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Impacto de la prohibición del alcohol en las visitas ambulatorias en Barrow, Alaska
A Y Chiu1, P E Perez, R N Parker
1North Slope Borough Physician Services, Barrow, Alaska, USA.
JAMA
|December 5, 1997
Resumen
En una comunidad aislada de Alaska, la implementación de una prohibición de alcohol redujo significativamente las visitas ambulatorias por problemas relacionados con el alcohol. La revocación de la prohibición condujo a un aumento de las visitas, lo que demuestra la prohibición del alcohol.
Área de la Ciencia:
- Salud Pública La salud pública.
- Epidemiología La epidemiología.
- Política de salud Política de salud
Sus antecedentes:
- La disponibilidad de alcohol en la Comunidad influye en el consumo y los daños relacionados.
- Barrow, Alaska, experimentó políticas fluctuantes de alcohol durante 33 meses: legal, prohibido, legal, prohibido.
Objetivo del estudio:
- Para evaluar el impacto de los cambios en la política de alcohol en las visitas ambulatorias por problemas relacionados con el alcohol en Barrow, Alaska.
Principales métodos:
- Análisis retrospectivo de los registros de pacientes ambulatorios del hospital.
- Análisis de series temporales que correlacionan los cambios en la política de alcohol con la frecuencia de las visitas.
Principales resultados:
- Las prohibiciones de alcohol se asociaron con disminuciones significativas en las visitas ambulatorias relacionadas con el alcohol.
- El levantamiento de la prohibición resultó en un aumento de las visitas; la reimposición de la prohibición disminuyó las visitas.
- El análisis estadístico confirmó el impacto significativo de los cambios de política (P<.05).
Conclusiones:
- La prohibición del alcohol puede servir como una intervención efectiva de salud pública en comunidades aisladas.
- Las intervenciones políticas pueden reducir de manera demostrable los problemas de salud relacionados con el alcohol.
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