ALCOHOL AND INJURY: MULTI-LEVEL ANALYSIS FROM THE EMERGENCY ROOM COLLABORATIVE ALCOHOL ANALYSIS PROJECT (ERCAAP)

Authors: CHERYL J. CHERPITEL; YU YE; JASON BOND

Source: Alcohol and Alcoholism, Volume 39, Number 6, November 2004 , pp. 552-558(7)

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Abstract:

Aims: To analyze the relationship between individual-level characteristics and site-level contextual variables on the association of acute alcohol use and injury. Methods: Blood alcohol concentration (BAC) and survey data collected (using similar methodology and instruments) at the time of the emergency department (ED) visit, between 1985 and 2003 on probability samples of injured and non-injured patients (n = 18 438) from 31 EDs in seven countries (Argentina, Canada, Italy, Mexico, Poland, Spain, USA) were analyzed using hierarchical linear modeling (HLM). Results: BAC and self-reported consumption were predictive of an injury (compared to a non-injury), controlling for gender and age, with odds ratios of 1.51 and 1.58, respectively. The likelihood of injury given a positive BAC and self-report was less for heavier drinkers (those reporting five or more drinks on an occasion) than for lighter drinkers, and was greater in those societies with greater detrimental drinking patterns than those with lower detrimental patterns. Conclusions: These data suggest a moderate, but robust association of a positive BAC and self-report with admission to the ED for an injury, which is modified by the patient's usual heavier drinking and by societal drinking patterns.

Document Type: Research article

DOI: http://dx.doi.org/10.1093/alcalc/agh091

Affiliations: 1: Author to whom correspondence should be addressed at: Public Health Institute, Alcohol Research Group, 2000 Hearst Avenue, Berkeley, CA 94709, USA., Tel: 510 642-0164, Fax: 510 642-7175, Email: ccherpitel@arg.org

Publication date: 2004-11-01

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Alcohol and Alcoholism publishes papers on biomedical, psychological and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contribution are not of a largely speculative or philosophical nature. Alcohol and Alcoholism is the official journal of the Medical Council on Alcohol.

ALCOHOL AND INJURY: MULTI-LEVEL ANALYSIS FROM THE EMERGENCY ROOM COLLABORATIVE ALCOHOL ANALYSIS PROJECT (ERCAAP)

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