RESUMO
BACKGROUND: La Victoria was considered, the most violent area in Lima City, the local government enforced a public policy regarding number of hours for selling of alcoholic beverages in January 2007. The study was designed to compare its results in Violence between one district with the law and other without the law. METHODS: This retrospective cross-sectional was an ecological study with a chronological and geographical comparison between La Victoria, with the restriction and Cercado de Lima without the ban. The participants in the study were patients from a local National Hospital, with aggressions from fighting, or were wounded in traffic accidents, and violent death bodies at National Institute of Legal Medicine. Data were analyzed, using clinical histories (2006 vs. 2007-8) and necropsies (2005-6 vs. 2007-8) RESULTS: The reduction of aggression rates at La Victoria in 2007 and 2008 in comparison to 2006, were 40.7% and 36.4% respectively (P< 0.05). It was related to the number of hours of liquor authorized selling Y= -11.25+27.32 X (P<0.05). There was a reduction of 44% in homicide (P<0.05) and 35% in suicide rates between biennia's. The female/ male ratio of homicides changed from 1/7.3 to 1/4.6. A significant increase in the rate of alcohol positive dead bodies was observed (20.3% to 41.5%), (Relative Risk (RR) = 2.03, (95% Confidence Interval (CI) = (1.09-3.8), χ(2)(1)=5.24, ( P< 0.05). CONCLUSIONS: The reduction of violence was probably due to the ban, indicating the importance of programs to control alcohol consumption which lead to decrease the rate of violence and its' consequences like homicides, impulsive violence.
RESUMO
Basado en el documento: Análisis de los estudios de vulnerabilidad hospitalaria de los siguientes hospitales: Hospital Nacional Guillermo Alemanara Irigoyen, IPSS; Hospital Nacional Edgardo Rebagliati Martins, IPSS; Hospital Nacional Cayetano Heredia, MINSA; Hospital Daniel Alcides Carrión, MINSA; Hospital Nacional Dos de Mayo, MINSA; Hospital Regional Cayetano Heredia, Piura, IPSS-MINSA; Hospital Regional Docente Las Mercedes, Chiclayo, MINSA; Hospital Regional Eleazar Guzmán Barrón, Chimbote, MINSA; Hospital Regional Honorio Delgado, Arequipa, MINSA; Hospital Regional del Cuzco, MINSA / Raúl Morales Soto y José Sato Onuma. Presenta la identificación de las vulnerabilidades de tipo administrativo ordenadas en tres campos. Cada hospital ha sido evaluado y se incluyen las propuestas y recomendaciones