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Alcohol and Alcoholism Vol. 34, No. 4, pp. 609-621, 1999
© 1999 Medical Council on Alcoholism

PREVENTING INJURIES THROUGH INTERVENTIONS FOR PROBLEM DRINKING: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS

Tho Dinh-Zarr, Carolyn Diguiseppi1,*, Elizabeth Heitman and Ian Roberts1

University of Texas School of Public Health, 1200 Herman Pressler, RAS E-901, Houston, TX 77030, USA and
1 Department of Epidemiology and Public Health, Institute of Child Health, University College London Medical School, 30 Guilford Street, London WC1N 1EH, UK

Received 2 July 1998; first review notified 16 November 1998; accepted 15 January 1999

To assess the effect of treatment of problem drinking on injury risk, we conducted a systematic review of randomized controlled trials by searching 12 computerized databases, cross-checking bibliographies, and contacting authors and governmental agencies. We identified 19 trials of interventions for problem drinking that measured injury outcomes. Treatment for problem drinking was associated with reduced suicide attempts, domestic violence, falls, drinking-related injuries, and injury hospitalizations and deaths, with reductions ranging from 27 to 65%. Interventions among convicted drunk drivers reduced motor vehicle crashes and injuries. The precision of all the point estimates was low, however. We did not combine the results quantitatively, because the interventions, patient populations, and outcomes were so heterogeneous. The results suggest that treatment for problem drinking may reduce injuries and their antecedents. Because injuries account for much of the morbidity and mortality from problem drinking, further studies are warranted to confirm these effects.


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