The distribution of alcohol-attributable healthcare encounters across the population of alcohol users in Ontario, Canada

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dc.contributor.authorAndreacchi, Alessandra T.
dc.contributor.authorSmith, Brendan T.
dc.contributor.authorRehm, Jürgen
dc.contributor.authorCrépault, Jean-François
dc.contributor.authorSherk, Adam
dc.contributor.authorHobin, Erin
dc.date.accessioned2023-11-06T17:57:06Z
dc.date.available2023-11-06T17:57:06Z
dc.date.copyright2023en_US
dc.date.issued2023
dc.descriptionThe authors gratefully acknowledge the contributions of Nicole Schoer for conducting the manuscript’s initial analyses.en_US
dc.description.abstractRecent evidence suggests there may be no safe level of alcohol use as even low levels are associated with increased risk for harm. However, the magnitude of the population-level health burden from lower levels of alcohol use is poorly understood. The objective was to estimate the distribution of alcohol-attributable healthcare encounters (emergency department (ED) visits and hospitalizations) across the population of alcohol users aged 15+ in Ontario, Canada. Using the International Model of Alcohol Harms and Policies (InterMAHP) tool, wholly and partially alcohol-attributable healthcare encounters were estimated across alcohol users: (1) former (no past-year use); (2) low volume (≤67.3 g ethanol/week); (3) medium volume (>67.3–134.5 g ethanol/week for women and >67.3–201.8 g ethanol/week for men); and (4) high volume (>134.5 g ethanol/week for women and >201.8 g ethanol/week for men). The alcohol-attributable healthcare burden was distributed across the population of alcohol users. A small population of high volume users (23% of men, 13% of women) were estimated to have contributed to the greatest proportion of alcohol-attributable healthcare encounters, particularly among men (men: 65% of ED visits and 71% of hospitalizations, women: 49% of ED visits and 50% of hospitalizations). The 71% of women low and medium volumes users were estimated to have contributed to a substantial proportion of alcohol-attributable healthcare encounters (47% of ED visits and 34% of hospitalizations). Findings provide support for universal alcohol policies (i.e., delivered to the entire population) for reducing population-level alcohol-attributable harm in addition to targeted policies for high-risk users.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis research was funded by the Canadian Institute of Health Research (Project Grant #PJT-173552).en_US
dc.identifier.citationAndreacchi, A. T., Smith, B. T., Rehm, J., Crépault, J-F., Sherk, A., & Hobin, E. (2023). The distribution of alcohol-attributable healthcare encounters across the population of alcohol users in Ontario, Canada. Preventive Medicine Reports, 35, 102388. https://doi.org/10.1016/j.pmedr.2023.102388en_US
dc.identifier.urihttps://doi.org/10.1016/j.pmedr.2023.102388
dc.identifier.urihttp://hdl.handle.net/1828/15588
dc.language.isoenen_US
dc.publisherPreventive Medicine Reportsen_US
dc.subjectAlcohol useen_US
dc.subjectUniversal policiesen_US
dc.subjectPrevention paradoxen_US
dc.subjectSubstance useen_US
dc.subjectGeoffrey Roseen_US
dc.subjectCanadaen_US
dc.titleThe distribution of alcohol-attributable healthcare encounters across the population of alcohol users in Ontario, Canadaen_US
dc.typeArticleen_US

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