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RISS 인기검색어
- 검색키워드
- 저자 : Shan Bagby (검색결과 1 건)
- 무료
- 기관 내 무료
- 유료
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The Relationship of Substance Abuse to Orofacial Injuries in an Inner City Population
Black, Edward E.,Kathryn Atchison,Vivek Shetty,Leathers, Richard D.,Shan Bagby,Sandra Delrahim Korean Academy of Oral Biology and the UCLA Dental 1998 International Journal of Oral Biology Vol.23 No.1
The prevalence of drug and alcohol abuse was investigated prospectively in a population of 207 patients with orofacial injuries seeking treatment at the King/Drew Medical Center, Los Angeles. Demographic details were collected, the use of alcohol and street drugs obtained, and a clinical determination made on whether the injuries were related to alcohol or drug intoxication. The prevalence of covert alcoholism was determined by administering the CAGE questionnaire. The majority of victims were young (33.3±9.05 yrs), male (88%), African-American (73%) or Hispanic (25%), unemployed (71%) and had < 12 years of education (73%). About 83% of the African-American patients reported regular use of alcohol and 48% reported regular use of street drugs. Among Hispanic patients, 80% reported use of alcohol and 18% used drugs regularly. Of the 119 patients screened by the CAGE test, 60% of the African-American patients and 46% of the Hispanic patients answered affirmatively for one or more items, which indicates potential for alcoholism. A significantly greater proportion of patients who screened positive had a history of previous head trauma (80% vs. 50%, p=0.01) and a history of orofacial trauma (77% vs. 52%, p=0.03) or both, indicating a high rate of recidivism. We conclude that alcohol and drug abuse is strongly associated with the occurrence of orofacial injury in inner-city populations. The CAGE test appears to be a simple and effective screening mechanism for clinicians to yield valuable information that can affect the treatment provided. Beyond socioeconomic factors, substance abuse in and of itself appears to be an important risk factor of repeat injury.
RISS
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