Abstract
ObjectiveHarmful levels of alcohol consumption in young people are prevalent and of increasing public concern in the western world. Rates of alcohol-related emergency hospital admissions in children and young people between 10 to 17 years were described, and the reasons for these admissions and their association with socio-demographic factors were examined.MethodsE-cohort data were extracted from the Secure Anonymised Information Linkage Databank, which contained alcohol-related emergency hospital admissions (N = 2968) from 2006 to 2011 in children and adolescents aged 10 to 17 years in Wales. A generalised linear mixed model was fitted using a log-link with a population offset to the data to calculate incident rate ratios (IRRSs).ResultsThere was a general decreasing trend from 2006 to 2011 in the number and rate of alcohol-related emergency hospital admissions; the mean age of admission was 15.4 (standard deviation 1.4) years. In each of the four youngest age groups (10–13,14,15,16 years), females had higher IRRs than males. Males had slightly higher IRR compared to females only in the oldest age group (17 years). IRRs increased with increasing deprivation. The majority (92%) of the admissions lasted one day and most of the admissions (70%) occured during the last three days of the week with a peak on Saturday. The length of stay in hospital was longer in cases when self-harm were present. Multiple admissions showed high prevalance of serious self-harm cases in females. The number of admissions with injuries and falls were higher for males than females.ConclusionFemale children and adolescents were more likely to be admitted to hospital for alcohol-related reasons. These data illustrate the significant burden of alcohol-related harm in young people and highlight the need for interventions and policies that promote safe drinking practices among young people to prevent future alcohol-related harm during the life-course.
Highlights
IntroductionHarmful levels of alcohol consumption in children and young people are prevalent in the western world and infulenced by several factors including social position among peers, family [1] and school socioeconomic status [2]
Weekly alcohol use in adolescents has decreased in the United Kingdom (UK) [8], heavy episodic underage drinking is a growing public health concern in many European [9] countries, and is associated with an increased risk of violent behaviors [10], victimization [11], injuries [12], and unwanted sexual activities [13]
Children who lived in areas with higher levels of social deprivation and girls aged 10–16 years old were at higher risk of these types of hospital admissions
Summary
Harmful levels of alcohol consumption in children and young people are prevalent in the western world and infulenced by several factors including social position among peers, family [1] and school socioeconomic status [2]. Weekly alcohol use in adolescents has decreased in the UK [8], heavy episodic underage drinking is a growing public health concern in many European [9] countries, and is associated with an increased risk of violent behaviors [10], victimization [11], injuries [12], and unwanted sexual activities [13]. Alcohol consumption among children and adolescents can result in a range of negative health effects including emergency hospital attendances due to intoxication or injuries [15]. There have been studies, mainly in Europe, which report country level data with up to 10 years follow up [18,19,20,21,22], these are mainly descriptive statistics on alcohol intoxication of adolescents attending paediatric departments using retrospective questionnaires
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