Titre : | Estimating alcohol-attributable fractions for injuries based on data from emergency department and observational studies: a comparison of two methods (2019) |
Auteurs : | Y. YE ; K. SHIELD ; C. J. CHERPITEL ; J. MANTHEY ; R. KORCHA ; J. REHM |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.114, n°3, March 2019) |
Article en page(s) : | 462-470 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique INTERNATIONALThésaurus mots-clés ALCOOL ; URGENCE ; FACTEUR DE RISQUE ; MORTALITE ; COMPARAISON ; METHODE ; EPIDEMIOLOGIE ; POPULATION GENERALE ; TRAUMATISME ; MODELE STATISTIQUE |
Résumé : |
AIM: To compare the injury alcohol-attributable fractions (AAFs) estimated using emergency department (ED) data to AAFs estimated by combining population alcohol consumption data with corresponding relative risks (RRs).
DESIGN: Comparative risk assessment. SETTING AND PARTICIPANTS: ED studies in 27 countries (n = 24 971). MEASUREMENTS: AAFs were estimated by means of an acute method using data on injury cases from 36 ED studies combined with odds ratios obtained from ED case-cross-over studies. Corresponding AAFs for injuries were estimated by combining population-level data on alcohol consumption obtained from the Global Information System on Alcohol and Health, with corresponding RRs obtained from a previous meta-analysis. FINDINGS: ED-based injury AAF estimates ranged from 5% (Canada 2002 and the Czech Republic) to 40% (South Africa), with a mean AAF among all studies of 15.4% (18.9% for males and 8.4% for females). Population-based injury AAF estimates ranged from 21% (India) to 51% (Spain and the Czech Republic), with a mean AAF among all country-years of 36.8% (42.5% for males and 22.5% for females). The Pearson correlation coefficient for the two types of injury AAF estimates was 0.09 for the total, 0.06 for males and 0.32 for females. CONCLUSIONS: Two methods of estimating the injury alcohol-attributable fractions - emergency department data versus population method - produce widely differing results. Across 36 country-years, the mean AAF using the population method was 36.8%, more than twice as large as emergency department data-based acute estimates, which average 15.4%. |
Domaine : | Alcool / Alcohol |
Refs biblio. : | 41 |
Affiliation : | Public Health Institute, Alcohol Research Group, Emeryville, CA, USA |
Cote : | Abonnement |
Lien : | https://doi.org/10.1111/add.14477 |
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