Cited by 8Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsInjury Epidemiology and Prevention

Single episode of alcohol use resulting in injury: a cross-sectional study in 21 countries

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Cherpitel, Cheryl J, Ye, Yu, Poznyak, Vladimir·2018·Bulletin of the World Health Organization

Abstract

OBJECTIVE: (ICD-11). METHODS: We used data on patients admitted to emergency departments in 21 countries with alcohol-related injuries (i.e. with drinking within the preceding six hours) who had no sign of alcohol intoxication or withdrawal, no alcohol in blood and no sign of alcohol dependence or harmful drinking as described in the ICD-10. We obtained data on alcohol-related injuries, the patient's causal attribution of injury to drinking, the alcohol amount consumed, blood alcohol concentration and usual drinking pattern. Patients with and without alcohol dependence or harmful drinking were compared. FINDINGS: We included a representative sample of 18 369 patients. After adjustment for unequal sampling, 18.8% reported drinking in the six hours before injury and 47.1% of these attributed their injury to drinking; 16.3% of those reporting drinking and 10.3% of those attributing their injury to drinking were not alcohol dependent or harmful drinkers. The majority of these last two groups reported never having had five or more drinks on one occasion during the last year and had a blood alcohol concentration less than 0.05%. CONCLUSION: Some individuals attending emergency departments had alcohol-attributable injuries due to a single episode of drinking but had no history of harmful use or dependence. These findings highlight the public health relevance of including the new diagnostic category in the ICD-11.

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Authors
Cherpitel, C. J., Ye, Y., & Poznyak, V.
Affiliations
  • Public Health Institute (US)
  • World Health Organization (CH)
Corresponding author
Cherpitel, Cheryl J
Venue
Bulletin of the World Health Organization
Publisher
WHO Press
Published
2018-03-20
Volume
96
Issue
5
Pages
335-342
ISSN
0042-9686 (ISSN-L)
OpenAlex
W2807891278
Cited by
8
References
34
Citations by year
2026: 1 · 2025: 1 · 2023: 2 · 2021: 2 · 2020: 1 · 2019: 1
FWCI
0.78
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Bulletin of the World Health Organization (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • World Health Organization
  • National Institute on Alcohol Abuse and Alcoholism (R01AA013750)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
Keywords
alcohol-related injuries, ICD-11, alcoholism, hazardous drinking, blood alcohol concentration, emergency department admission, alcohol consumption patterns
MeSH terms
Blood Alcohol Content, Adolescent, Alcohol Drinking, Ethanol, Alcoholic Intoxication, Cross-Sectional Studies, Emergency Service, Hospital, Female, Humans, Male, Wounds and Injuries

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