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  4. Changes in alcohol use after the onset of spinal cord injury

Changes in alcohol use after the onset of spinal cord injury

The Journal of Spinal Cord Medicine, 2018 · DOI: 10.1080/10790268.2017.1319996 · Published: January 1, 2018

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

This study investigated alcohol consumption patterns among individuals with spinal cord injuries (SCI). It looked at drinking habits at the time of injury and compared them to the general population. The research also examined how drinking habits changed approximately 17 months after the injury. The study found that alcohol use, especially binge drinking, was higher in SCI patients at the time of injury compared to the general population. However, drinking rates decreased after the injury, although they remained slightly elevated. The study suggests the need for interventions to help minimize long-term health consequences related to alcohol use in individuals with SCI.

Study Duration
4 Years (2002-2006) recruitment, 17 months follow-up
Participants
524 at baseline, 201 at follow-up. Inpatients with traumatic SCI.
Evidence Level
Cross-sectional study

Key Findings

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    The prevalence of alcohol use and binge drinking was significantly higher among individuals with SCI at the time of injury compared to the general population.
  • 2
    Alcohol consumption decreased significantly from pre-injury to post-injury, with a notable reduction in the percentage of participants engaging in binge drinking.
  • 3
    Men with SCI showed significantly higher rates of binge drinking compared to women, both at the time of injury and in the changes observed post-injury.

Research Summary

This study compared alcohol consumption rates in SCI patients versus the general population and tracked changes post-injury. Results indicated that alcohol use and binge drinking were higher in SCI patients at injury onset. Following the injury, alcohol consumption decreased; however, it remained slightly higher than in the general population. This suggests the need for targeted interventions. The study highlights the importance of addressing alcohol use in SCI patients to mitigate long-term health risks. Sex differences were observed, with males displaying higher binge drinking rates.

Practical Implications

Targeted Interventions

Develop interventions to address alcohol consumption among persons with SCI, particularly focusing on reducing binge drinking.

Screening and Treatment

Implement routine screening methods and abstinence-focused treatment plans for persons with SCI by primary care providers.

Physician Recommendations

Encourage physicians and healthcare professionals to provide recommendations regarding abstinence or responsible alcohol use to persons with SCI.

Study Limitations

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