儿童和青少年与酒精相关的急症住院流行病学：2006-2011 年在威尔士的电子队列分析。

Epidemiology of alcohol-related emergency hospital admissions in children and adolescents: An e-cohort analysis in Wales in 2006-2011.

机构信息

Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, United Kingdom.

Royal Gwent Hospital, Newport, United Kingdom.

出版信息

PLoS One. 2019 Jun 4;14(6):e0217598. doi: 10.1371/journal.pone.0217598. eCollection 2019.

OBJECTIVE

Harmful levels of alcohol consumption in young people are prevalent and of increasing public concern in the western world. Rates of alcohol-related emergency hospital admissions in children and young people between 10 to 17 years were described, and the reasons for these admissions and their association with socio-demographic factors were examined.

METHODS

E-cohort data were extracted from the Secure Anonymised Information Linkage Databank, which contained alcohol-related emergency hospital admissions (N = 2968) from 2006 to 2011 in children and adolescents aged 10 to 17 years in Wales. A generalised linear mixed model was fitted using a log-link with a population offset to the data to calculate incident rate ratios (IRRSs).

RESULTS

There was a general decreasing trend from 2006 to 2011 in the number and rate of alcohol-related emergency hospital admissions; the mean age of admission was 15.4 (standard deviation 1.4) years. In each of the four youngest age groups (10-13,14,15,16 years), females had higher IRRs than males. Males had slightly higher IRR compared to females only in the oldest age group (17 years). IRRs increased with increasing deprivation. The majority (92%) of the admissions lasted one day and most of the admissions (70%) occured during the last three days of the week with a peak on Saturday. The length of stay in hospital was longer in cases when self-harm were present. Multiple admissions showed high prevalance of serious self-harm cases in females. The number of admissions with injuries and falls were higher for males than females.

CONCLUSION

Female children and adolescents were more likely to be admitted to hospital for alcohol-related reasons. These data illustrate the significant burden of alcohol-related harm in young people and highlight the need for interventions and policies that promote safe drinking practices among young people to prevent future alcohol-related harm during the life-course.

目的

在西方国家，年轻人中有害的饮酒水平普遍存在，且公众对此日益关注。本文描述了 10 至 17 岁儿童和青少年因酒精相关而紧急住院的比率，并探讨了这些住院的原因及其与社会人口因素的关系。

方法

从 2006 年至 2011 年，从威尔士的 Secure Anonymised Information Linkage Databank 中提取了与酒精相关的紧急住院的电子队列数据（N=2968），这些数据来自 10 至 17 岁的儿童和青少年。使用对数链接和人群偏移对数据进行拟合广义线性混合模型，以计算发病率比（IRRs）。

结果

从 2006 年至 2011 年，因酒精相关而紧急住院的人数和比率呈总体下降趋势；入院的平均年龄为 15.4 岁（标准差为 1.4）。在四个最年轻的年龄组（10-13、14、15、16 岁）中，女性的 IRR 均高于男性。只有在年龄最大的组（17 岁）中，男性的 IRR 略高于女性。IRR 随剥夺程度的增加而增加。大多数（92%）住院时间为一天，大多数（70%）住院发生在一周的最后三天，峰值在星期六。当存在自残时，住院时间会延长。多次住院表明女性中严重自残病例的高患病率。因受伤和跌倒而住院的男性多于女性。