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Instituto Nacional de Salud Pública

2025, Number 2

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salud publica mex 2025; 67 (2)

Acute and chronic substance use among patients with a road traffic injury in Mexico City

Borges G, Orozco R, Borges-Monroy R, Bioinformat Integrat Genom

Language: English
References: 21
Page: 107-114
PDF size: 273.74 Kb.


ABSTRACT

Objective. To report on the prevalence acute and chronic substance use among patients attending an emergency department (ED) in Mexico City because of a road traffic injury (RTI) and possible effect modifiers for the relationship between acute alcohol and cannabis use and RTI. Materials and methods. Adult RTI patients, admitted to an ED (January to April 2022). Breath Alcohol Concentration and six types of drugs were assessed using a saliva screen test. Patients also self-reported their alcohol and drug use. Results. 13.9% reported an alcohol use disorder in the last 12 months. Acute alcohol use was frequent, with 18.9% being positive. We found a large association between habitual and acute substance use. In a case-crossover analysis, there was no significant effect modification. Conclusion. Patients positive for substance use at entry to the ED should have a comprehensive evaluation of their substance abuse habits and a referral to a mental health specialist.


REFERENCES

  1. Razo C, Morales-Juárez L, Cagney J, Ríos-Blancas MJ, Montoya A. Theburden attributable to risk factors in Mexico, 1990-2021. Summary of thefindings from the Global Burden of Disease 2021 study. Gac Med Mex. 2023;159(6):523-31. https://doi.org/10.24875/GMM.M24000841

  2. Lozano R, Razo C, Montoya A, Morales-Juárez L, Ríos-Blancas MJ,Cagney J. The burden of disease, injuries, and risk factors in Mexico: 1990-2021 update. Gac Med Mex. 2023;159(6):455-64. https://doi.org/10.24875/GMM.M24000839

  3. Borges G, Monteiro M, Cherpitel CJ, Orozco R, Ye Y, Poznyak V, et al.Alcohol and road traffic injuries in Latin America and the Caribbean: acase-crossover study. Alcohol Clin Exp Res. 2017;41(10):1731-7. https://doi.org/10.1111/ACER.13467

  4. Taylor B, Irving HM, Kanteres F, Room R, Borges G, Cherpitel C, et al.The more you drink, the harder you fall: a systematic review and metaanalysisof how acute alcohol consumption and injury or collision riskincrease together. Drug Alcohol Depend. 2010;110(1-12):108-16. https://doi.org/10.1016/J.DRUGALCDEP.2010.02.011

  5. Taylor B, Rehm J. The relationship between alcohol consumptionand fatal motor vehicle injury: high risk at low alcohol levels. AlcoholClin Exp Res. 2012;36(10):1827-34. https://doi.org/10.1111/j.1530-0277.2012.01785.x

  6. Kuendig H, Hasselberg M, Gmel G, Daeppen JB, Laflamme L. Acute andusual drinking among emergency trauma patients: a study on alcoholconsumption and injury patterns. Inj Prev. 2009;15(4):270-4. https://doi.org/10.1136/IP.2008.020198

  7. Gjerde H, Strand M, Morland J. Driving under the influence of nonalcoholdrugs. An update. Part I: epidemiological studies. Forensic Sci Rev.2015;27(2):89-113 [cited February 2024]. Available from: https://pubmed.ncbi.nlm.nih.gov/26227253/

  8. Borges G, Orozco R. Alcohol and cannabis use in traffic-related injuriesin Mexico City. Inj Prev. 2023;29(3):207-12. https://doi.org/10.1136/IP-2022-044782

  9. Borges G, Orozco R, Pérez-Núñez R, Pechansky F. Substance use andtype of road traffic injury in Mexico City. J Prev. 2024;45(2):323-37. https://doi.org/10.1007/s10935-024-00769-z

  10. Maclure M. The case-crossover design: a method for studying transienteffects on the risk of acute events. Am J Epidemiol. 1991;113(2):144-53.https://doi.org/10.1093/oxfordjournals.aje.a115853

  11. American Psychiatric Association. Diagnostic and statistical manual ofmental disorders: DSM-5. Arlington: American Psychiatric Association, 2013.

  12. Asbridge M, Mann R, Cusimano MD, Trayling C, Roerecke M, Tallon JM,et al. Cannabis and traffic collision risk: findings from a case-crossoverstudy of injured drivers presenting to emergency departments. Int J PublicHealth. 2014;59(2):395-404. https://doi.org/10.1007/S00038-013-0512-Z

  13. Borges G, Cherpitel C, Orozco R, Bond J, Ye Y, Macdonald S, et al.Multicentre study of acute alcohol use and non-fatal injuries: data fromthe WHO collaborative study on alcohol and injuries. Bull World HealthOrgan. 2006;84(6):453-60. https://doi.org/10.2471/BLT.05.027466

  14. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, InstitutoNacional de Salud Pública, Comisión Nacional Contra las Adicciones, Secretaríade Salud. Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco2016-2017: reporte de alcohol. Mexico: INPRFM, 2017 [cited February2024]. Available from: https://encuestas.insp.mx/repositorio/encuestas/ENCODAT2016/doctos/informes/reporte_encodat_alcohol_2016_2017.pdf

  15. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, InstitutoNacional de Salud Pública, Comisión Nacional Contra las Adicciones,Secretaría de Salud. Encuesta Nacional de Consumo de Drogas, Alcohol yTabaco 2016-2017: reporte de drogas. Mexico: INPRFM, 2017 [cited February2024]. Available from: https://encuestas.insp.mx/repositorio/encuestas/ENCODAT2016/doctos/informes/reporte_encodat_drogas_2016_2017.pdf

  16. World Health Organization. Tackling NCDs: ‘best buys’ and otherrecommended interventions for the prevention and control of noncommunicablediseases. Geneva: WHO, 2017 [cited February 2024]. Availablefrom: https://iris.who.int/handle/10665/259232

  17. Rehm J, Manthey J, Lange S, Badaras R, Zurlyte I, Passmore J, et al. Alcoholcontrol policy and changes in alcohol-related traffic harm. Addiction.2020;115(4):655-65. https://doi.org/10.1111/add.14796

  18. Room R, Miller M, Waleewong O, Assanangkornchai S, Beccaria F,Benegal V, et al. Research agendas for alcohol policymaking in the widerworld. Int J Alcohol Drug Res. 2022;10(1):34-44. https://doi.org/10.7895/ijadr.353

  19. World Health Organization. The health and social effects of nonmedicalcannabis use. Geneva: WHO, 2016 [cited February 2024]. Availablefrom: https://www.who.int/publications/i/item/9789241510240

  20. World Health Organization. Drug use and road safety: a policy brief.Geneva: WHO, 2016 [cited February 2024]. Available from: https://iris.who.int/handle/10665/249533

  21. Cherpitel CJ, Borges G, Giesbrecht N, Monteiro M, Stockwell T.Prevention of alcohol-related injuries in the Americas: from evidenceto policy action. Washington DC: Pan American Health Organization,2013 [cited 2024 Feb]. Available from: https://iris.paho.org/handle/10665.2/6085




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