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Multi-level analysis of alcohol-related injury among emergency department patients: a cross-national study

Cherpitel, Cheryl J; Ye, Yu; Bond, Jason; Rehm, Jurgen; Poznyak, Vladimir; Macdonald, Scott; Stafström, Martin LU and Hao, Wei (2005) In Addiction 100(12). p.1840-1850
Abstract
AIM: The aim of this analysis was to examine the average rate and variation of alcohol-related injury across emergency department (ED) studies, the effect of usual drinking on likelihood of alcohol-related injury, whether cross-study variation in rate of alcohol-related injury can be explained by between-study difference in usual consumption and whether social-cultural contextual variables help explain cross-study variations, after between-study difference in usual consumption has been controlled. DESIGN: Data were merged from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP) and the WHO Collaborative Study on Alcohol and Injuries, together representing 28 studies in 16 countries, and include 8423 (drinking) injury... (More)
AIM: The aim of this analysis was to examine the average rate and variation of alcohol-related injury across emergency department (ED) studies, the effect of usual drinking on likelihood of alcohol-related injury, whether cross-study variation in rate of alcohol-related injury can be explained by between-study difference in usual consumption and whether social-cultural contextual variables help explain cross-study variations, after between-study difference in usual consumption has been controlled. DESIGN: Data were merged from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP) and the WHO Collaborative Study on Alcohol and Injuries, together representing 28 studies in 16 countries, and include 8423 (drinking) injury patients who arrived in the ED within 6 hours after injury. Alcohol-related injury was based, separately, on a positive blood alcohol concentration (BAC) and self-reported drinking within 6 hours prior to injury. A multi-level design and hierarchical generalized linear models were used for analysis in which patients were nested within studies. FINDINGS: Overall prevalence of alcohol-related injury was 24% and 29% for positive BAC and self-report, respectively. At the patient level, log-transformed alcohol consumption in the last 12 months was a significant predictor of alcohol-related injury. At the study level significant variation in rates of alcohol-related injury was observed; studies with higher overall average consumption reported a higher rate of alcohol-related injury. When volume was controlled, societies with higher detrimental drinking pattern and higher legal level for intoxication while driving were more likely to have an increased rate of alcohol-related injury. CONCLUSIONS: Alcohol-related injury varies across EDs and countries. While it is associated with an individual's usual alcohol consumption, it is also affected by a number of societal drinking characteristics including the aggregate volume of consumption, overall drinking pattern and legislative policies to control drinking and related harms. (Less)
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author
publishing date
type
Contribution to journal
publication status
published
subject
in
Addiction
volume
100
issue
12
pages
1840 - 1850
publisher
Wiley-Blackwell
external identifiers
  • pmid:16367985
  • scopus:28844450421
ISSN
1360-0443
DOI
10.1111/j.1360-0443.2005.01257.x
language
English
LU publication?
no
id
618e11fc-02ac-4974-9715-305ff3bf904e (old id 1133199)
date added to LUP
2008-06-25 08:47:22
date last changed
2017-11-05 03:48:26
@article{618e11fc-02ac-4974-9715-305ff3bf904e,
  abstract     = {AIM: The aim of this analysis was to examine the average rate and variation of alcohol-related injury across emergency department (ED) studies, the effect of usual drinking on likelihood of alcohol-related injury, whether cross-study variation in rate of alcohol-related injury can be explained by between-study difference in usual consumption and whether social-cultural contextual variables help explain cross-study variations, after between-study difference in usual consumption has been controlled. DESIGN: Data were merged from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP) and the WHO Collaborative Study on Alcohol and Injuries, together representing 28 studies in 16 countries, and include 8423 (drinking) injury patients who arrived in the ED within 6 hours after injury. Alcohol-related injury was based, separately, on a positive blood alcohol concentration (BAC) and self-reported drinking within 6 hours prior to injury. A multi-level design and hierarchical generalized linear models were used for analysis in which patients were nested within studies. FINDINGS: Overall prevalence of alcohol-related injury was 24% and 29% for positive BAC and self-report, respectively. At the patient level, log-transformed alcohol consumption in the last 12 months was a significant predictor of alcohol-related injury. At the study level significant variation in rates of alcohol-related injury was observed; studies with higher overall average consumption reported a higher rate of alcohol-related injury. When volume was controlled, societies with higher detrimental drinking pattern and higher legal level for intoxication while driving were more likely to have an increased rate of alcohol-related injury. CONCLUSIONS: Alcohol-related injury varies across EDs and countries. While it is associated with an individual's usual alcohol consumption, it is also affected by a number of societal drinking characteristics including the aggregate volume of consumption, overall drinking pattern and legislative policies to control drinking and related harms.},
  author       = {Cherpitel, Cheryl J and Ye, Yu and Bond, Jason and Rehm, Jurgen and Poznyak, Vladimir and Macdonald, Scott and Stafström, Martin and Hao, Wei},
  issn         = {1360-0443},
  language     = {eng},
  number       = {12},
  pages        = {1840--1850},
  publisher    = {Wiley-Blackwell},
  series       = {Addiction},
  title        = {Multi-level analysis of alcohol-related injury among emergency department patients: a cross-national study},
  url          = {http://dx.doi.org/10.1111/j.1360-0443.2005.01257.x},
  volume       = {100},
  year         = {2005},
}