of Alcohol Consumption in Emergency Department versus Trauma Population

Harrison¹,

Hoonpongsimanont²,

Anderson³

et al. 2014

WestJEM

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IntroductionThe primary objective was to identify the most common reasons for intending to cut back on alcohol use, in emergency department (ED) and trauma patient populations. The secondary objective was to determine the association between reason to cut back on alcohol and education level.MethodsWe conducted the study at a level one trauma center in California between 2008 and 2012. This was a retrospective analysis of data collected from computerized alcohol screening and intervention (CASI). We excluded patients who drank too little, and those whose scores were consistent with dependency (Alcohol Use Disorders Identification Test [AUDIT]>19). The CASI database includes the patient’s age, gender, language, education level, an AUDIT score (1–40 scale), a readiness to change score (1–10), and the option to choose any of 10 “reasons to cut back” on their alcohol consumption.ResultsFrom 10,537 patients, 1,202 met criteria for the study (848 ED, 354 trauma). Overall, the most common reasons cited for cutting back on alcohol were “To avoid health problems” (68.5%), “To avoid getting a DUI” (43.6%), “It could save me money” (42.0%), and “To avoid situations where I could get hurt” (41.0%). Trauma patients cited the following reasons significantly more than ED patients: “To avoid situations where I could get hurt” (46.3% versus 38.8%, respectively), “So I can be in control of my behavior” (40.7% versus 32.2%), and “My partner or spouse wants me to stop” (20.1% versus 15.0%). Additionally, those patients who cited “To avoid health problems” reported 1.2 points higher than average (p<0.001) on the 10-point readiness to change scale. Those who have completed some college or an associate degree cited “To avoid health problems” less often than high school graduates (odds ratio [OR] 0.45), while they cited “To avoid situations where I could get hurt” (OR 2.5) and “To avoid being in a car crash caused by alcohol use” (OR 3.8) more often than high school graduates.ConclusionHealth, injury, finances, and legal issues remain top concerns for patients, while trauma patients specifically had proportionately more concerns with situations where they could get hurt.

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Section: Methodsmentioning

confidence: 99%

Readiness to Change and Reasons for Intended Reduction of Alcohol Consumption in Emergency Department versus Trauma Population

Harrison¹,

Hoonpongsimanont²,

Anderson³

et al. 2014

WestJEM

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“…It is important that future studies of alcohol SBI also address the developmental and demographic differences (ethnicity, race, and age) among populations 1320. For example, studies have shown important differences between black and white youths' motivation to consume alcohol 2122.…”

Section: Commentarymentioning

confidence: 99%

“…According to Cooper et al21, coping motives (to reduce negative emotions) played a bigger role in black youth, and enhancement motives (to augment positive emotional states) were a greater role in white youth. Even though research is greatly lacking within the Latino and non-English speaking populations, some studies indicate significant differences in alcohol use among English- and Spanish-speaking patients 81317…”

Section: Commentarymentioning

confidence: 99%

“…Policy implementation and research are important, but it is equally vital to educate healthcare providers in the ED on SBI and prevention methods. Many EDs and trauma centers already have SBI programs in place for adults (≥18 years of age), and therefore, transitioning to a younger population would seem to be the next logical step 81113. As physicians we are not only healthcare providers and scientists, but also leaders and educators, with an important responsibility to help the Ashleys and Megans of this world grow up to fulfill their potential.…”

Section: Commentarymentioning

confidence: 99%

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Fatalities and Binge Drinking among High School Students: A Critical Issue to Emergency Departments and Trauma Centers

Lotfipour¹,

Cisneros²,

Chakravarthy³

2013

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The Centers for Disease Control and Prevention (CDC) has published significant data and trends related to drinking and driving among United States (U.S.) high school students. National data from 1991–2011 shows an overall 54% relative decrease (from 22% to 10.3%) in drinking and driving among U.S. high school students aged ≥ 16 years. In 2011, this still represents approximately 950,000 high school students ages 16–19 years. The decrease in drinking and driving among teens is not fully understood, but is believed to be due to policy developments, enforcement of laws, graduated licenses, and economic impacts. Most significant to emergency physicians is that even with these restrictions, in 2010 approximately 2,700 teens (ages 16–19) were killed in the U.S. and about 282,000 were treated and released from emergency departments for injuries suffered in motor-vehicle accidents. In the same year, 1 in 5 drivers between the ages of 16–19 who were involved in fatal crashes had positive (>0.00%) blood alcohol concentration (BAC). We present findings from the CDC's Morbidity and Mortality Weekly Report with commentary on current recommendations and policies for reducing drinking and driving among adolescents.

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“…Studies of alcohol use and alcohol-related injuries have identified several gender and age-related trends in consumption patterns [ 6 , 7 ]. Men and older adults are also more likely to report higher rates of alcohol consumption.…”

Section: Introductionmentioning

confidence: 99%

A retrospective analysis of ethnic and gender differences in alcohol consumption among emergency department patients: a cross-sectional study

et al. 2015

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BackgroundPrevious studies of alcohol use have recognized several trends in consumption patterns among gender and age yet few have examined ethnic differences. This study examines the intra- and inter-ethnic differences in alcohol consumption among a population of patients seen in the emergency department.MethodsThis is a cross-sectional study conducted in the emergency department in a large urban setting. Information on drinking behavior and ethnicity was collected using the Computerized Alcohol Screening and Brief Intervention (CASI) tool. We explored differences in drinking patterns using a multivariate multinomial logistic regression model.ResultsWe analyzed the drinking habits of 2,444 patients surveyed between November 2012 and May 2014. The results indicate that when compared to non-Hispanic whites, Asians have the lowest odds of drinking within normal limits or excessively, followed by other Latinos, and Mexicans. Age and gender consistently showed statistically significant associations with alcohol-use. The odds of drinking within normal limits or excessively are inversely associated with age and were lower among females. The predicted probabilities show a marked gender-specific difference in alcohol use both between and within ethnic/racial groups. They also highlight an age-related convergence in alcohol use between men and women within ethnic groups.DiscussionThe results of this study show intra-racial/ethnic variability associated with sex and education. The highlighted differences within and between ethnic groups reinforce the need to use refined categories when examining alcohol use among minorities.ConclusionThe results of this study confirm some alcohol consumption trends among ethnic minorities observed in literature. It provides empirical evidence of the marked gender differences and highlights an age-related convergence for gender-specific alcohol use. Health-care personnel should be aware of these differences when screening and counseling.

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Assessment of Alcohol Use Patterns among Spanish-Speaking Patients

Cited by 12 publications

References 19 publications

Readiness to Change and Reasons for Intended Reduction of Alcohol Consumption in Emergency Department versus Trauma Population

Readiness to Change and Reasons for Intended Reduction of Alcohol Consumption in Emergency Department versus Trauma Population

Fatalities and Binge Drinking among High School Students: A Critical Issue to Emergency Departments and Trauma Centers

A retrospective analysis of ethnic and gender differences in alcohol consumption among emergency department patients: a cross-sectional study

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