Back to Search
Start Over
Alcohol-related injury in the ER: a cross-national meta-analysis from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP) *
- Source :
- Journal of Studies on Alcohol. September 2003, Vol. 64 Issue 5, p641, 9 p.
- Publication Year :
- 2003
-
Abstract
- Objective: To examine the impact of usual drinking patterns and related problems on the acute use of alcohol in injury. Method: The impact of quantity and frequency of drinking, alcohol problems and dependence symptoms on admission to the emergency room (ER) for an alcohol-related injury (based, separately, on a positive blood alcohol concentration [BAC] and self-reported drinking within 6 hours prior to injury), compared with a nonalcohol related injury, was examined using meta-analysis, across 15 ER studies covering seven countries. Results: Pooled effect size for consuming five or more drinks on an occasion at least monthly was significant but not homogeneous, with odds ratios (ORs) of 4.16 for BAC and 3.92 for self-report. Frequency of drinking among nonheavy drinkers was found to have the largest effect size (5.93 for BAC and 4.93 for self-report). Heavy drinking, controlling for frequency, was also significant (ORs of 2.08 for BAC and 1.86 for self-report), but effect size was homogeneous only for self-report. Effect sizes for consequences of drinking and dependence symptoms were also significant and homogeneous, with ORs of 4.29 and 3.55, respectively, for BAC, and 3.84 and 3.94, respectively, for self-report. In meta-regression analysis, among contextual variables the level to which alcohol use is stigmatized in the culture was most consistently predictive of heavy-drinking effect size on an alcohol-related injury, with larger effect sizes found in those studies reporting a lower level of stigmatization. Conclusions: Whereas quantity and frequency of drinking were both found to be highly predictive of an alcohol-related injury, sociocultural variables may affect observed associations of heavy drinking with an alcohol-related injury.<br />TRAUMA IS a significant problem in many countries and a substantial literature exists, a great deal of which is from emergency room (ER) studies, implicating alcohol as a major risk [...]
- Subjects :
- Alcoholism -- Complications and side effects -- Complications
Drinking of alcoholic beverages -- Accidents
Hospitals -- Emergency service
Alcoholics -- Injuries -- Accidents
Wounds and injuries -- Causes of -- Complications and side effects
Drunkenness (Criminal law) -- Accidents
Health
Psychology and mental health
Company business management
Management
Accidents
Complications and side effects
Injuries
Causes of
Subjects
Details
- Language :
- English
- ISSN :
- 0096882X
- Volume :
- 64
- Issue :
- 5
- Database :
- Gale General OneFile
- Journal :
- Journal of Studies on Alcohol
- Publication Type :
- Academic Journal
- Accession number :
- edsgcl.108914259