T Neumann1, B Neuner, E Weib-Gerlach, U Grittner, A Tempka, C Spies. 1. Universitätsklinik für Anästhesiologie mit Schwerpunkt operative Intensivmedizin, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum und Campus Charité Mitte, Berlin, Deutschland. tim.neumann@charite.de
Abstract
BACKGROUND: The aim of this post hoc study was to evaluate the association of substance use disorders (SUD) and residential neighborhood affiliation in a group of patients with minor injuries presenting to an inner-city emergency room (ER) in Berlin. METHODS: A total of 2,716 patients with minor injuries presenting to the ER were evaluated concerning alcohol use disorders (AUDIT, cut-off: males 8 points, females 5 points), smoking status, and illicit drug use in the past year. Information about residential area (zip code) and sociodemographics (paper-pencil questionnaire) were also obtained. RESULTS: With respect to residential area, significant differences concerning SUD were identified: from the perspective of the inner-city ER, living close to the ER was associated with substance misuse. Here, alcohol use disorders (AUD), smokers, and illicit drug use were found more frequently compared to patients living in the periphery of the city. In addition, patients living close to the ER were more often unemployed, had a lower income, or were students. CONCLUSION: There are differences in SUD with respect to residential area. However, in order to be able to draw reliable conclusions, an approach collecting representative data at the city district level as well as using a multicenter approach at the city ER level is necessary.
BACKGROUND: The aim of this post hoc study was to evaluate the association of substance use disorders (SUD) and residential neighborhood affiliation in a group of patients with minor injuries presenting to an inner-city emergency room (ER) in Berlin. METHODS: A total of 2,716 patients with minor injuries presenting to the ER were evaluated concerning alcohol use disorders (AUDIT, cut-off: males 8 points, females 5 points), smoking status, and illicit drug use in the past year. Information about residential area (zip code) and sociodemographics (paper-pencil questionnaire) were also obtained. RESULTS: With respect to residential area, significant differences concerning SUD were identified: from the perspective of the inner-city ER, living close to the ER was associated with substance misuse. Here, alcohol use disorders (AUD), smokers, and illicit drug use were found more frequently compared to patients living in the periphery of the city. In addition, patients living close to the ER were more often unemployed, had a lower income, or were students. CONCLUSION: There are differences in SUD with respect to residential area. However, in order to be able to draw reliable conclusions, an approach collecting representative data at the city district level as well as using a multicenter approach at the city ER level is necessary.
Authors: C A Soderstrom; G S Smith; P C Dischinger; D R McDuff; J R Hebel; D A Gorelick; T J Kerns; S M Ho; K M Read Journal: JAMA Date: 1997-06-11 Impact factor: 56.272
Authors: Tim Neumann; Bruno Neuner; Edith Weiss-Gerlach; Hanne Tønnesen; Larry M Gentilello; Klaus-D Wernecke; Katrin Schmidt; Torsten Schröder; Helmar Wauer; Andreas Heinz; Karl Mann; Joachim M Müller; Norbert Haas; Wolfgang J Kox; Claudia D Spies Journal: J Trauma Date: 2006-10
Authors: Tim Neumann; Bruno Neuner; Larry M Gentilello; Edith Weiss-Gerlach; Henriette Mentz; Jordan S Rettig; Torsten Schröder; Helmar Wauer; Christian Müller; Michael Schütz; Karl Mann; Gerda Siebert; Michael Dettling; Joachim M Müller; Wolfgang J Kox; Claudia D Spies Journal: Alcohol Clin Exp Res Date: 2004-11 Impact factor: 3.455
Authors: Bruno Neuner; Peter M Miller; Bodo Felsmann; Edith Weiss-Gerlach; Tim Neumann; Klaus Dieter Wernecke; Claudia Spies Journal: Health Qual Life Outcomes Date: 2005-12-01 Impact factor: 3.186