Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting

Field, Craig A.; Caetano, Raúl; Harris, T. Robert; Frankowski, Ralph F.; Roudsari, Bahman Sayyar

doi:10.1111/j.1360-0443.2009.02737.x

Cited by 59 publications

(71 citation statements)

References 43 publications

(52 reference statements)

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“…46 Some data support the effectiveness of brief educational interventions by healthcare providers in decreasing alcohol consumption among Hispanic persons. 47 Analogous to obesity, specific values, norms, and attitudes of the Hispanic culture need to be acknowledged and addressed in order to increase the efficacy of these interventions. Additionally, ethnic matching of patients and providers, a practice that may help to mitigate some cultural and language barriers, has also been associated with greater reductions in alcohol consumption among Hispanic persons.…”

Section: Resultsmentioning

confidence: 99%

Chronic Liver Disease in the Hispanic Population of the United States

Carrion

Ghanta

Carrasquillo

et al. 2011

Clinical Gastroenterology and Hepatology

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Chronic liver disease is a major cause of morbidity and mortality among Hispanic people living in the United States. Environmental, genetic, and behavioral factors, as well as socioeconomic and health care disparities among this ethnic group have emerged as important public health concerns. We review the epidemiology, natural history, and response to therapy of chronic liver disease in Hispanic patients. The review covers nonalcoholic fatty liver disease, viral hepatitis B and C, coinfection of viral hepatitis with human immunodeficiency virus, alcoholic cirrhosis, hepatocellular carcinoma, autoimmune hepatitis, and primary biliary cirrhosis. For most of these disorders, the Hispanic population has a higher incidence and more aggressive pattern of disease and overall worse treatment outcomes than in the non-Hispanic white population. Clinicians should be aware of these differences in caring for Hispanic patients with chronic liver disease.

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Section: Resultsmentioning

confidence: 99%

Chronic Liver Disease in the Hispanic Population of the United States

Carrion

Ghanta

Carrasquillo

et al. 2011

Clinical Gastroenterology and Hepatology

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“…This finding is consistent with results from other settings. 8,17,27,28 Several additional analyses were conducted to test the robustness of the effects estimated here. First, quadratic, cubic, and quartic polynomials and their interactions were added to Equation (1) to check for nonlinearities, but they did not improve the model fit.…”

Section: Discussionmentioning

confidence: 99%

“…Although there is evidence that SBI provided in a trauma center can reduce alcohol use 2,16-18 and may reduce driving under the influence, 19,20 overall the evidence is mixed in trauma centers and EDs. 21,22 Recent reviews by Field et al 17 and Nilsen et al 21 point to heterogenous protocols and ethical and practical issues in implementing randomized controlled trials in trauma centers that contribute to recent null fundings. 21,22 Although the ACS-COT based its decision in part on the belief that SBI might reduce readmissions and health care costs to trauma centers, such effects have only been found in simulation models.…”

mentioning

confidence: 97%

The Impact of a Mandated Trauma Center Alcohol Intervention on Readmission and Cost per Readmission in Arizona

et al. 2015

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The estimates are consistent with a differential effect of SBI: SBI reduces readmissions among those who present with a less serious alcohol-related problem. Persons with more serious alcohol problems are less likely to respond to SBI. These higher risk individuals likely have a higher cost, which may explain the lack of change in readmission costs. Our study is a macrolevel intent-to-treat analysis of SBI's impact that corroborates the potential of SBI implied by efficacy studies in trauma centers and other settings. This study provides a framework for future research involving more states and health systems and evaluating other SBI policies.

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“…In addition to the variables we examined, possible characteristics of interest are those known to be associated with OUI rearrest or to moderate the effects of OUI intervention. These include employment status, income, use of drugs other than alcohol, frequency of prior OUI behavior, family history of substance use problems, level of psychopathology, substance use severity and level of use, willingness to change drinking behavior, race/ethnicity, and education (Brown et al, 2012;Field et al, 2010;Freeman et al, 2007;Nochajski & Stasiewicz, 2006;Wells-Parker et al, 1989). As previously stated, an additional and interesting question concerns those who are court-ordered to but do not complete an intervention.…”

Section: Conclusion and Future Researchmentioning

confidence: 95%

Operating under the influence: Three year recidivism rates for motivation-enhancing versus standard care programs

Beadnell

Crisafulli

Stafford

et al. 2015

Accident Analysis & Prevention

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Operating a motor vehicle under the influence of alcohol (OUI) is an international problem. In the United States, one intervention strategy is to require offenders to attend group-delivered interventions. We compared three year rearrest rates among 12,267 individuals in Maine receiving either a motivation-enhancing (ME) program, Prime For Life(®), or historical standard care (SC) programs. We created two cohorts, one when Maine used SC (9/1/1999-8/31/2000) and one after the ME program was implemented (9/1/2002-8/31/2003). Adjusted for control variables, rearrest rates among people not completing an assigned program did not differ for the ME versus SC cohorts (12.1% and 11.6%, respectively; OR=1.05, ns). In contrast, ME compared to SC program completers had lower rearrest rates (7.4% versus 9.9%, OR=0.73, p<.05). The same pattern occurred for people required to take these programs plus substance use treatment (12.1% versus 14.7%, OR=0.82, p<.01). For those rearrested, time to rearrest did not differ between ME and SC cohorts. Among those required to have substance abuse treatment, ME and SC arrest rates did not differ for younger individuals; otherwise, the ME cohort's lower rearrest rates occurred across gender, age, having a previous OUI, and having completed a previous intervention program.

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Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting

Cited by 59 publications

References 43 publications

Chronic Liver Disease in the Hispanic Population of the United States

Chronic Liver Disease in the Hispanic Population of the United States

The Impact of a Mandated Trauma Center Alcohol Intervention on Readmission and Cost per Readmission in Arizona

Operating under the influence: Three year recidivism rates for motivation-enhancing versus standard care programs

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