Home > Alcohol misuse and injury outcomes in young people aged 10–24.

Lester, Louise and Baker, Ruth and Coupland, Carol and Orton, Elizabeth . (2017) Alcohol misuse and injury outcomes in young people aged 10–24. Elsevier. Journal of Adolescent Health, Early online

URL: http://www.jahonline.org/article/S1054-139X(17)304...

Purpose: The burden of alcohol-attributable disease is a global problem. Young people often present to emergency health-care services with alcohol intoxication but little is known about how best to intervene at that point to improve future health outcomes. This study aimed to assess whether young people with an alcohol-specific hospital admission are at increased risk of injury following discharge.

Methods: A cohort study was conducted using a general population of 10- to 24-year-olds identified using primary care medical records with linked hospital admission records between 1998 and 2013. Exposed individuals had an alcohol-specific admission. Unexposed individuals did not and were frequency matched by age (±5 years) and general practice (ratio 10:1). Incidence rates of injury-related hospital admission post discharge were calculated, and hazard ratios (HR) were estimated by Cox regression.

Results: The cohort comprised 11,042 exposed and 110,656 unexposed individuals with 4,944 injury-related admissions during follow-up (2,092 in exposed). Injury rates were six times higher in those with a prior alcohol admission (73.92 per 1,000 person-years, 95% confidence interval (CI) 70.82–77.16 vs. 12.36, 11.91–12.81). The risk of an injury admission was highest in the month following an alcohol-specific admission (adjusted HR = 15.62, 95% CI 14.08–17.34), and remained higher compared to those with no previous alcohol-specific admission at 1 year (HR 5.28 (95% CI 4.97–5.60)) and throughout follow-up.

Conclusions: Young people with an alcohol-specific admission are at increased risk of subsequent injury requiring hospitalization, especially immediately post discharge, indicating a need for prompt intervention as soon as alcohol misuse behaviors are identified.


Item Type:Evidence resource
Drug Type:Alcohol
Intervention Type:AOD disorder harm reduction
Date:December 2017
Publisher:Elsevier
Volume:Early online
EndNote:View
Subjects:A Drugs and alcohol use, abuse, and dependence > Prevalence of drugs and alcohol use > Drugs and alcohol use behaviour > Alcohol consumption
B Drugs and alcohol substances > Alcohol
F Concepts in psychology > Specific attitude and behaviour > risk-taking behaviour
G Health and disease > State of health
G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol intoxication
J Health care, prevention and rehabilitation > Risk and protective factors > risk factors
J Health care, prevention and rehabilitation > Care by type of problem > emergency care
J Health care, prevention and rehabilitation > Health care programme or facility > Hospital
T Demographic characteristics > Adolescent / youth (teenager / young person)
T Demographic characteristics > Young adult
VA Geographic area > Europe > United Kingdom

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