Looking through the bottle: Exploring alcohol use among emergency medical service providers

透过瓶子：探索紧急医疗服务提供者的酒精使用情况

• 批准号: 10712278
• 负责人: Maria Koeppel
• 金额: $ 39.93万
• 依托单位: NDRI-USA, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-10 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10712278
• 关键词: Accidental Injury; Accidents; Address; Adverse effects; Alcohol abuse; Alcohol consumption; Alcohols; Anxiety; Attention; Attitude; Caring; Communicable Diseases; DSM-V; Data Set; Development; Driving While Intoxicated; Emergency Medical Technicians; Emergency medical service; Employment Status; Evaluation; General Population; Health; Health protection; Heavy Drinking; Human Resources; Impairment; Injury; Intervention; Interview; Knowledge; Law Enforcement; Law Enforcement Officers; Liver diseases; Medical; Mental Depression; Mental Health; Methods; Neurologic; Obesity; Occupational; Occupational Groups; Occupational Health; Occupational injury; Occupations; Outcome; Overweight; Paramedical Personnel; Police officer; Policies; Population; Post-Traumatic Stress Disorders; Prevalence; Principal Investigator; Probability; Program Development; Provider; Random Allocation; Reporting; Research; Risk; Risk Factors; Role; Safety; Sampling; Sleep; Sleep Disorders; Stress; Symptoms; System; Transportation of Patients; Trauma; Violence; Wellness Program; Work; Workplace; adverse outcome; alcohol behavior; alcohol effect; alcohol expectancy; alcohol misuse; binge drinking; cohesion; drinking; drinking behavior; experience; fire fighter; first responder; fitness; insight; military service; musculoskeletal injury; pandemic disease; physical conditioning; physical inactivity; poor sleep; professional atmosphere; prospective; response; safety net; service organization; service providers; sociodemographics; trauma exposure

An often overlooked yet essential component in the first responder system, emergency medical service (EMS) providers responded to almost 49 million emergency medical service (EMS) calls in 2021, routinely facing infectious disease exposure, intense work environments, and repeated exposure to trauma as they provided care in uncontrolled settings. As a result, several adverse health effects experienced by EMS providers including obesity, sleep disorders, musculoskeletal injuries, and mental health concerns have been documented. Despite the emergence of known adverse health impacts, research has not focused much attention to other well-known health issues such as alcohol use. This dearth of information is particularly concerning given the potential for risky alcohol consumption among EMS providers as a result of their stressful profession. Additionally, several known adverse health outcomes have been associated with alcohol use (e.g. occupational or accidental injuries, physical violence, sleep issues, substandard fitness, liver disease, and neurological impairment). Therefore, understanding the role of alcohol in EMS culture is essential to the development of health and wellness programs. The role of EMS providers has become invaluable, recently highlighted by the pandemic, making understanding alcohol use a priority to not only the quality of emergency services provided to the public but to the health and safety of EMS providers. Using a multi-method approach, this study will use a national sample of EMS providers to provide a foundational understanding of alcohol use within the EMS provider culture. Interviews with providers will provide insight into the role of alcohol consumption in EMS culture, factors which promote or moderate alcohol misuse, and workplace-focused policy interventions. A randomly selected sample of EMS providers will identify baseline prevalence of alcohol use providing a cross-sectional evaluation of sociodemographic and occupational risk factors. A prospective 2-year component will allow for the examination of associations between alcohol use and behaviors, and occupational, physical, and mental health outcomes.

紧急医疗服务 (EMS) 提供者是急救系统中经常被忽视但却必不可少的组成部分，2021 年，紧急医疗服务 (EMS) 提供者响应了近 4900 万个紧急医疗服务 (EMS) 电话，他们经常面临传染病暴露、紧张的工作环境以及反复遭受创伤的情况。他们在不受控制的环境中提供护理。结果，EMS 提供者经历的一些不良健康影响，包括肥胖、睡眠障碍、肌肉骨骼损伤和心理健康问题已被记录。尽管出现了已知的不利健康影响，但研究并没有过多关注其他众所周知的健康问题，例如饮酒。鉴于 EMS 提供者由于职业压力大，可能存在危险的饮酒行为，因此信息的缺乏尤其令人担忧。此外，一些已知的不良健康后果与饮酒有关（例如职业或意外伤害、身体暴力、睡眠问题、健康状况不佳、肝病和神经损伤）。因此，了解酒精在 EMS 文化中的作用对于制定健康和保健计划至关重要。 EMS 提供者的作用已变得非常宝贵，最近的大流行凸显了这一点，这使得了解酒精使用成为优先事项，不仅关系到向公众提供的紧急服务的质量，而且关系到 EMS 提供者的健康和安全。本研究将采用多种方法，使用 EMS 提供者的全国样本，以提供对 EMS 提供者文化中酒精使用的基本了解。对提供者的采访将深入了解酒精消费在 EMS 文化中的作用、促进或减轻酒精滥用的因素以及以工作场所为重点的政策干预措施。随机抽取的 EMS 提供者样本将确定饮酒的基线流行率，从而对社会人口和职业风险因素进行横断面评估。前瞻性的 2 年部分将允许检查饮酒和行为以及职业、身体和心理健康结果之间的关联。