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Supplemental material, sj-docx-1-irp-10.1177_26334895221112693 for Training primary health care providers in Colombia, Mexico and Peru to increase alcohol screening: Mixed-methods process evaluation of implementation strategy by Daša Kokole, Eva Jané-Llopis, Guillermina Natera Rey, Natalia Bautista Aguilar, Perla Sonia Medina Aguilar, Juliana Mejía-Trujillo, Katherine Mora, Natalia Restrepo, Ines Bustamante, Marina Piazza, Amy O’Donnell, Adriana Solovei, Liesbeth Mercken, Christiane Sybille Schmidt, Hugo Lopez-Pelayo, Silvia Matrai, Fleur Braddick, Antoni Gual, Jürgen Rehm, Peter Anderson and Hein de Vries in Implementation Research and Practice

Supplemental material, sj-docx-2-irp-10.1177_26334895221112693 for Training primary health care providers in Colombia, Mexico and Peru to increase alcohol screening: Mixed-methods process evaluation of implementation strategy by Daša Kokole, Eva Jané-Llopis, Guillermina Natera Rey, Natalia Bautista Aguilar, Perla Sonia Medina Aguilar, Juliana Mejía-Trujillo, Katherine Mora, Natalia Restrepo, Ines Bustamante, Marina Piazza, Amy O’Donnell, Adriana Solovei, Liesbeth Mercken, Christiane Sybille Schmidt, Hugo Lopez-Pelayo, Silvia Matrai, Fleur Braddick, Antoni Gual, Jürgen Rehm, Peter Anderson and Hein de Vries in Implementation Research and Practice

Objectives. To assess the predictive effect of key individual-level characteristics to identify cases of alcohol use problems among patients visiting an emergency room. Materials and methods. The study sample was composed of 371 people attending an emergency room in a public hospital in Lima, Peru, during a period of seven complete days in January, 2005. For data gathering, we used a questionnaire for demographic information, the SIDUC/CICAD for recent use (i.e., in the last 6 hours) of psychoactive substances before arriving to the emergency room, and the AUDIT, to identify alcohol use problems in the last year. Univariate and multivariate logistic regression models were used to estimate the predictive effect of age, sex, area of attention in the emergency room, presence of physical injuries and recent use of alcohol. Results. The odds of being a case of alcohol use problem for males is 26 times the odds of having that problem for females (p-value0,001). Stratified analysis by sex and adjusted by age and area of attention in the emergency room, showed that males who had recent use of alcohol were more likely of having alcohol use problems as compared to those who did not have recent alcohol use (OR=5.2; 95% CI: 2.4 - 11.5; p0,001), while for females such an association did not exist. Conclusions. These results support screening initiatives for those males who have recent alcohol use before arriving to an emergency room in order to identify cases of alcohol-related problems and refer them for an appropriate counseling or medical treatment. Objetivos. Valorar el efecto predictivo de características claves de pacientes atendidos en salas de emergencia para detectar casos de uso problemático de alcohol. Materiales y Métodos. La muestra de estudio estuvo constituida por 371 personas atendidas en el lapso de siete días completos de enero de 2005 en el servicio de emergencia de un hospital público de Lima, Perú. Se aplicó un cuestionario demográfico, el SIDUC/CICAD para uso reciente de sustancias psicoactivas en salas de emergencias (i.e., uso dentro de las seis horas previas a la atención) y el AUDIT para uso problemático de alcohol en el último año. El análisis de regresión logística simple y multivariada permitió valorar el efecto predictor de la edad, sexo, especialidad del servicio de atención, presencia de daño físico y el uso reciente de alcohol para detectar casos problemáticos de su uso. Resultados. El odds de tener uso problemático de alcohol en los varones es 26 veces el odds de tener dicho problema entre las mujeres (p0,001). El análisis estratificado por sexo y ajustado por edad y especialidad del servicio de emergencia, mostró que para los varones el uso reciente de alcohol estuvo fuertemente asociado con presentar uso problemático (OR=5,2; IC al 95%: 2,4-11,5; p0,001), mientras que para las mujeres no se encontró dicha asociación. Conclusiones. Se debe tamizar uso problemático de alcohol en aquellos varones con uso reciente de alcohol atendidos en salas de emergencia, para poder identificarlos y darles la oportunidad de recibir consejería o un manejo médico adecuado.