Measurement of alcohol-involved injury in community prevention : The search for a surrogate III.
Alcohol is involved in a substantial percentage of injuries, with estimates in the United States ranging from 3% of drownings up to 50% of fatal traffic crashes.
Thus, alcohol-involved injury is a natural target for prevention efforts, particularly at the community level.
Although a potentially valuable target, the measurement of alcohol-involved injuries for purposes of outcome evaluation of such prevention is problematic.
The consistent measurement of alcohol in the blood of injured persons is not a regular aspect of acute medical treatment Thus, alternatives are needed both for epidemiological, as well as prevention, research.
This study will review three alternative measurements of alcohol-involved injury [i.e., (a) emergency room interviews and breath testing for blood alcohol concentration, (b) telephone surveys of self-reported injuries after drinking, and (c) injury surrogate derived archival data from hospital inpatient treatment]. After comparing the strengths and weaknesses of all three and investigating the sensitivity of the injury surrogate to detect changes in alcohol-involved injuries, this study concludes that the injury surrogate is a reliable, low-cost, and valid outcome measure for prevention evaluation.
Mots-clés Pascal : Ethanol, Toxicité, Accident circulation, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Homme, Evaluation, Programme sanitaire, Prévention, Méthode mesure, Fiabilité, Viabilité
Mots-clés Pascal anglais : Ethanol, Toxicity, Traffic accident, United States, North America, America, Epidemiology, Human, Evaluation, Sanitary program, Prevention, Measurement method, Reliability, Viability
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0093224
Code Inist : 002B30A01C. Création : 14/05/1998.