ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2022
Socioeconomic and Geographic Disparities in Emergency Department Visits due to Alcohol in Ontario: A Retrospective Population-level Study from 2003 to 2017.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Socioeconomic inequities in alcohol-attributable mortality by sex/gender and age in Canada: a 13-year population-representative cohort study.American journal of epidemiology · 2025Article
- Emergency Department Revisits Among Youth Compared With Adults in Sudbury, Ontario, Canada.Pediatric emergency care · 2025Observational
- Socioeconomic position, alcohol use and alcohol-attributable emergency department visits.Journal of epidemiology and community health · 2025Article
- Integrating structured and unstructured data for predicting emergency severity: an association and predictive study using transformer-based natural language processing models.BMC medical informatics and decision making · 2024Article
- A four-way patient search method for the retrospective identification of poisoning patients.Scientific reports · 2024Article
- Outcomes in Clinical Subgroups of Patients With Alcohol-Related Hospitalizations.JAMA network open · 2024Article
- Concordance between 8-1-1 HealthLink BC Emergency iDoctor-in-assistance (HEiDi) virtual physician advice and subsequent health service utilization for callers to a nurse-managed provincial health information telephone service.BMC health services research · 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
- Treatment of Alcohol Use Problems Among Rural Populations: a Review of Barriers and Considerations for Increasing Access to Quality Care.Current addiction reports · 2022Review
- Sociodemographic changes in emergency department visits due to alcohol during COVID-19.Drug and alcohol dependence · 2021Article
- Symptom-Triggered Alcohol Withdrawal Management Delivered Over Telemedicine.Journal of addiction medicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveWhile the overall health system burden of alcohol is large and increasing in Canada, little is known about how this burden differs by sociodemographic factors. The objectives of this study were to assess sociodemographic patterns and temporal trends in emergency department (ED) visits due to alcohol to identify emerging and at-risk subgroups.
methodsWe conducted a retrospective population-level cohort study of all individuals aged 10 to 105 living in Ontario, Canada. We identified ED visits due to alcohol between 2003 and 2017 using defined International Classification of Diseases, 10th edition, codes from a pre-existing indicator. We calculated annual age- and sex-standardized, and age- and sex-specific rates of ED visits and compared overall patterns and changes over time between urban and rural settings and income quintiles.
resultsThere were 829,662 ED visits due to alcohol over 15 years. Rates of ED visits due to alcohol were greater for individual living in the lowest- compared to the highest-income quintile neighbourhoods, and disparities (rate ratio lowest to highest quintile) increased with age from 1.22 (95% CI, 1.19 to 1.25) in 15- to 18-year-olds to 4.17 (95% CI, 4.07 to 4.28) in 55- to 59-year-olds. Rates of ED visits due to alcohol were significantly greater in rural settings (56.0 per 10,000 individuals, 95% CI, 55.7 to 56.4) compared to urban settings (44.8 per 10,000 individuals, 95% CI, 44.7 to 44.9), particularly for young adults. Increases in rates of visits between 2003 and 2017 were greater in rural versus urban settings (82 vs. 68% increase in age- and sex-standardized rates) and varied across sociodemographic subgroups with the largest annual increases in rates of visits in young (15 to 29) low-income women (6.9%, 95%CI, 6.7 to 7.3) and the smallest increase in older (45 to 59) high-income men (2.7, 95%CI, 2.4 to 3.0).
conclusionAlcohol harms display unique patterns with the highest burden in rural and lower-income populations. Rural-urban and income-based disparities differ by age and sex and have increased over time, which offers an imperative and opportunity for further interventions by clinicians and policy makers.
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