title: Violence and non-violence-related injuries and alcohol in women from developed and developing countries: a multi-site emergency room study.
abstract: This study sought to analyze the association between alcohol consumption and the occurrence of injuries in women attending the emergency room (ER) from developing and developed countries. The sample consisted of ER data from women in 15 countries that were collected as part of two multi-site studies using similar methodologies: the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP), and World Health Organization Collaborative Study on Alcohol and Injuries (WHO Study). Women ranged in age from 18 to 98years. Those from developed countries had higher levels of education (43% completed high-school) than women from developing countries (37%). Over half of the women from developing countries reported they had not consumed alcohol in the last 12months (abstentious), while 2% reported drinking every day. In addition, current drinking women from developing countries reported more binge drinking episodes (33% reported 5 to 11 drinks and 15% reported 12 or more drinks on an occasion) compared to those from developed countries (28% and 11%, respectively). Violence-related injury was more prevalent in developing countries (18%) compared to developed countries (9%). An association between injury and the frequency of alcohol consumption in the last 12months was observed in both developing and developed countries. Although women from developing countries who suffered violence-related injuries were more likely to demonstrate alcohol abstinence or have lower rates of daily alcohol consumption, these women drank in a more dangerous way, and violence-related injuries were more likely to occur in these women than in those living in developed countries.
authors.affiliation: Department of Psychiatry, Federal University of São Paulo, Brazil. Electronic address: rosipsico03@gmail.com.
authors.forename: Rosiane Lopes
authors.initials: RL
authors.lastname: da Silva
authors.affiliation: Department of Psychiatry, Federal University of São Paulo, Brazil. Electronic address: alediehl@terra.com.br.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Diehl
authors.affiliation: National Alcohol Research Center, USA; Public Health Institute Alcohol Research Group, USA. Electronic address: ccherpitel@arg.org.
authors.forename: Cheryl J
authors.initials: CJ
authors.lastname: Cherpitel
authors.affiliation: Department of Psychiatry, Federal University of São Paulo, Brazil; National Institute of Drug and Alcohol Policies, CNPq, Brazil. Electronic address: neliana_figlie@uol.com.br.
authors.forename: Neliana B
authors.initials: NB
authors.lastname: Figlie
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000428:Alcohol Drinking / Q000453:epidemiology; D000435:Alcoholic Intoxication / Q000453:epidemiology*; D003431:Cross-Cultural Comparison; D019049:Developed Countries / Q000706:statistics & numerical data*; D003906:Developing Countries / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D038622:Internationality; D008875:Middle Aged; D015995:Prevalence; D014754:Violence / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology*; D055815:Young Adult
keywords: Alcohol consumption; Alcohol drinking; Emergency department; Emergency room; Injury; Women