Evidence map›Paper›PMID 40147880›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2025

Do socioeconomic status, race and ethnicity modify the relationship between alcohol use and unintentional injury mortality?

Laura Llamosas-Falcón, Yachen Zhu, William C Kerr, Jürgen Rehm, Charlotte Probst

Abstract read
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Laura Llamosas-FalcónInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada laura.llamosas@camh.ca.ORCID http://orcid.org/0000-0003-4718-9376
Yachen ZhuAlcohol Research Group, Public Health Institute, Oakland, California, USA.
William C KerrAlcohol Research Group, Public Health Institute, Oakland, California, USA.ORCID http://orcid.org/0000-0001-6612-9200
Jürgen RehmInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0001-5665-0385
Charlotte ProbstInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0003-4360-697X

Funding

Supplement to a microsimulation of alcohol control interventions to advance health equity and reverse the current decrease in life expectancy in the USR01AA028009 · NIAAA · CENTRE FOR ADDICTION AND MENTAL HEALTH · PI PROBST, CHARLOTTE · 2020 to 2024
$2.4M
NIAAA NIH HHS R01 AA028009
6 · The paper itself

Abstract

backgroundThere is a knowledge gap regarding the potential roles that socioeconomic status (SES), race and ethnicity may play in the associations between alcohol use and injury risk. This study aimed to examine these factors as potential effect modifiers in the relationship between heavy episodic drinking (HED) and unintentional injury mortality.

methodsWe used mortality-linked data from the 1997-2018 US National Health Interview Survey. We performed survey-weighted Cox proportional hazards models to evaluate the effect modification of education, income, race and ethnicity on the relationship between the frequency of HED and motor vehicle and other unintentional injuries mortality.

results559 442 participants were included, with 772 motor vehicle fatalities and 2003 other unintentional injury deaths. Our cohort study found no significant interaction effect between SES, race and ethnicity, and HED on motor vehicle fatalities. For other unintentional injury mortality, we identified a significant interaction effect between low education and HED once or more per month (HR 2.75, 95% CI 1.38 to 5.49). Similarly, we found a significant interaction effect between low income and HED once or more per month (HR 1.84, 95% CI 1.02 to 3.34). Finally, both Black and Hispanic participants exhibited a higher risk of other fatal unintentional injuries at varying frequencies of HED compared with White participants.

conclusionsOur results emphasise the importance of considering SES, race and ethnicity in understanding the complex interplay between alcohol consumption and unintentional injury mortality. Understanding subgroup-specific dynamics is crucial for formulating targeted interventions to address disparities and enhance public health outcomes.

Indexed as

AlcoholCohort StudyMortalitySocioeconomic Status

Identifiers

PMID40147880
PMCPMC12798856

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.