社区干预对高风险饮酒和与酒精有关的伤害的影响
H D Holder1, P J Gruenewald, W R Ponicki
1Prevention Research Center, 2150 Shattuck Ave, Suite 900, Berkeley, CA 94704, USA. holder@prev.org
JAMA
|November 7, 2000
概括
社区干预措施显著减少了高风险饮酒和酒精相关的伤害事故和袭击. 这些环境战略在促进更安全的社区方面被证明是有效的.
科学领域:
- 公共卫生 公共卫生
- 社区干预 社区干预
- 减少与酒精有关的危害
背景情况:
- 高风险的酒精消费,包括过度饮酒和饮酒驾驶,与交通事故和袭击有关.
- 未成年人饮酒也会导致社区安全问题.
研究的目的:
- 评估基于社区的环境干预措施的有效性.
- 确定这些干预措施是否能减少高风险的酒精消费和与酒精有关的伤害.
主要方法:
- 从1992年到1996年,在三个匹配的干预社区进行了一项纵向的多次时间序列研究.
- 通过人口调查,交通数据和急诊室记录来评估结果.
- 干预措施包括社区动员,负责任的饮料服务,减少未成年人饮酒的机会,加强饮酒和驾驶法律的执行,以及分区.
主要成果:
- 自我报告的高风险饮酒行为,如饮酒过多和驾驶超过法律限制,显著下降 (分别为49%和51%).
- 与酒精有关的事故,特别是夜间伤害事故,下降了10%.
- 在急诊室观察到的攻击伤害减少了43%.
结论:
- 协调,全面的社区干预措施有效地减少了高风险的酒精消费.
- 这些策略可以显著减少机动车撞车和袭击造成的与酒精有关的伤害.
- 环境干预是改善社区安全的可行方法.
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