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


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 07 03 2019
accepted: 14 05 2019
entrez: 5 6 2019
pubmed: 5 6 2019
medline: 15 2 2020
Statut: epublish

Résumé

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. 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). 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. 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.

Identifiants

pubmed: 31163052
doi: 10.1371/journal.pone.0217598
pii: PONE-D-19-06692
pmc: PMC6548373
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0217598

Subventions

Organisme : Medical Research Council
ID : MR/K023233/1
Pays : United Kingdom

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Laszlo Trefan (L)

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

Andrea Gartner (A)

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

Amy Alcock (A)

Royal Gwent Hospital, Newport, United Kingdom.

Daniel Farewell (D)

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

Jennifer Morgan (J)

NHS Wales Delivery Unit, Pencoed, United Kingdom.

David Fone (D)

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

Shantini Paranjothy (S)

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

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