ArticleBMC public health2007
The effects of alcohol consumption, psychological distress and smoking status on emergency department presentations in New South Wales, Australia.
Article in BMC public health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- "I'm stressed!": The work effect of process innovation on mental health.SSM - population health · 2023Article
- Prevalence of psychological distress and its association with socio-demographic and HIV-risk factors in South Africa: Findings of the 2012 HIV prevalence, incidence and behaviour survey.SSM - population health · 2017Article
- Serious Psychological Distress and Emergency Room Use among Adults with Multimorbidity in the United States.Psychiatry journal · 2017Article
- Influence of Holy Month Ramadan on Alcohol Consumption in Turkey.Journal of religion and health · 2015Article
- Do christian denominations exhibit higher rates of alcohol consumption? A study of Korean American women in California.Journal of religion and health · 2013Article
- Validity study of the K6 scale as a measure of moderate mental distress based on mental health treatment need and utilization.International journal of methods in psychiatric research · 2012Article
- The association between serious psychological distress and emergency department utilization among young adults in the USA.Social psychiatry and psychiatric epidemiology · 2012Article
- Is all risk bad? Young adult cigarette smokers fail to take adaptive risk in a laboratory decision-making test.Psychopharmacology · 2011Article
- Association of mental distress with health care utilization and costs: a 5-year observation in a general population.Social psychiatry and psychiatric epidemiology · 2009Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite clear links between risky alcohol consumption, mental health problems and smoking with increased morbidity and mortality, there is inconclusive evidence about how these risk factors combine and if they are associated with increased attendance at emergency departments. This paper examines the population-level associations and interactions between alcohol consumption, psychological distress and smoking status with having presented to an emergency department in the last 12 months.
methodsThis study uses data from a representative sample of 34,974 participants aged 16 years and over from the New South Wales Population Health Survey, administered between 2002 and 2004. Statistical analysis included univariate statistics, cross-tabulations, and the estimation of prevalence rate ratios using Cox's proportional hazard regression model.
resultsResults show that high-risk alcohol consumption, high psychological distress and current smoking were all significantly and independently associated with a greater likelihood of presenting to an emergency department in the last year. Presenting to an emergency department was found to be three times more likely for women aged 30 to 59 years with all three risk factors and ten times more likely for women aged 60 years or more who reported high risk alcohol consumption and high psychological distress than women of these age groups without these risk factors. For persons aged 16 to 29 years, having high-risk alcohol consumption and being a current smoker doubles the risk of presenting to an emergency department.
conclusionThe combination of being a high-risk consumer of alcohol, having high psychological distress, and being a current smoker are associated with increased presentations to emergency departments, independent of age and sex. Further research is needed to enhance recognition of and intervention for these symptoms in an emergency department setting in order to improve patient health and reduce future re-presentations to emergency departments.
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