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泰国2007-2019年与酒精相关的非自然死亡的尸检研究

Pongruk Sribanditmongkol¹, Anongphan Junkuy¹, Nontiya Homkham²

¹Department of Forensic Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Alcohol, clinical & experimental research

|January 16, 2024

概括

酒精显著导致泰国的非自然死亡,男性显示出更高的比例和BAC水平. 在两种性别中都观察到极高的血中酒精度 (BAC),特别是在溺水和道路交通事故中死亡.

科学领域:

法医毒理学法医毒理学
公共卫生公共卫生
流行病学流行病学

背景情况:

泰国人均酒精消费量在东南亚是最高的.
之前没有任何主要研究调查过泰国或该地区与酒精相关的非自然死亡.
在泰国,酒精消费是一个重大的公共卫生问题.

研究的目的:

确定泰国与酒精有关的非自然死亡的发生率.
检查死后血中酒精度 (BAC) 和人口学变量之间的关系.
评估酒精与非法物质的共同使用情况.

主要方法:

泰国非自然死亡的回顾性基于登记的研究 (2007-2019).
利用泰国政府对非自然死亡解剖的计算机化数据库 (n=77,006).
分析了酒精阳性病例 (BAC ≥0.20 g/L) 和非法物质的联合使用.

主要成果:

32.49%的尸检病例是酒精阳性的.
男性 (35.52%) 与女性 (16.62%) 相比,酒精阳性病例的比例大约是男性的两倍,BAC的中位数更高.
事故 (42.44%),杀人 (38.81%) 和自杀 (33.25%) 显示出高的酒精阳性. 溺水 (49.12%) 和道路交通事故 (RTF,48.47%) 的死亡率最高,中位数为BAC.

结论:

大多数酒精阳性受害者都超过了重度插曲性饮酒值 (0.8 g/L).
在极高的BAC (≥3.50g/L) 中观察到性别平等.
酒精阳性RTF的BAC中位数 (1.92g/L) 超过了国际标准和泰国法律限制 (0.50g/L).

关键词:

泰国泰国泰国泰国酒精酒精酒精酒精酒精酒精酒精性别性别性别性别性别严重的偶发性饮酒 (HED)道路交通事故中的死亡人数.不自然的死亡不自然的死亡.

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