酒精的使用是自行车伤害的风险因素
1Department of Emergency Medicine, Johns Hopkins University School of Medicine, 1830 E Monument St, Suite 6-100, Baltimore, MD 21205, USA. ghli@jhmi.edu
JAMA
|March 17, 2001
概括
自行车伤害很常见,酒精显著增加严重或致命事故的风险. 即使是血中酒精度 (BAC) 低,也会大大增加受伤的几率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 伤害预防 预防伤害
背景情况:
- 骑自行车是娱乐伤害的主要原因之一.
- 血中酒精度升高 (BACs) 存在于大约三分之一的15岁及以上的致命受伤的骑自行车者中.
研究的目的:
- 评估血中酒精度 (BAC) 与致命或严重自行车伤害风险之间的关联.
主要方法:
- 采用了一种匹配的病例控制研究设计.
- 数据包括致命或严重受伤的骑自行车者 (病例) 和路边调查的对照组.
- 估计的BAC使用呼吸试验进行测量,并根据受伤风险计算出赔率比率.
主要成果:
- 阳性BAC (≥0.02g/dL) 在12.9%受伤的骑自行车者中被检测到,而对照人群中为2.9%.
- 对损伤的调整后几率比为5.6的BAC≥0.02g/dL和20.2的BAC≥0.08g/dL.
- 与没有 (35%) 相比,BAC阳性 (5%) 的骑自行车者使用头盔明显较低.
结论:
- 骑自行车时饮酒与致命或严重伤害的风险显著增加有关.
- 这些发现强调了受损骑自行车的危险性.
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