142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Drinking patterns and alcohol-related injury in the emergency department in three Asian countries

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 5:10 PM - 5:30 PM

Cheryl J. Cherpitel, DrPH , Alcohol Research Group, Public Health Institute, Emeryville, CA
Yu Ye, MA , Alcohol Research Group, Public Health Institute, Emeryville, CA
Background: While drinking in the event is an important factor in injury occurrence, pattern of usual drinking may also be important in risk of injury.  Methods: Alcohol-related injury is examined using Hierarchical Linear models, taking into account individual usual volume of consumption over the past 12 months, as well as aggregate-level detrimental drinking pattern (DDP) and alcohol policy measures, in a sample of 5986 injured patients across 26 emergency department sites in China, Korea, and Taiwan, comprising three collaborative studies on alcohol and injury, all of which used a similar methodology.  Alcohol-related injury was measured, separately, by self-reported drinking within six hours prior to injury, a positive BAC and self-reported causal attribution of injury to drinking.  Results: While individual usual volume strongly predicted an alcohol-related injury, usual drinking pattern also predicted an alcohol-related injury (controlling for volume), with episodic heavy and frequent heavy drinking both more predictive of alcohol-related injury than other drinking patterns. When individual usual volume and drinking pattern were controlled, DDP was no longer a significant predictor of alcohol-related injury. Alcohol policy measures were also found to be predictive of alcohol-related injury (the stronger the policy the lower the rates of alcohol-related injury). Conclusions: While individual-level and societal-level drinking patterns may be difficult to influence by preventive measures to reduce alcohol-related injury, alcohol control policy appears to be an important area for future exploration.

Learning Areas:


Learning Objectives:
Describe the relationship of drinking patterns to alcohol-related injury in three Asian countries.

Keyword(s): Alcohol Use, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author of this content because I have been working in the area of alcohol and injury in ER studies for 30 years and developed the methodology and protocols on which this research is based.
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.