Evidence map›Paper›PMID 28044383›Full record

ArticleAddiction (Abingdon, England)2017

Alcohol use among fatally injured victims in São Paulo, Brazil: bridging the gap between research and health services in developing countries.

Gabriel Andreuccetti, Vilma Leyton, Nikolas P Lemos, Ivan Dieb Miziara, Yu Ye, Juliana Takitane, Daniel Romero Munoz, Arthur L Reingold, Cheryl J Cherpitel, Heraclito Barbosa de Carvalho

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Shifting patterns of disparities in unintentional injury mortality rates in the United States, 1999-2016.Revista panamericana de salud publica = Pan American journal of public health · 2021
    Article
  3. Article
  4. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 3 countries.

Gabriel AndreuccettiUniversity of São Paulo Medical School, São Paulo, Brazil.
Vilma LeytonUniversity of São Paulo Medical School, São Paulo, Brazil.
Nikolas P LemosForensic Laboratory Division, Office of the Chief Medical Examiner, San Francisco, CA, USA.
Ivan Dieb MiziaraUniversity of São Paulo Medical School, São Paulo, Brazil.
Yu YeAlcohol Research Group, Emeryville, CA, USA.
Juliana TakitaneUniversity of São Paulo Medical School, São Paulo, Brazil.
Daniel Romero MunozUniversity of São Paulo Medical School, São Paulo, Brazil.
Arthur L ReingoldSchool of Public Health, University of California, Berkeley, CA, USA.
Cheryl J CherpitelAlcohol Research Group, Emeryville, CA, USA.
Heraclito Barbosa de CarvalhoUniversity of São Paulo Medical School, São Paulo, Brazil.
Universidade de São Paulo · BRAlcohol Research Group · USOffice of the Chief Medical Examiner · CAUniversity of California, Berkeley · US

Funding

Cross-National Analysis of Alcohol & InjuryR01AA013750 · NIAAA · PUBLIC HEALTH INSTITUTE · PI CHERPITEL, CHERYL J · 2002 to 2018
$4.4M
NIAAA NIH HHS R01 AA013750
6 · The paper itself

Abstract

BACKGROUND AND

aimsMost studies reporting alcohol use among fatally injured victims are subject to bias, particularly those related to sample selection and to absence of injury context data. We developed a research method to estimate the prevalence of alcohol consumption and test correlates of alcohol use prior to fatal injuries. DESIGN, SETTING AND

participantsCross-sectional study based on a probability sample of fatally injured adult victims (n = 365) autopsied in São Paulo, Brazil. Victims were sampled within systematically selected 8-hour sampling blocks, generating a representative sample of fatal injuries occurring during all hours of the day for each day of the week between June 2014 and December 2015. MEASUREMENTS: The presence of alcohol and blood alcohol concentration (BAC) were the primary outcomes evaluated according to victims' socio-demographic, injury context data (type, day, time and injury place) and criminal history characteristics.

findingsAlcohol was detected in 30.1% [95% confidence interval (CI) = 25.6-35.1)] of the victims, with a mean blood alcohol level (BAC) level of 0.11% w/v (95% CI = 0.09-0.13) among alcohol-positive cases. Black and mixed race victims presented a higher mean BAC than white victims (P = 0.03). Fewer than one in every six suicides tested positive for alcohol, while almost half of traffic-related casualties were alcohol-positive. Having suffered traffic-related injuries, particularly those involving vehicle crashes, and injuries occurring during weekends and at night were associated significantly with alcohol use before injury (P < 0.05).

conclusionsNearly one-third of fatal injuries in São Paulo between June 2014 and December 2015 were alcohol-related, with traffic accidents showing a greater association with alcohol use than other injuries. The sampling methodology tested here, including the possibility of adding injury context data to improve population-based estimates of alcohol use before fatal injury, appears to be a reliable and lower-cost strategy for avoiding biases common in death investigations.

Indexed as

Developing CountriesAccidents, TrafficAdultAlcohol DrinkingAutopsyBlack PeopleBlood Alcohol ContentBrazilCross-Sectional StudiesFemaleHealth ServicesHomicideHumansMalePrevalenceResearchBlood Alcohol ContentAlcoholBACBrazildeathsinjuriestoxicology

Identifiers

PMID28044383
PMCPMC5339026
OpenAlexW2556623810

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.