281741
Readiness to change and reasons for intended reduction of alcohol consumption in emergency department vs. trauma population
Tuesday, November 5, 2013
: 1:30 p.m. - 1:50 p.m.
Craig Harrison, MD, MPH,
Center for Trauma and Injury Prevention Research, Department of Emergency Medicine, University of California, Irvine School of Medicine, Orange, CA
Craig L. Anderson, DHSc, PhD,
Center for Trauma and Injury Prevention Research, University of California, Irvine-School of Medicine, Orange, CA
Samer Roumani, BS,
Center for Trauma and Injury Prevention Research, University of California, Irvine-School of Medicine, Orange, CA
Jie W. Weiss, PhD,
Department of Health Science, California State University, Fullerton, Fullerton, CA
STUDY OBJECTIVES: To identify the most common reasons for intending to cut back on alcohol, in the emergency department (ED) and trauma populations, and to determine associations between reason to cut back on alcohol and education. METHODS: Conducted retrospectively at a level one trauma center between 2008-2012. The Computerized Alcohol Screening and Intervention (CASI) database includes the patient's age, gender, language, education level, Alcohol Use Disorders Identification Test (AUDIT) score(1-40), readiness to change score(1-10), and selected Reasons to cut back on their alcohol consumption. RESULTS: From an original 10,537 patients, 1202 met study criteria(848 ED, 354 trauma). Overall, the most common reasons for reducing alcohol were To avoid health problems(68.5%), To avoid a DUI(43.6%), "To save money"(42.0%), and "To avoid getting hurt"(41.0%). Trauma patients cited the following reasons significantly more than ED patients: To avoid getting hurt" (46.3% vs. 38.8%, respectively), "To be in control of my behavior"(40.7% vs. 32.2%), and "My partner or spouse wants me to stop"(20.1% vs. 15.0%). Additionally, those patients who cited "To avoid health problems" reported 1.2 points higher than average (p<0.001) on the readiness to change scale. Those who have completed some college cited To avoid health problems less often than high school graduates(OR 0.45), while they cited To avoid getting 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. CONCLUSION: Health, injury, finances, and legal issues remain top concerns for patients, while trauma patients had proportionately more concerns with getting injured.
Learning Areas:
Chronic disease management and prevention
Learning Objectives:
Identify the most common reasons for intending to cut back on alcohol usage, through an examination of data collected from Computerized Alcohol Screening and Intervention (CASI) in an Emergency Department (ED) setting.
Demonstrate associations between reasons to cut back and education level.
Keyword(s): Alcoholism, Screening
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have been a research associate with the CTIPR (Center for Trauma Injury Prevention Research) at UC Irvine over the past 18 months, a group which has been part of multiple federally funded grants focusing on the epidemiology of alcohol-related injury and prevention. This research falls in line with my field of interest in Medicine, and my studies during my Masters in Public Health.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
