Center grant, Alcohol and Causalty

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Epidemiology of Alcohol Problems

Component 6: Comparative Cross-national ER Analysis of Alcohol and Casualty

Abstract:

This project will compile, merge and analyze data on alcohol and injury from 30 emergency rooms (ERs), representing 15 ER studies across six countries. Together these studies include over 21,000 patients (12,000 injury patients and 9,000 non-injury patients). The proposed analysis will go beyond the examination of individual and event- level variables, to include social and cultural factors which affect the relationship between drinking patterns and medical care, as well as organizational and administrative indicators pertaining to ER services and the flow of patients to ERs. Specific aims include: 1) an examination of the similarities and differences across ER studies with respect to: a) aggregate measures of risk of injury, b) findings on the impact of individual risk factors for injury in general and by type, c) the impact of drinking-in-the-event, d) causal attribution of drinking to injury, e) epidemiologic profiles of alcohol- related injury; 2) development and standardization of operational measures of cultural, organizational and administrative factors which affect the distribution of alcohol-related injuries and the association of risk factors and injury rates in ER studies; and, 3) development and testing comparative models of: a) risk factors for injury, b) acute impact of drinking on injury risk by type, c) causal attribution of drinking to injury, d) alcohol attributable risk, e) epidemiologic profiles of alcohol-related injury in relation to a combination of individual, organizational and cultural characteristics. Analytic techniques will include meta-analysis (Aim 1) and merged regressions, causal modeling and multi-level modeling (Aim 3).

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Last updating of page: February 2, 2004