ArticleCanadian journal of public health = Revue canadienne de sante publique2023
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.
Article in Canadian journal of public health = Revue canadienne de sante publique, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Severity of Alcohol-Related Hospitalizations Following the Onset of the COVID-19 Pandemic: A Population-Based Cohort Study.Journal of general internal medicine · 2025Article
- Excess Alcohol-Induced Hospitalisations and Deaths During the First Year of the COVID-19 Pandemic in Australia.Drug and alcohol review · 2025Article
- Electronic consultation questions asked to addiction medicine specialists by primary care providers: Retrospective content analysis.Canadian family physician Medecin de famille canadien · 2025Article
- Changes in population-level alcohol sales after non-medical cannabis legalisation in Canada.Drug and alcohol review · 2025Observational
- Mortality and hospitalizations fully attributable to alcohol use before versus during the COVID-19 pandemic in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Article
- Outcomes in Clinical Subgroups of Patients With Alcohol-Related Hospitalizations.JAMA network open · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo compare changes in outpatient and acute care visits due to alcohol during the COVID-19 pandemic between individuals with and those without a history of alcohol-related health service use (AHSU).
methodsWe conducted a cross-sectional analysis of health administrative data in Ontario, Canada. The Ontario population was stratified into those with and those without 1+ health service encounter(s) due to alcohol in the past 2 years. We compared age- and sex-standardized rates of alcohol-related outpatient visits, emergency department (ED) visits, and hospitalizations during the first 15 months of the pandemic (March 2020-May 2021) to those during the same 15-month period prior to the pandemic (March 2018-May 2019).
resultsOf 13,450,750 eligible Ontarians on March 11, 2022, 129,434 (1.0%) had AHSU in the previous 2 years. Overall, rates of alcohol-related outpatient visits and hospitalizations increased, while rates of alcohol-related ED visits decreased during the pandemic. There was a similar relative increase in rates of alcohol-related outpatient visits and hospitalizations between those with and those without prior AHSU. However, the absolute increase in rates of alcohol-related outpatient visits and hospitalizations was higher among those with prior AHSU (outpatient rate difference (RD) per 10,000 population: 852.3, 95% confidence interval (CI): 792.7, 911.9; inpatient RD: 26.0, 95% CI: -2.3, 54.2) than among those without (outpatient RD: 6.5, 95% CI: 6.0, 6.9; inpatient RD: 0.4, 95% CI: 0.2, 0.7).
conclusionRates of alcohol-related outpatient and inpatient care increased during the COVID-19 pandemic, and high rate of recurrent harm among individuals with pre-pandemic AHSU was an important contributor to this trend.
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