Alcohol-related Unintentional Injury Research Articles

Patient-level factors are more salient than a legislation prohibiting minors in bars in predicting unintentional injury hospitalizations

BackgroundAlcohol related homicide, suicide and aggravated assault represent the largest costs for the state of Illinois. Previous research has examined the impact of some alcohol-related policies on youth alcohol use and alcohol-related harm in the United States but findings have been mixed. To our knowledge, no study has provided a detailed epidemiology of the relationship between the impacts of alcohol policies on unintentional injury in Illinois. Therefore, the purpose of this study is to determine whether a legislation that prohibit minors under 21 years old in establishments that serve alcohol is more salient than individual level factors in predicting hospitalization for traumatic unintentional injuries.MethodsA retrospective observational study of data abstracted from 6,139 patients aged 10 to 19 hospitalized in Illinois Level I and Level II trauma centers. Patient data from 2006 to 2015 was linked with the city-level alcohol-related legislation (n = 514 cities). The response variable was whether a patient tested positive or negative for blood alcohol concentration (BAC) at the time of admission. Mixed-effects logistic regression analyses were conducted to model the patient and city level legislation effect of having a positive BAC test result on hospitalizations after adjusting for the legislation and patient factors.ResultsAfter adjustment, patients aged 15 to 19 and white patients who tested positive for BAC at the time of admission had the greater odds of hospitalization for traumatic alcohol-related unintentional injuries compared to patients who had a negative BAC test result. However, odds of hospitalization decreased for female patients and for those with private insurance, and over time, but a significant decrease in such hospitalizations occurred during 2010, 2014 and 2015. The alcohol-related legislation of interest was not a significant predictor of traumatic alcohol-related unintentional injury hospitalization.ConclusionsPatient-level covariates were significant predictors of traumatic alcohol-related unintentional injury hospitalization; an alcohol-related legislation may not reduce hospitalizations for young patients aged 10 to 19. Therefore, to prevent underage drinking and consequences, interventions should target sex/gender, race/ethnicity and focus on both individual and environmental strategies.

Magnitude and Trends in Heavy Episodic Drinking, Alcohol-Impaired Driving, and Alcohol-Related Mortality and Overdose Hospitalizations Among Emerging Adults of College Ages 18-24 in the United States, 1998-2014.

This article estimates percentages of U.S. emerging adults ages 18-24 engaging in past-month heavy episodic drinking and past-year alcohol-impaired driving, and numbers experiencing alcohol-related unintentional injury deaths and overdose hospitalizations between 1998 and 2014. We analyzed national injury mortality data from coroner, census, and college enrollment statistics, the National Survey on Drug Use and Health, and the Nationwide Inpatient Sample. From 1999 to 2005, percentages of emerging adults ages 18-24 reporting past-month heavy episodic drinking rose from 37.1% to 43.1% and then declined to 38.8% in 2014. Alcohol-impaired driving rose from 24% to 25.5% and then declined to 16.0%. Alcohol-related unintentional injury deaths increased from 4,807 in 1998 to 5,531 in 2005 and then declined to 4,105 in 2014, a reduction of 29% per 100,000 since 1998. Alcohol-related traffic deaths increased from 3,783 in 1998 to 4,114 in 2005 and then declined to 2,614 in 2014, down 43% per 100,000 since 1998. Alcohol-related overdose deaths increased from 207 in 1998 to 891 in 2014, a 254% increase per 100,000. Other types of nontraffic unintentional injury deaths declined. Alcohol-overdose hospitalizations rose 26% per 100,000 from 1998 to 2014, especially from increases in alcohol/other drug overdoses, up 61% (alcohol/opioid overdoses up 197%). Among emerging adults, a trend toward increased alcohol-related unintentional injury deaths, heavy episodic drinking, and alcohol-impaired driving between 1998 and 2005 was reversed by 2014. Persistent high levels of heavy episodic drinking and related problems among emerging adults underscore a need to expand individually oriented interventions, college/community collaborative programs, and evidence-supported policies to reduce their drinking and related problems.

Exploring the Athletic Trainer's Role in Assisting Student-Athletes Presenting With Alcohol-Related Unintentional Injuries.

Compared with their nonathlete peers, collegiate athletes consume higher quantities of alcohol, drink with greater frequency, and exhibit an increased propensity to engage in heavy episodic drinking (ie, binge drinking), which often may result in alcohol-related consequences. Moreover, collegiate athletes are also more likely to engage in other maladaptive lifestyle behaviors, such as participating in physical fights and riding with an intoxicated driver, and less likely to engage in protective behaviors, such as wearing a helmet while operating a motorcycle, moped, or bicycle. Taken together, these behaviors clearly pose a health risk for student-athletes and increase the likelihood that they will experience an alcohol-related unintentional injury (ARUI). An ARUI represents a risk not only to the health and well-being of collegiate athletes but also to their athletic performances, collegiate careers, and potential professional opportunities. Therefore, athletic trainers need to be equipped with the knowledge and skills to provide face-to-face brief interventions to student-athletes presenting with ARUIs and to evaluate the effect of their involvement. We address potential action items for implementation by athletic trainers.

Differences in College Greek Members’ Binge Drinking Behaviors: A Dry/Wet House Comparison

College Greek life students self-report high rates of binge drinking and experience more alcohol-related problems than students who are not members of the Greek system. But little research has been conducted to measure differences in alcohol-free housing (dry) and alcohol-allowed housing (wet). The purpose of this quantitative study was to investigate the alcohol consumption of Greek houses (dry sorority, wet fraternity, dry fraternity). It was found that in the Greek community, university students' scores on the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) were significantly lower for dry sorority housing members than both the wet fraternity and dry fraternity housing members, with no significant difference found between the wet and dry fraternity participants. Regardless of type, Greek-affiliated students' drinking levels appear to be high and exceed what is considered safe on the AUDIT-C for both female and male Greek students.Keywords: binge drinking, college students, AUDIT-C, Greek system, wet/dry housingThroughout the literature, research findings indicate that university students affiliated with the Greek system consume more alcohol and experience more alcohol-related problems than students who are not members of the Greek system (Barry, 2007; Borsari, Hustad, & Capone, 2009; Ragsdale et al., 2012). In particular, self-reported binge drinking is significantly higher among members of this community (Barry, 2007; Chauvin, 2012; Page & O'Hegarty, 2006). Research also indicates that students who come to college with a prior drinking history may seek out venues for continuing this behavior in college, as indicated by the variable of high school binge drinking being the best predictor of Greek student binge drinking (Chauvin, 2012). Borsari et al. (2009) concluded that students who use alcohol heavily in high school may self-select into the Greek system in order to find an environment supportive of their behavior. However, it also has been found that students who join a fraternity in their first year significantly increase their drinking and alcohol-related consequences compared to those who do not join (Park, Sher, & Krull, 2008).Consequences of Binge DrinkingThere are numerous costs associated with college students engaging in binge drinking behaviors, both to the students themselves and others. It is estimated that per university, the total yearly cost of alcohol-related emergency department visits is around $500,000 (Mundt & Zakletsaia, 2012). Negative consequences of binge drinking can range in severity from a hangover to alcohol-related problems with law enforcement to suicide attempts (Gillespie, Holt, & Blackwell, 2007). Alcohol consumption among undergraduate college students contributes annually to an estimated 600,000 alcohol-related unintentional injuries, 700,000 assaults by another student who was drinking, 1,500 alcohol-related student deaths, 97,000 sexual assaults, 400,000 acts of alcohol-related unprotected sex and 100,000 incidences of being too intoxicated to know if sex was consensual (Hingson, Zha, & Weitzman, 2009). Further, it has been found that 50% of men who commit rape on college campuses were drinking at the time of the offense (Cole, 2006), and women who drink on college campuses are more likely to be the victim of a sexual assault (McCauley, Calhoun, & Gidycz, 2010).The literature provides that college students who are members of the Greek community are at greater risk for experiencing negative consequences from heavy drinking (LaBrie, Kenney, Mirza, & Lac, 2011; Nguyen, Walters, Rinker, Wyatt, & DeJong, 2011; Soule, Barnett, & Moorhouse, 2015). Fraternity and sorority membership has been positively associated with driving after drinking (LaBrie et al., 2011) and owning a fake ID (Nguyen et al., 2011). Fraternity and sorority members reported that they were twice as likely as non-Greek college students to engage in sex with someone without getting consent and were one and a half times more likely to forget what they did or where they were after drinking (Soule et al. …

Alcohol-Related Unintentional Injury Among Collegiate Athletes

Alcohol-Related Unintentional Injury Among Collegiate Athletes

Experiences and Attitudes of Collegiate Athletic Trainers Regarding Alcohol-Related Unintentional Injury in Athletes

Alcohol-related unintentional injury (ARUI) has been an unexamined consequence of alcohol consumption by collegiate athletes. It has a potentially devastating effect on their athletic performances and careers. Awareness of this problem in athletes could have a huge effect on what athletic trainers (ATs) do to recognize, treat, and prevent it in a collegiate athlete population. To examine the experiences and attitudes among collegiate and university ATs about ARUI in the athletes in their care. Cross-sectional study. Web-based survey. A total of 1767 e-mail addresses for collegiate and university ATs within National Athletic Trainers' Association Districts 1, 2, 3, and 9. We calculated frequencies, percentages, and attitudes of ATs regarding ARUI in collegiate athletes during the 2010-2011 academic year. The resulting sample size for the analysis was 459 (26.0%) participants of the initial total sample. More than 56% (n = 260) of the ATs reported that they had evaluated, treated, or referred if needed at least 1 ARUI in a collegiate athlete. On average, these ATs had evaluated, treated, or referred if needed 3 alcohol-related unintentional injuries within the 2010-2011 academic year. About 73% (n = 331) of ATs agreed that ARUI is a serious problem. Nearly 80% (n = 358) indicated they believe ATs should receive more training to identify student-athletes with alcohol-related problems. Alcohol-related unintentional injury is a common and serious consequence of alcohol use among collegiate athletes. Many ATs also view it as a serious problem yet would like more training in how to address it. Alcohol-related unintentional injury may have important negative effects on the careers and athletic performances of athletes. Researchers need to determine how prevalent ARUI is in the collegiate athlete population and what ATs can do to address it.

Magnitude of and Trends in Alcohol-Related Mortality and Morbidity Among U.S. College Students Ages 18-24, 1998-2005

The aim of this study was to estimate, among college students ages 18-24, the numbers of alcohol-related unintentional injury deaths and other problems over the period from 1998 through 2005. The analysis integrated data on 18- to 24-year-olds and college students from each of the following data sources: the National Highway Traffic Safety Administration Fatality Analysis Reporting System, Centers for Disease Control and Prevention Injury Mortality Data, National Coroner Studies, census and college enrollment data, the National Household Survey on Drug Use and Health, and the College Alcohol Study. Among college students ages 18-24, alcohol-related unintentional injury deaths increased 3% per 100,000 from 1,440 in 1998 to 1,825 in 2005. From 1999 to 2005, the proportions of college students ages 18-24 who reported consuming five or more drinks on at least one occasion in the past month increased from 41.7% to 44.7%, and the proportions who drove under the influence of alcohol in the past year increased from 26.5% to 28.9%-7% and 9% proportional increases, respectively. The increases occurred among college students ages 21-24, not 18-20. In 2001, 599,000 (10.5%) full-time 4-year college students were injured because of drinking, 696,000 (12%) were hit or assaulted by another drinking college student, and 97,000 (2%) were victims of alcohol-related sexual assault or date rape. A 2005 follow-up of students in schools with the highest proportions of heavy drinkers found no significant changes in the proportions experiencing these events. The persistence of college drinking problems underscores an urgent need to implement prevention and counseling approaches identified through research to reduce alcohol-related harms among college students and other young adults.

Emergency department visits for alcohol-related unintentional traumatic injuries, United States, 2001

The single greatest contributor to alcohol-related mortality in the United States is unintentional injury, accounting for approximately 26,000 deaths per year and placing a substantial burden on emergency departments (EDs). This study analyzes 2001 data from a nationally representative sample of hospital EDs to examine characteristics of ED visits for alcohol-related unintentional traumatic injuries and compared them with visits for unintentional traumatic injuries for which alcohol use was not noted in the ED medical chart. This study presents the first estimate of annual ED visits for alcohol-related traumatic injuries due only to unintentional causes; previous estimates have included injuries from all causes. The results indicate that in 2001 an estimated 314,304 patients were treated in EDs for alcohol-related unintentional traumatic injuries (ARVs). Compared with visits for unintentional traumatic injuries for which alcohol use was not noted in the ED medical chart, ARVs were more likely to involve injuries that require extensive health care services such as falls, motor-vehicle injuries, internal injuries, and brain injuries. The more serious nature of ARVs was also demonstrated by a four-fold higher hospitalization rate compared with non-ARVs.

MAGNITUDE OF ALCOHOL-RELATED MORTALITY AND MORBIDITY AMONG U.S. COLLEGE STUDENTS AGES 18–24: Changes from 1998 to 2001

Integrating data from the National Highway Traffic Safety Administration, the Centers for Disease Control and Prevention, national coroner studies, census and college enrollment data for 18-24-year-olds, the National Household Survey on Drug Abuse, and the Harvard College Alcohol Survey, we calculated the alcohol-related unintentional injury deaths and other health problems among college students ages 18-24 in 1998 and 2001. Among college students ages 18-24 from 1998 to 2001, alcohol-related unintentional injury deaths increased from nearly 1600 to more than 1700, an increase of 6% per college population. The proportion of 18-24-year-old college students who reported driving under the influence of alcohol increased from 26.5% to 31.4%, an increase from 2.3 million students to 2.8 million. During both years more than 500,000 students were unintentionally injured because of drinking and more than 600,000 were hit/assaulted by another drinking student. Greater enforcement of the legal drinking age of 21 and zero tolerance laws, increases in alcohol taxes, and wider implementation of screening and counseling programs and comprehensive community interventions can reduce college drinking and associated harm to students and others.

Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18-24.

This report estimates the numbers of 18-24 year old United States college students who annually experience alcohol-related deaths, injuries and other health problems. We examined traffic and unintentional injury deaths in 1998 reported by the National Highway Traffic Safety Administration and the Centers for Disease Control (CDC). We also examined results of national coroner studies, Department of Education college enrollment data, the National Household Survey on Drug Abuse (NHSDA), the CDC National College Health Risk Behavior Survey and the Harvard School of Public Health College Alcohol Survey (CAS). All survey participants were ages 18-24: 6,930 college and 12,394 noncollege respondents in the NHSDA survey; 3,077 college students in the CDC survey; and 12,217 full-time 4-year college students in the CAS. Based on the number and proportion of 18-24 year olds enrolled in college, data on alcohol involvement in injury deaths among 18-24 year olds and survey responses, we calculated the numbers of 18-24 year old alcohol-related injury deaths and other health problems. We estimate that over 1,400 students aged 18-24 and enrolled in 2- and 4-year colleges died in 1998 from alcohol-related unintentional injuries, including motor vehicle crashes. According to surveys conducted in 1999, in the preceding year, over 2 million of the 8 million college students in the United States drove under the influence of alcohol and over 3 million rode with a drinking driver. Over 500,000 full-time 4-year college students were unintentionally injured under the influence of alcohol and over 600,000 were hit or assaulted by another student who had been drinking. There is an urgent need for expanding prevention and treatment programs, to reduce alcohol-related harm among U.S. college students and other young adults.