Smith Brendan T, Schoer Nicole, Sherk Adam, Thielman Justin, McKnight Anthony, Hobin Erin
Health Promotion, Chronic Disease and Injury Prevention, Public Health Ontario, Toronto, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Drug Alcohol Rev. 2023 May;42(4):926-937. doi: 10.1111/dar.13629. Epub 2023 Feb 26.
Alcohol-attributable harms are increasing in Canada. We described trends in alcohol-attributable hospitalisations and emergency department (ED) visits by age, sex, drinking group, attribution and health condition.
Hospitalisation and ED visits for partially or wholly alcohol-attributable health conditions by age and sex were obtained from population-based health administrative data for individuals aged 15+ in Ontario, Canada. Population-level alcohol exposure was estimated using per capita alcohol sales and alcohol use data. We estimated the number and rate of alcohol-attributable hospitalisations (2008-2018) and ED visits (2008-2019) using the International Model of Alcohol Harms and Policies (InterMAHP).
Over the study period, the modelled rates of alcohol-attributable health-care encounters were higher in males, but increased faster in females. Specifically, rates of alcohol-attributable hospitalisations and ED visits increased by 300% (19-76 per 100,000) and 37% (774-1,064 per 100,000) in females, compared to 20% (322-386 per 100,000) and 2% (2563-2626 per 100,000) in males, respectively. Alcohol-attributable ED visit rates were highest among individuals aged 15-34, however, increased faster among individuals aged 65+ (females: 266%; males: 44%) than 15-34 years (females:+17%; males: -16%). High-volume drinkers had the highest rates of alcohol-attributable health-care encounters; yet, low-/medium-volume drinkers contributed substantial hospitalisations (11%) and ED visits (36%), with increasing rates of ED visits in females drinking low/medium volumes.
Alcohol-attributable health-care encounters increased overall, and faster among females, adults aged 65+ and low-/medium-volume drinkers. Monitoring trends across subpopulations is imperative to inform equitable interventions to mitigate alcohol-attributable harms.
在加拿大，酒精造成的危害正在增加。我们描述了按年龄、性别、饮酒群体、归因和健康状况划分的酒精所致住院和急诊就诊趋势。
从加拿大安大略省15岁及以上人群的基于人群的健康管理数据中获取按年龄和性别划分的部分或完全由酒精所致健康状况的住院和急诊就诊情况。使用人均酒精销售额和酒精使用数据估计人群层面的酒精暴露情况。我们使用国际酒精危害与政策模型（InterMAHP）估计了酒精所致住院（2008 - 2018年）和急诊就诊（2008 - 2019年）的数量和发生率。
在研究期间，酒精所致医疗接触的模拟发生率男性更高，但女性增长更快。具体而言，女性酒精所致住院和急诊就诊率分别增长了300%（每10万人从19例增至76例）和37%（每10万人从774例增至1064例），而男性分别增长了20%（每10万人从322例增至386例）和2%（每10万人从2563例增至2626例）。酒精所致急诊就诊率在15 - 34岁人群中最高，但在65岁及以上人群中增长更快（女性：266%；男性：44%），高于15 - 34岁人群（女性：+17%；男性：-16%）。大量饮酒者的酒精所致医疗接触率最高；然而，少量/中等量饮酒者导致了相当数量的住院（11%）和急诊就诊（36%），且少量/中等量饮酒女性的急诊就诊率在上升。
酒精所致医疗接触总体上有所增加，在女性、65岁及以上成年人和少量/中等量饮酒者中增长更快。监测亚人群的趋势对于制定公平的干预措施以减轻酒精所致危害至关重要。
