Alcohol, drugs, and urban violence in a small city trauma center.

Title

Alcohol, drugs, and urban violence in a small city trauma center.

Creator

Buss T F; Abdu R; Walker J R

Publisher

Journal of substance abuse treatment

Date

1995
1995-04

Description

Substance abuse and urban trauma go hand in hand. But research focuses on large cities served by major academic medical centers. Do small cities face the same problems? Two hundred thirty-three urban trauma inpatients from a metro area of 250,000 were studied using patient interviews and medical records. As in large cities, one half used alcohol or drugs when attacked. Seventy percent were likely to be young, male, poor African-Americans. Only 3% were gang members, but demographic characteristics failed to explain substance abuse as they have for larger cities. A culture of violence pervades the small city, as it does in large urban ghettos. Two fifths were repeat urban trauma victims. Two fifths witnessed assaults in the past year. One third carried a knife or gun. Fifteen percent used a weapon on another person in the last year. Contextual variables, like being hurt in a bar, were related to drinking and drugs. The best predictor of present substance abuse and urban trauma was medical history of substance abuse. The need for (a) toxicology screens for all trauma victims, (b) referrals to substance abuse programs, (c) targeting at-risk populations for prevention, and (d) eliminating environments fostering violence and substance abuse is supported.

Subject

*Psychotropic Drugs; *Street Drugs; Adult; African Americans/statistics & numerical data; Alcoholism/complications/*epidemiology; Cross-Sectional Studies; European Continental Ancestry Group/statistics & numerical data; Female; Humans; Incidence; Male; Multiple Trauma/*epidemiology/prevention & control; Multivariate Analysis; Ohio/epidemiology; Risk Factors; Social Environment; Substance-Related Disorders/complications/*epidemiology; Trauma Centers/statistics & numerical data; Urban Population/*statistics & numerical data; Violence/prevention & control/*statistics & numerical data

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

75–83

Issue

2

Volume

12

Citation

Buss T F; Abdu R; Walker J R, “Alcohol, drugs, and urban violence in a small city trauma center.,” NEOMED Bibliography Database, accessed July 28, 2021, https://neomed.omeka.net/items/show/3381.

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