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The contribution of alcohol to falls at home among working-aged adults.

机译：酒精对工作年龄成年人的影响很大。

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The role of alcohol in the occurrence and burden of fall related injury at home is unclear. We examined the contribution of alcohol to fatal and hospitalized injuries due to unintentional falls at home among working-aged adults. We conducted a population-based case-control study in Auckland, New Zealand between July 2005 and July 2006. Cases were 335 people aged 25-60 years who were admitted to hospital or died as a result of unintentional falls at home. Control subjects were 352 people randomly selected from the electoral roll from the same age band as the cases. The participants or next-of-kin completed a structured interview that ascertained data on sociodemographic, personal, and lifestyle factors including alcohol consumption. After controlling for confounding, the consumption of two or more standard alcoholic drinks in the preceding 6h relative to none was associated with a significantly increased risk of fall related injury (for two standard drinks: odds ratio: 3.7, 95% confidence interval: 1.2-10.9; for three or more drinks: odds ratio: 12.9, 95% confidence interval: 5.2-31.9). Approximately 20% of unintentional falls at home in this population may be attributable to the consumption of two or more alcoholic drinks in the preceding 6h. Drinking is strongly associated with unintentional falls at home that result in admission to hospital or death. Moreover, a substantial proportion of falls at home among working-age people can be attributed to alcohol consumption. This largely unrecognized problem should be addressed in falls prevention programs.
机译：酒精在家庭中与跌倒相关伤害的发生和负担中的作用尚不清楚。我们研究了酒精对工作年龄成人在家中意外摔倒造成的致命和住院伤害的影响。我们在2005年7月至2006年7月间在新西兰奥克兰进行了一项基于人群的病例对照研究。该病例为335名25至60岁的人，他们因住院意外跌倒而住院或死亡。对照对象是从与年龄相同年龄段的选举册中随机选择的352人。参与者或近亲完成了结构化访谈，确定了有关社会人口统计学，个人和生活方式因素（包括饮酒）的数据。在控制了混杂因素之后，在之前的6小时内食用两种或两种以上标准酒精饮料（相对于无酒精饮料）会导致摔倒相关伤害的风险显着增加（对于两种标准饮料：比值比：3.7，95％置信区间：1.2- 10.9;三种或三种以上的饮料：比值比：12.9，95％置信区间：5.2-31.9）。在此人群中，约有20％的无意在家摔倒可能是由于在前6小时内饮用了两种或多种酒精饮料。饮酒与在家中无意摔倒，导致入院或死亡密切相关。此外，在工作年龄人群中，在家中摔倒的比例很大可以归因于饮酒。在跌倒预防计划中应解决这个很大程度上未被认识的问题。

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