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    Alcohol-related injury in the ER: a cross-national meta-analysis from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP)

    19056_downloaded_stream_148.pdf (2.876Mb)
    Access Status
    Open access
    Authors
    Cherpitel, S.
    Bond, J.
    Borges, G.
    MacDonald, S.
    Stockwell, Tim
    Giesbrecht, N.
    Date
    2003
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Cherpitel, C. and Bond, J. and Borges, G. and MacDonald, S. and Stockwell, T.R. and Giesbrecht, N.. 2003. Alcohol-related injury in the ER: a cross-national meta-analysis from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP) . Journal of Studies on Alcohol 64 (5): 641-649.
    Source Title
    Journal of Studies on Alcohol
    Faculty
    National Drug Research Institute
    Remarks

    Reprinted with permission from Journal of Studies on Alcohol, Vol64(5),pp.641-649,2003. Copyright by Alcohol Research Documentation, Inc., Rutgers Center of Alcohol Studies, Piscataway, NJ 08854

    URI
    http://hdl.handle.net/20.500.11937/7024
    Collection
    • Curtin Research Publications
    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.

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