Evidence map›Paper›PMID 28905388›Full record

ArticleAlcoholism, clinical and experimental research2017

Alcohol and Road Traffic Injuries in Latin America and the Caribbean: A Case-Crossover Study.

Guilherme Borges, Maristela Monteiro, Cheryl J Cherpitel, Ricardo Orozco, Yu Ye, Vladimir Poznyak, Margie Peden, Flavio Pechansky, Mariana Cremonte, Sandra D Reid and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-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

12 citing papers in PubMed, 41 citations in OpenAlex.

  1. Article
  2. Article
  3. Antipsychotic treatment adherence and motor vehicle crash among drivers with schizophrenia: a case-crossover study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  4. Article
  5. Reducing the incidence and mortality of traumatic brain injury in Latin America.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Review
  6. Article
  7. Article
  8. Road traffic injury risk from alcohol and cannabis use among emergency department patients in Argentina.Revista panamericana de salud publica = Pan American journal of public health · 2022
    Article
  9. Article
  10. Article
  11. Road traffic injuries and substance use among emergency department patients in the Dominican Republic and Peru.Revista panamericana de salud publica = Pan American journal of public health · 2021
    Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 5 countries.

Guilherme BorgesNational Institute of Psychiatry Ramon de la Fuente , Mexico City, Mexico.ORCID http://orcid.org/0000-0002-3269-0507
Maristela MonteiroPan American Health Organization (PAHO) , Washington, District of Columbia.
Cheryl J CherpitelAlcohol Research Group , Emeryville, California.
Ricardo OrozcoNational Institute of Psychiatry Ramon de la Fuente , Mexico City, Mexico.ORCID http://orcid.org/0000-0002-6580-585X
Yu YeAlcohol Research Group , Emeryville, California.
Vladimir PoznyakDepartment of Mental Health and Substance Abuse , World Health Organization (WHO), Geneva, Switzerland.
Margie PedenDepartment for the Management of Noncommunicable Diseases, Disability, Violence and Injury Prevention , World Health Organization (WHO), Geneva, Switzerland.
Flavio PechanskyCenter for Drug and Alcohol Research , Hospital de Clinicas de Porto Alegre - UFRGS/Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Mariana CremonteFac. Psicología - UNMDP , Mar del Plata, Argentina.
Sandra D ReidCaribbean Institute on Alcoholism and Other Drug Problems , Port of Spain, Trinidad & Tobago.
Jesus MendezInstituto sobre Alcoholismo y Farmacodependencia , San Jose, Costa Rica.
Alcohol Research Group · USInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz · MXWorld Health Organization · CHNational University of Mar del Plata · ARUniversidade Federal do Rio Grande do Sul · BRWorld Health Organization Regional Office for the Americas · 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 AA013750World Health Organization 001
6 · The paper itself

Abstract

backgroundThis study reports dose-response estimates for the odds ratio (OR) and population attributable risk of acute alcohol use and road traffic injury (RTI).

methodsData were analyzed on 1,119 RTI patients arriving at 16 emergency departments (EDs) in Argentina, Brazil, Costa Rica, Dominican Republic, Guatemala, Guyana, Mexico, Nicaragua, Panama, and Trinidad and Tobago. Case-crossover analysis, pair-matching the number of standard drinks consumed within the 6 hours prior to the RTI with 2 control periods (prior d/wk), was performed using fractional polynomial analysis for dose-response.

resultsAbout 1 in 6 RTI patients in EDs were positive for self-reported alcohol 6 hours prior to the injury (country range 8.6 to 24.1%). The likelihood of an RTI with any drinking prior (compared to not drinking) was 5 times higher (country range OR 2.50 to 15.00) and the more a person drinks the higher the risk. Every drink (12.8 g alcohol) increased the risk of an RTI by 13%, even 1 to 2 drinks were associated with a sizable increase in risk of an RTI and a dose-response was found. Differences in ORs for drivers (OR = 3.51; 95% CI = 2.25 to 5.45), passengers (OR = 8.12; 95% CI = 4.22 to 15.61), and pedestrians (OR = 6.30; 95% CI = 3.14 to 12.64) and attributable fractions were noted. Acute use of alcohol was attributable to 14% of all RTIs, varying from 7% for females to 19% for being injured as a passenger.

conclusionsThe finding that the presence of alcohol increases risk among drivers and nondrivers alike may further help to urge interventions targeting passengers and pedestrians. Routine screening and brief interventions in all health services could also have a beneficial impact in decreasing rates of RTIs. Higher priority should be given to alcohol as a risk factor for RTIs, particularly in Latin America and the Caribbean.

Indexed as

Accidents, TrafficAdolescentAdultAlcohol DrinkingCaribbean RegionCase-Control StudiesCross-Over StudiesEmergency Service, HospitalFemaleHumansLatin AmericaMaleRisk FactorsYoung AdultAlcoholCase-CrossoverEmergency DepartmentRiskRoad Traffic Injury

Identifiers

PMID28905388
PMCPMC5679247
OpenAlexW2756206976

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.