ArticleAnnals of family medicine
Alcohol-related injuries: evidence for the prevention paradox.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- A randomized trial of computerized vs. in-person brief intervention for illicit drug use in primary care: outcomes through 12 months.Journal of substance abuse treatment · 2015Trial
- The prevention paradox applies to some but not all gambling harms: Results from a Finnish population-representative survey.Journal of behavioral addictions · 2020Article
- Participants' Experiences of a Workplace-Oriented Problem Gambling Prevention Program for Managers and HR Officers: A Qualitative Study.Frontiers in psychology · 2019Article
- Where Lies the Harm in Lottery Gambling? A Portrait of Gambling Practices and Associated Problems.Journal of gambling studies · 2018Article
- Drinking context and cause of injury: Emergency department studies from 22 countries.Journal of substance use · 2018Article
- Factors precipitating erythropoiesis-stimulating agent responsiveness in a European haemodialysis cohort: case-crossover study.Pharmacoepidemiology and drug safety · 2015Article
- Associations between heavy episodic drinking and alcohol related injuries: a case control study.BMC public health · 2013Article
- Causal influence of age at first drink on alcohol involvement in adulthood and its moderation by familial context.Journal of studies on alcohol and drugs · 2013Article
- Alcohol availability and neighborhood poverty and their relationship to binge drinking and related problems among drinkers in committed relationships.Journal of interpersonal violence · 2012Article
- Hospital-admitted injury attributable to alcohol.Alcoholism, clinical and experimental research · 2012Article
- Implementing a statewide Screening, Brief Intervention, and Referral to Treatment (SBIRT) service in rural health settings: New Mexico SBIRT.Substance abuse · 2012Article
- Patterns of alcohol use in early adolescence predict problem use at age 16.Alcohol and alcoholism (Oxford, Oxfordshire)Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
purposeThe risk of an injury increases exponentially with alcohol consumption on a given occasion, but the conclusion that alcohol-related injuries are attributable primarily to heavy drinking may or may not be correct. The prevention paradox states that a large number of people at small risk may contribute more cases of a particular condition than a smaller number of people who are individually at greater risk. We sought to determine the extent to which the prevention paradox applies in the relationship between alcohol consumption and injury.
methodsWe conducted a population-based case-control and case-crossover study in all 3 emergency departments in Boone County, Mo. Data were collected from 2,517 patients with an acute injury and 1,856 age- and sex-matched controls selected by random digit dialing.
resultsThe population attributable fraction (PAF) associated with drinking in the 6 hours before injury-the proportion of injuries that would not have occurred in the absence of drinking-was 10.6% in case-crossover analysis and 8.5% in case-control analysis. The PAF that was due to what is usually considered nonhazardous alcohol consumption (fewer than 5 drinks for men, fewer than 4 for women) was 4.5% in case-crossover analysis and 3.1% in case-control analysis. The PAF that was due to alcohol dependence was 4.0%.
conclusionsInjury is associated more with an occasion of alcohol consumption than with alcohol dependence. A substantial proportion of the PAF that is due to an occasion of alcohol consumption is from what are usually considered low-risk quantities.
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