Past-year violence typologies among patients with cocaine-related chest pain.
This study examines a consecutive cohort of patients (n = 219) presenting to an urban Emergency Department (ED) for cocaine-related chest pain (June 2002 to February 2005). Patients were interviewed regarding violence, substance use, and psychosocial factors. Significant markers of violence were increases in: past-year medical service use, binge drinking, marijuana use, cocaine diagnosis, but not cocaine use days. Rates and correlates of violence differed by relationship type (intimate partner, nonpartner) and role context (victimization, perpetration). Understanding these correlates has public health implications, both for preventing future violence and its associated ED service utilization, and for future interventions in cocaine users presenting to the ED.
Cunningham
Rebecca
R
Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan 48109-0437, USA. stroh@umich.edu
Walton
Maureen A
MA
Tripathi
Shanti P
SP
Weber
Jim Edward
JE
Maio
Ronald F
RF
Booth
Brenda M
BM
D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology; D000437:Alcoholism / Q000175:diagnosis / Q000453:epidemiology*; D002637:Chest Pain / Q000453:epidemiology* / Q000523:psychology; D019970:Cocaine-Related Disorders / Q000453:epidemiology* / Q000523:psychology; D015331:Cohort Studies; D015897:Comorbidity; D019548:Crime Victims / Q000523:psychology / Q000706:statistics & numerical data; D003936:Diagnosis, Computer-Assisted; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D007398:Interpersonal Relations; D008019:Life Style; D008297:Male; D002189:Marijuana Abuse / Q000175:diagnosis / Q000453:epidemiology; D018579:Patient Selection; D012107:Research Design; D013179:Spouse Abuse / Q000523:psychology / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology; D014754:Violence / Q000145:classification* / Q000523:psychology / Q000706:statistics & numerical data