ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2019
Rates of emergency department visits attributable to alcohol use in Ontario from 2003 to 2016: a retrospective population-level study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.
- A systematic review of adolescent alcohol-related harm trends in high-income countries with declines in adolescent consumption.Addiction (Abingdon, England) · 2025Pooled it
- Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial.International journal of environmental research and public health · 2020Trial
- Service use and program-level impacts of a collaborative hospital-community emergency department diversion program for people experiencing alcohol and opioid intoxication.Canadian journal of public health = Revue canadienne de sante publique · 2026Article
- Association between COVID-19 vaccination and sudden death in apparently healthy younger individuals: A population-based case-control study.PLoS medicine · 2026Article
- Sex differences in the 1-year outcomes of emergency department patients with alcohol withdrawal.CJEM · 2026Article
- Impact of the LCBO strike on Ontario emergency department visits with an alcohol-related chief complaint: a natural experiment in alcohol policy.Frontiers in public health · 2026Article
- Severity of Alcohol-Related Hospitalizations Following the Onset of the COVID-19 Pandemic: A Population-Based Cohort Study.Journal of general internal medicine · 2025Article
- Socioeconomic position, alcohol use and alcohol-attributable emergency department visits.Journal of epidemiology and community health · 2025Article
- Electronic consultation questions asked to addiction medicine specialists by primary care providers: Retrospective content analysis.Canadian family physician Medecin de famille canadien · 2025Article
- Alcohol-Associated Pancreatitis and Liver Disease Among Adolescents and Young Adults.JAMA network open · 2025Article
- Screening for harmful substance use in emergency departments: a systematic review.International journal of emergency medicine · 2024Article
- "Whatever journey you want to take, I'll support you through": a mixed methods evaluation of a peer worker program in the hospital emergency department.BMC health services research · 2024Article
- Outcomes in Clinical Subgroups of Patients With Alcohol-Related Hospitalizations.JAMA network open · 2024Article
- Epidemiology and trends of alcohol use disorder and alcohol-associated liver disease.Clinical liver disease · 2023Review
- Flow through the Emergency Department for Patients Presenting with Substance Use Disorder in Alberta, Canada.The western journal of emergency medicine · 2023Article
- Understanding the association between neighbourhood socioeconomic status and grocery store alcohol sales following market liberalization in Ontario, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Changes in health service use due to alcohol during the COVID-19 pandemic among individuals with and individuals without pre-existing alcohol-related medical diagnoses.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Why Are Some Male Alcohol Misuse Disorder Patients High Utilisers of Emergency Health Services? An Asian Qualitative Study.International journal of environmental research and public health · 2022Article
- Socioeconomic and Geographic Disparities in Emergency Department Visits due to Alcohol in Ontario: A Retrospective Population-level Study from 2003 to 2017.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Assessment of Age and Sex Differences in Risk of 1-Year Mortality After Emergency Department Visits Caused by Alcohol Use.JAMA network open · 2022Article
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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
backgroundAlcohol use causes a large burden on the health of Canadians, and alcohol-related harms appear to be increasing in many high-income countries. We sought to analyze changes in emergency department visits attributable to alcohol use, by sex, age and neighbourhood income over time.
methodsAll individuals aged 10 to 105 years living in Ontario, Canada, between 2003 and 2016 were included in this study. The primary outcome was age-standardized rates of emergency department visits attributable to alcohol use, defined using diagnostic codes from the Canadian Institute for Health Information Health Indicator "hospitalizations entirely caused by alcohol." We compared rates of these visits using a retrospective population-level design.
resultsAmong 15 121 639 individuals, there were 765 346 emergency department visits attributable to alcohol use over the study period. Between 2003 and 2016, the age-standardized rates of these visits increased more in women (86.5%) than in men (53.2%), and the increase in rates of emergency department visits attributable to alcohol use was 4.4 times greater than the increases in the rates of overall emergency department visits. Individuals aged 25-29 years experienced the largest change in the rate of emergency department visits attributable to alcohol use (175%). We found evidence of age-cohort effects, whereby the rate of emergency department visits attributable to alcohol use at age 19 years increased on average by 4.07% (95% confidence interval [CI] 3.71%-4.44%) per year for each cohort born between 1986 and 1999. Individuals in the lowest neighbourhood income quintile had 2.37 (95% CI 2.27-2.49) times the rate of emergency department visits attributable to alcohol use than those in the highest income quintile. This disparity increased slightly over the study period.
interpretationAlthough men and lower-income individuals have the highest burden of emergency department visits attributable to alcohol use, the largest increases in visits have been in women and younger adults. Further research should focus on potential causes of these trends to provide guidance on how to reduce alcohol-related harms.
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