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Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting.

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Title: Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting.
Authors: Field, Craig A. (AUTHOR), Caetano, Raul (AUTHOR), Harris, T. R. (AUTHOR), Frankowski, Ralph (AUTHOR), Roudsari, Bahman (AUTHOR)
Source: Addiction. Jan2010, Vol. 105 Issue 1, p62-73. 12p. 1 Diagram, 5 Charts.
Subjects: Minorities, Trauma centers, Alcohol drinking, Drunk driving, People with alcoholism, Hispanic Americans, Racial identity of white people, Racial identity of Black people
Geographic Terms: United States
Abstract: Background Evidence suggests that brief interventions in the trauma care setting reduce drinking, subsequent injury and driving under the influence (DUI) arrest. However, evidence on the effectiveness of these interventions in ethnic minority groups is lacking. The current study evaluates the efficacy of brief intervention among whites, blacks and Hispanics in the United States. Methods We conducted a two-group parallel randomized trial comparing brief motivational intervention (BMI) and treatment as usual with assessment (TAU+) to evaluate treatment differences in drinking patterns by ethnicity. Patients were recruited from a level 1 urban trauma center over a 2-year period. The study included 1493 trauma patients, including 668 whites, 288 blacks and 537 Hispanics. Hierarchical linear modeling was used to evaluate ethnic differences in drinking outcomes including volume per week, maximum amount consumed in 1 day, percentage days abstinent and percentage days heavy drinking at 6- and 12-month follow-up. Analyses controlled for age, gender, employment status, marital status, prior alcohol treatment, type of injury and injury severity. Special emphasis was given to potential ethnic differences by testing the interaction between ethnicity and BMI. Results At 6- and 12-month follow-up, BMI significantly reduced maximum amount consumed in 1 day ( P < 0.001; P < 0.001, respectively) and percentage days heavy drinking ( P < 0.05; P < 0.05, respectively) among Hispanics. Hispanics in the BMI group also reduced average volume per week at 12-month follow-up (χ2 = 6.8, df = 1, P < 0.01). In addition, Hispanics in TAU+ reduced maximum amount consumed at 6- and 12-month follow-up ( P < 0.001; P < 0.001) and volume per week at 12-month follow-up ( P < 0.001). Whites and blacks in both BMI and TAU+ reduced volume per week and percentage days heavy drinking at 12-month follow-up ( P < 0.001; P < 0.01, respectively) and decreased maximum amount at 6- ( P < 0.001) and 12-month follow-up ( P < 0.001). All three ethnic groups In both BMI and TAU+ reduced volume per week at 6-month follow-up ( P < 0.001) and percentage days abstinent at 6- ( P < 0.001) and 12-month follow-up ( P < 0.001). Conclusions All three ethnic groups evidenced reductions in drinking at 6- and 12-month follow-up independent of treatment assignment. Among Hispanics, BMI reduced alcohol intake significantly as measured by average volume per week, percentage days heavy drinking and maximum amount consumed in 1 day. [ABSTRACT FROM AUTHOR]
Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Field%2C+Craig+A%2E%22&quot;&gt;Field, Craig A.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Caetano%2C+Raul%22&quot;&gt;Caetano, Raul&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Harris%2C+T%2E+R%2E%22&quot;&gt;Harris, T. R.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Frankowski%2C+Ralph%22&quot;&gt;Frankowski, Ralph&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Roudsari%2C+Bahman%22&quot;&gt;Roudsari, Bahman&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Addiction%22&quot;&gt;Addiction&lt;/searchLink&gt;. Jan2010, Vol. 105 Issue 1, p62-73. 12p. 1 Diagram, 5 Charts.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Minorities%22&quot;&gt;Minorities&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Trauma+centers%22&quot;&gt;Trauma centers&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Alcohol+drinking%22&quot;&gt;Alcohol drinking&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Drunk+driving%22&quot;&gt;Drunk driving&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22People+with+alcoholism%22&quot;&gt;People with alcoholism&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Hispanic+Americans%22&quot;&gt;Hispanic Americans&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Racial+identity+of+white+people%22&quot;&gt;Racial identity of white people&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Racial+identity+of+Black+people%22&quot;&gt;Racial identity of Black people&lt;/searchLink&gt;
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  Data: Background Evidence suggests that brief interventions in the trauma care setting reduce drinking, subsequent injury and driving under the influence (DUI) arrest. However, evidence on the effectiveness of these interventions in ethnic minority groups is lacking. The current study evaluates the efficacy of brief intervention among whites, blacks and Hispanics in the United States. Methods We conducted a two-group parallel randomized trial comparing brief motivational intervention (BMI) and treatment as usual with assessment (TAU+) to evaluate treatment differences in drinking patterns by ethnicity. Patients were recruited from a level 1 urban trauma center over a 2-year period. The study included 1493 trauma patients, including 668 whites, 288 blacks and 537 Hispanics. Hierarchical linear modeling was used to evaluate ethnic differences in drinking outcomes including volume per week, maximum amount consumed in 1 day, percentage days abstinent and percentage days heavy drinking at 6- and 12-month follow-up. Analyses controlled for age, gender, employment status, marital status, prior alcohol treatment, type of injury and injury severity. Special emphasis was given to potential ethnic differences by testing the interaction between ethnicity and BMI. Results At 6- and 12-month follow-up, BMI significantly reduced maximum amount consumed in 1 day ( P &lt; 0.001; P &lt; 0.001, respectively) and percentage days heavy drinking ( P &lt; 0.05; P &lt; 0.05, respectively) among Hispanics. Hispanics in the BMI group also reduced average volume per week at 12-month follow-up (χ2 = 6.8, df = 1, P &lt; 0.01). In addition, Hispanics in TAU+ reduced maximum amount consumed at 6- and 12-month follow-up ( P &lt; 0.001; P &lt; 0.001) and volume per week at 12-month follow-up ( P &lt; 0.001). Whites and blacks in both BMI and TAU+ reduced volume per week and percentage days heavy drinking at 12-month follow-up ( P &lt; 0.001; P &lt; 0.01, respectively) and decreased maximum amount at 6- ( P &lt; 0.001) and 12-month follow-up ( P &lt; 0.001). All three ethnic groups In both BMI and TAU+ reduced volume per week at 6-month follow-up ( P &lt; 0.001) and percentage days abstinent at 6- ( P &lt; 0.001) and 12-month follow-up ( P &lt; 0.001). Conclusions All three ethnic groups evidenced reductions in drinking at 6- and 12-month follow-up independent of treatment assignment. Among Hispanics, BMI reduced alcohol intake significantly as measured by average volume per week, percentage days heavy drinking and maximum amount consumed in 1 day. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1111/j.1360-0443.2009.02737.x
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