Association of self-reported alcohol use and hospitalization for an alcohol-related cause in Scotland: a record-linkage study of 23 183 individuals

Scott A. McDonald; Sharon J. Hutchinson; Sheila M. Bird; Lesley Graham; Chris Robertson; Peter R. Mills; Peter Hayes; John F. Dillon; David J. Goldberg

doi:10.1111/j.1360-0443.2009.02497.x

Association of self-reported alcohol use and hospitalization for an alcohol-related cause in Scotland: a record-linkage study of 23 183 individuals

Scott A. McDonald, Sharon J. Hutchinson, Sheila M. Bird, Lesley Graham, Chris Robertson, Peter R. Mills, Peter Hayes, John F. Dillon, David J. Goldberg

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Abstract

To investigate the extent to which self-reported alcohol consumption level in the Scottish population is associated with first-time hospital admission for an alcohol-related cause.

Observational record-linkage study.

Scotland, 1995-2005.

A total of 23 183 respondents aged 16 and over who participated in the 1995, 1998 and 2003 Scottish Health Surveys, followed-up via record-linkage from interview date until 30 September 2005.

Rate of first-time hospital admission with at least one alcohol-related diagnosis. Cox proportional hazards regression analysis was applied to estimate the relative risk of first-time hospitalization with an alcohol-related condition associated with usual alcohol consumption level (1-7, 8-14, 15-21, 22-35, 36-49, 50+ units/week and ex-drinker, compared with < 1 unit per week).

Of the SHS participants, 527 were hospitalized for an alcohol-related cause during 135 313 person-years of follow-up [39 first admissions per 10 000 person-years, 95% confidence interval (CI) 36-42]. Alcohol-related hospitalization rates were considerably higher for males (61/10 000 person-years, 95% CI 54-67) than for females (22/10 000 person-years, 95% CI 18-26). Compared with the lowest alcohol consumption category (< 1 unit per week), the relative risk of first-time alcohol-related admission increased with reported consumption: age-adjusted hazard ratios ranged from 3 (1-5) for 1-7 units/week to 19 (10-37) for 50+ units/week (males); and from 2 (1-3) for 1-7 units/week to 28 (14-56) for 50+ units/week (females). After adjusting for age and usual alcohol consumption, the relative risk of first-time alcohol-related admission remained significantly higher for males reporting binge drinking and for both males and females residing in the most deprived localities.

Moderate and higher levels of usual alcohol consumption and binge drinking are serious risk factors for alcohol-related hospitalization in the Scottish population. These findings contribute to our understanding of the relationship between alcohol intake and alcohol-related morbidity.

Original language	English
Pages (from-to)	593-602
Number of pages	10
Journal	Addiction
Volume	104
Issue number	4
DOIs	https://doi.org/10.1111/j.1360-0443.2009.02497.x
Publication status	Published - Apr 2009

Keywords

Alcohol
binge drinking
consumption
deprivation
hospital admissions
morbidity
C VIRUS-INFECTION
LIVER-CIRRHOSIS
MORTALITY
CONSUMPTION
RISK
METAANALYSIS
ADMISSIONS
DISEASE
MEN

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/j.1360-0443.2009.02497.x

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@article{97fe93d125e9417ea03d9daffb062d00,

title = "Association of self-reported alcohol use and hospitalization for an alcohol-related cause in Scotland: a record-linkage study of 23 183 individuals",

abstract = "To investigate the extent to which self-reported alcohol consumption level in the Scottish population is associated with first-time hospital admission for an alcohol-related cause.Observational record-linkage study.Scotland, 1995-2005.A total of 23 183 respondents aged 16 and over who participated in the 1995, 1998 and 2003 Scottish Health Surveys, followed-up via record-linkage from interview date until 30 September 2005.Rate of first-time hospital admission with at least one alcohol-related diagnosis. Cox proportional hazards regression analysis was applied to estimate the relative risk of first-time hospitalization with an alcohol-related condition associated with usual alcohol consumption level (1-7, 8-14, 15-21, 22-35, 36-49, 50+ units/week and ex-drinker, compared with < 1 unit per week).Of the SHS participants, 527 were hospitalized for an alcohol-related cause during 135 313 person-years of follow-up [39 first admissions per 10 000 person-years, 95% confidence interval (CI) 36-42]. Alcohol-related hospitalization rates were considerably higher for males (61/10 000 person-years, 95% CI 54-67) than for females (22/10 000 person-years, 95% CI 18-26). Compared with the lowest alcohol consumption category (< 1 unit per week), the relative risk of first-time alcohol-related admission increased with reported consumption: age-adjusted hazard ratios ranged from 3 (1-5) for 1-7 units/week to 19 (10-37) for 50+ units/week (males); and from 2 (1-3) for 1-7 units/week to 28 (14-56) for 50+ units/week (females). After adjusting for age and usual alcohol consumption, the relative risk of first-time alcohol-related admission remained significantly higher for males reporting binge drinking and for both males and females residing in the most deprived localities.Moderate and higher levels of usual alcohol consumption and binge drinking are serious risk factors for alcohol-related hospitalization in the Scottish population. These findings contribute to our understanding of the relationship between alcohol intake and alcohol-related morbidity.",

keywords = "Alcohol, binge drinking, consumption, deprivation, hospital admissions, morbidity, C VIRUS-INFECTION, LIVER-CIRRHOSIS, MORTALITY, CONSUMPTION, RISK, METAANALYSIS, ADMISSIONS, DISEASE, MEN",

author = "McDonald, {Scott A.} and Hutchinson, {Sharon J.} and Bird, {Sheila M.} and Lesley Graham and Chris Robertson and Mills, {Peter R.} and Peter Hayes and Dillon, {John F.} and Goldberg, {David J.}",

year = "2009",

month = apr,

doi = "10.1111/j.1360-0443.2009.02497.x",

language = "English",

volume = "104",

pages = "593--602",

journal = "Addiction",

issn = "0965-2140",

publisher = "Wiley-Blackwell",

number = "4",

}

TY - JOUR

T1 - Association of self-reported alcohol use and hospitalization for an alcohol-related cause in Scotland

T2 - a record-linkage study of 23 183 individuals

AU - McDonald, Scott A.

AU - Hutchinson, Sharon J.

AU - Bird, Sheila M.

AU - Graham, Lesley

AU - Robertson, Chris

AU - Mills, Peter R.

AU - Hayes, Peter

AU - Dillon, John F.

AU - Goldberg, David J.

PY - 2009/4

Y1 - 2009/4

N2 - To investigate the extent to which self-reported alcohol consumption level in the Scottish population is associated with first-time hospital admission for an alcohol-related cause.Observational record-linkage study.Scotland, 1995-2005.A total of 23 183 respondents aged 16 and over who participated in the 1995, 1998 and 2003 Scottish Health Surveys, followed-up via record-linkage from interview date until 30 September 2005.Rate of first-time hospital admission with at least one alcohol-related diagnosis. Cox proportional hazards regression analysis was applied to estimate the relative risk of first-time hospitalization with an alcohol-related condition associated with usual alcohol consumption level (1-7, 8-14, 15-21, 22-35, 36-49, 50+ units/week and ex-drinker, compared with < 1 unit per week).Of the SHS participants, 527 were hospitalized for an alcohol-related cause during 135 313 person-years of follow-up [39 first admissions per 10 000 person-years, 95% confidence interval (CI) 36-42]. Alcohol-related hospitalization rates were considerably higher for males (61/10 000 person-years, 95% CI 54-67) than for females (22/10 000 person-years, 95% CI 18-26). Compared with the lowest alcohol consumption category (< 1 unit per week), the relative risk of first-time alcohol-related admission increased with reported consumption: age-adjusted hazard ratios ranged from 3 (1-5) for 1-7 units/week to 19 (10-37) for 50+ units/week (males); and from 2 (1-3) for 1-7 units/week to 28 (14-56) for 50+ units/week (females). After adjusting for age and usual alcohol consumption, the relative risk of first-time alcohol-related admission remained significantly higher for males reporting binge drinking and for both males and females residing in the most deprived localities.Moderate and higher levels of usual alcohol consumption and binge drinking are serious risk factors for alcohol-related hospitalization in the Scottish population. These findings contribute to our understanding of the relationship between alcohol intake and alcohol-related morbidity.

AB - To investigate the extent to which self-reported alcohol consumption level in the Scottish population is associated with first-time hospital admission for an alcohol-related cause.Observational record-linkage study.Scotland, 1995-2005.A total of 23 183 respondents aged 16 and over who participated in the 1995, 1998 and 2003 Scottish Health Surveys, followed-up via record-linkage from interview date until 30 September 2005.Rate of first-time hospital admission with at least one alcohol-related diagnosis. Cox proportional hazards regression analysis was applied to estimate the relative risk of first-time hospitalization with an alcohol-related condition associated with usual alcohol consumption level (1-7, 8-14, 15-21, 22-35, 36-49, 50+ units/week and ex-drinker, compared with < 1 unit per week).Of the SHS participants, 527 were hospitalized for an alcohol-related cause during 135 313 person-years of follow-up [39 first admissions per 10 000 person-years, 95% confidence interval (CI) 36-42]. Alcohol-related hospitalization rates were considerably higher for males (61/10 000 person-years, 95% CI 54-67) than for females (22/10 000 person-years, 95% CI 18-26). Compared with the lowest alcohol consumption category (< 1 unit per week), the relative risk of first-time alcohol-related admission increased with reported consumption: age-adjusted hazard ratios ranged from 3 (1-5) for 1-7 units/week to 19 (10-37) for 50+ units/week (males); and from 2 (1-3) for 1-7 units/week to 28 (14-56) for 50+ units/week (females). After adjusting for age and usual alcohol consumption, the relative risk of first-time alcohol-related admission remained significantly higher for males reporting binge drinking and for both males and females residing in the most deprived localities.Moderate and higher levels of usual alcohol consumption and binge drinking are serious risk factors for alcohol-related hospitalization in the Scottish population. These findings contribute to our understanding of the relationship between alcohol intake and alcohol-related morbidity.

KW - Alcohol

KW - binge drinking

KW - consumption

KW - deprivation

KW - hospital admissions

KW - morbidity

KW - C VIRUS-INFECTION

KW - LIVER-CIRRHOSIS

KW - MORTALITY

KW - CONSUMPTION

KW - RISK

KW - METAANALYSIS

KW - ADMISSIONS

KW - DISEASE

KW - MEN

U2 - 10.1111/j.1360-0443.2009.02497.x

DO - 10.1111/j.1360-0443.2009.02497.x

M3 - Article

C2 - 19335657

SN - 0965-2140

VL - 104

SP - 593

EP - 602

JO - Addiction

JF - Addiction

IS - 4

ER -

Association of self-reported alcohol use and hospitalization for an alcohol-related cause in Scotland: a record-linkage study of 23 183 individuals

Abstract

Keywords

UN SDGs

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