254312 Trends in alcohol- and drug-related ED and primary care visits: Data from four U.S. National Surveys (1995-2010)

Monday, October 29, 2012 : 9:30 AM - 9:50 AM

Cheryl J. Cherpitel, DrPH , Alcohol Research Group, Public Health Institute, Emeryville, CA
Yu Ye, MA , Alcohol Research Group, Public Health Institute, Emeryville, CA
The association of alcohol and other substance use with health services utilization has been well-studied in U.S. populations, with mixed findings, showing positive, negative and no associations. To update trends in alcohol- and drug-related emergency department (ED) and primary care (PC) visits over the last 15 years in the U.S., a trend analysis was conducted on substance-related health services visits, based on self-reported alcohol or drug use within six hours prior to an injury and/or illness event, from four National Alcohol Surveys: 1995, 2000, 2005, 2010. A significant upward trend was found from 1995 to 2010 in alcohol-related ED visits, but not in alcohol-related PC visits. The odds of an alcohol-related ED visit doubled between 1995 and 2010 (OR=2.36). No significant trend was found in either drug-related ED or PC visits between 1995 and 2001. These data suggest that alcohol-related ED visits are significantly increasing over the past 15 years while drug-related ED visits may have stabilized, and underscore the opportunity provided by the ED for screening and brief intervention, for alcohol-related problems. These findings also suggest that Healthy People 2010 objectives calling for a reduction in substance-related ED visits are not being realized.

Learning Areas:
Provision of health care to the public

Learning Objectives:
Discuss the trends in alcohol- and drug-related emergency department and primary care visits in the U.S. over the last 15 years. Compare the differences in alcohol and drug related health services visits between 1995 and 2010.

Keywords: Alcohol Use, Health Care Delivery

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified because I am a Dr.P.H.
 and Associate Director of the National Alcohol Research Center, and Senior Scientist at the Public Health Institute, Alcohol Research Group 
in Emeryville, CA. I have been engaged in analyzing and publishing data related to alcohol and drug use and health services utilization for over 25 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.