Trends in incidence and risk markers of student emergency department visits with alcohol intoxication in a U.S. public university—A longitudinal data linkage study
•First longitudinal study documenting incidence of student alcohol intoxication.•There was a rising trend in incidence of ED visits with alcohol intoxication.•Student characteristics at enrollment were predictive of this problem drinking.•Campus related factors significantly attenuated socioeconomic...
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| Veröffentlicht in: | Drug and alcohol dependence 2018-07, Vol.188, p.341-347 |
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| creator | Ngo, Duc Anh Rege, Saumitra V. Ait-Daoud, Nassima Holstege, Christopher P. |
| description | •First longitudinal study documenting incidence of student alcohol intoxication.•There was a rising trend in incidence of ED visits with alcohol intoxication.•Student characteristics at enrollment were predictive of this problem drinking.•Campus related factors significantly attenuated socioeconomic gradients.
To examine the trends in incidence and socio-demographic, organizational, academic, and clinical risk markers of student alcohol intoxication associated with emergency department (ED) visits.
Student admission data from 2009 to 2015 were linked to primary healthcare data and subsequent ED visits with alcohol intoxication identified using ICD-9 codes within one year following the first (index) enrollment each year. Incidence rate per 10,000 person-years was calculated. Cox proportional hazard regression provided adjusted hazard ratios (HR) (95 % CIs) for the association between student characteristics and subsequent ED visits with alcohol intoxication.
Of 177,128 students aged 16–49 enrolled, 889 had at least one ED visit with alcohol intoxication, resulting in an incidence rate of 59/10,000 person-years. Incidence increased linearly from 45/10,000 person-years in 2009–10 to 71/10,000 person-years in the 2014–15 academic year (p |
| doi_str_mv | 10.1016/j.drugalcdep.2018.03.050 |
| format | Article |
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To examine the trends in incidence and socio-demographic, organizational, academic, and clinical risk markers of student alcohol intoxication associated with emergency department (ED) visits.
Student admission data from 2009 to 2015 were linked to primary healthcare data and subsequent ED visits with alcohol intoxication identified using ICD-9 codes within one year following the first (index) enrollment each year. Incidence rate per 10,000 person-years was calculated. Cox proportional hazard regression provided adjusted hazard ratios (HR) (95 % CIs) for the association between student characteristics and subsequent ED visits with alcohol intoxication.
Of 177,128 students aged 16–49 enrolled, 889 had at least one ED visit with alcohol intoxication, resulting in an incidence rate of 59/10,000 person-years. Incidence increased linearly from 45/10,000 person-years in 2009–10 to 71/10,000 person-years in the 2014–15 academic year (p < 0.001). HRs (95%CIs) of student characteristics associated with this outcome were: males (versus females): 1.38 (1.21–1.58); below 20 years of age (versus 25–30 years): 3.36 (1.99–5.65); Hispanic (versus Asian) students: 1.61 (1.16–2.25); parental tax dependency: 1.49 (1.16–1.91); Greek life member: 1.96 (1.69–2.26); member of an athletic team: 0.51 (0.36–0.72); undergraduate (versus graduate) students: 2.65 (1.88–3.74). Past year alcohol use or having been diagnosed with depression or anxiety were also significant predictors. Adjustments for campus-related factors strongly attenuated the associations between student socio-demographic characteristics with this outcome.
Linking student admission data with ED clinical data can help monitor student alcohol intoxication associated with ED visits and identify student groups at higher risk who subsequently can be targeted for intervention efforts.</description><identifier>ISSN: 0376-8716</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2018.03.050</identifier><identifier>PMID: 29857318</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Alcohol intoxication ; Alcohol use ; Alcoholic beverages ; Alcoholic Intoxication - diagnosis ; Alcoholic Intoxication - epidemiology ; Alcoholic Intoxication - therapy ; Anxiety ; Colleges & universities ; Data ; Data linkage ; Demographics ; Demography ; Dependence ; Dependency ; Drunkenness ; Emergencies ; Emergency department ; Emergency medical services ; Emergency Service, Hospital - trends ; Emergency services ; Enrollments ; Female ; Females ; Follow-Up Studies ; Graduate students ; Health care ; Hospitalization - trends ; Humans ; Incidence ; Information Storage and Retrieval - trends ; International Classification of Diseases - trends ; Intoxication ; Longitudinal Studies ; Male ; Males ; Markers ; Mental depression ; Middle Aged ; Patient admissions ; Primary care ; Risk ; Risk Factors ; Sociodemographics ; Student ; Students ; Taxation ; Teams ; Trends ; United States - epidemiology ; Universities - trends ; Visits ; Young Adult</subject><ispartof>Drug and alcohol dependence, 2018-07, Vol.188, p.341-347</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jul 1, 2018</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-8d3675c3e381f5f3bbe7d271f0d2092fab69945ead9ae642fe6ed1ebd9a0a2543</citedby><cites>FETCH-LOGICAL-c402t-8d3675c3e381f5f3bbe7d271f0d2092fab69945ead9ae642fe6ed1ebd9a0a2543</cites><orcidid>0000-0001-5840-4540</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugalcdep.2018.03.050$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27870,27928,27929,31003,45999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29857318$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ngo, Duc Anh</creatorcontrib><creatorcontrib>Rege, Saumitra V.</creatorcontrib><creatorcontrib>Ait-Daoud, Nassima</creatorcontrib><creatorcontrib>Holstege, Christopher P.</creatorcontrib><title>Trends in incidence and risk markers of student emergency department visits with alcohol intoxication in a U.S. public university—A longitudinal data linkage study</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>•First longitudinal study documenting incidence of student alcohol intoxication.•There was a rising trend in incidence of ED visits with alcohol intoxication.•Student characteristics at enrollment were predictive of this problem drinking.•Campus related factors significantly attenuated socioeconomic gradients.
To examine the trends in incidence and socio-demographic, organizational, academic, and clinical risk markers of student alcohol intoxication associated with emergency department (ED) visits.
Student admission data from 2009 to 2015 were linked to primary healthcare data and subsequent ED visits with alcohol intoxication identified using ICD-9 codes within one year following the first (index) enrollment each year. Incidence rate per 10,000 person-years was calculated. Cox proportional hazard regression provided adjusted hazard ratios (HR) (95 % CIs) for the association between student characteristics and subsequent ED visits with alcohol intoxication.
Of 177,128 students aged 16–49 enrolled, 889 had at least one ED visit with alcohol intoxication, resulting in an incidence rate of 59/10,000 person-years. Incidence increased linearly from 45/10,000 person-years in 2009–10 to 71/10,000 person-years in the 2014–15 academic year (p < 0.001). HRs (95%CIs) of student characteristics associated with this outcome were: males (versus females): 1.38 (1.21–1.58); below 20 years of age (versus 25–30 years): 3.36 (1.99–5.65); Hispanic (versus Asian) students: 1.61 (1.16–2.25); parental tax dependency: 1.49 (1.16–1.91); Greek life member: 1.96 (1.69–2.26); member of an athletic team: 0.51 (0.36–0.72); undergraduate (versus graduate) students: 2.65 (1.88–3.74). Past year alcohol use or having been diagnosed with depression or anxiety were also significant predictors. Adjustments for campus-related factors strongly attenuated the associations between student socio-demographic characteristics with this outcome.
Linking student admission data with ED clinical data can help monitor student alcohol intoxication associated with ED visits and identify student groups at higher risk who subsequently can be targeted for intervention efforts.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Alcohol intoxication</subject><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Alcoholic Intoxication - diagnosis</subject><subject>Alcoholic Intoxication - epidemiology</subject><subject>Alcoholic Intoxication - therapy</subject><subject>Anxiety</subject><subject>Colleges & universities</subject><subject>Data</subject><subject>Data linkage</subject><subject>Demographics</subject><subject>Demography</subject><subject>Dependence</subject><subject>Dependency</subject><subject>Drunkenness</subject><subject>Emergencies</subject><subject>Emergency department</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital - trends</subject><subject>Emergency services</subject><subject>Enrollments</subject><subject>Female</subject><subject>Females</subject><subject>Follow-Up Studies</subject><subject>Graduate students</subject><subject>Health care</subject><subject>Hospitalization - trends</subject><subject>Humans</subject><subject>Incidence</subject><subject>Information Storage and Retrieval - trends</subject><subject>International Classification of Diseases - trends</subject><subject>Intoxication</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Males</subject><subject>Markers</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Patient admissions</subject><subject>Primary care</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Sociodemographics</subject><subject>Student</subject><subject>Students</subject><subject>Taxation</subject><subject>Teams</subject><subject>Trends</subject><subject>United States - epidemiology</subject><subject>Universities - trends</subject><subject>Visits</subject><subject>Young Adult</subject><issn>0376-8716</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkU2O1DAQhS0EYpqBKyBLbNh0sJ3EcZbDiD9pJBbMrC3HrvRUdxI3ttND7zgEV-BinASHHkBig2XJsv3Ve6V6hFDOCs64fLUtXJg3ZrAO9oVgXBWsLFjNHpAVV027ZqySD8mKlY1cq4bLM_Ikxi3LS7bsMTkTraqbkqsV-X4dYHKR4pS3RQeTBWomRwPGHR1N2EGI1Pc0pjl_JgojhE2mjjR7m5DG5fGAEVOkd5huae7K3_ohyyX_Ba1J6BdtauhN8amg-7kb0NJ5wkNWxnT88fXbBR38tMHsgJMZqDPJ0AGnndnAL9_jU_KoN0OEZ_fnObl5--b68v366uO7D5cXV2tbMZHWypWyqW0JpeJ93ZddB40TDe-ZE6wVvelk21Y1GNcakJXoQYLj0OUrM6KuynPy8qS7D_7zDDHpEaOFYTAT-Dlqwaq2rltZqoy--Afd-jnk9hdKCaHqSopMqRNlg48xQK_3AfNUj5ozvUSpt_pvlHqJUrNS5yhz6fN7g7kbwf0p_J1dBl6fAMgTOSAEHS0u-TkMYJN2Hv_v8hMKF7m6</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Ngo, Duc Anh</creator><creator>Rege, Saumitra V.</creator><creator>Ait-Daoud, Nassima</creator><creator>Holstege, Christopher P.</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7TQ</scope><scope>7U7</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5840-4540</orcidid></search><sort><creationdate>20180701</creationdate><title>Trends in incidence and risk markers of student emergency department visits with alcohol intoxication in a U.S. public university—A longitudinal data linkage study</title><author>Ngo, Duc Anh ; Rege, Saumitra V. ; Ait-Daoud, Nassima ; Holstege, Christopher P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-8d3675c3e381f5f3bbe7d271f0d2092fab69945ead9ae642fe6ed1ebd9a0a2543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Alcohol intoxication</topic><topic>Alcohol use</topic><topic>Alcoholic beverages</topic><topic>Alcoholic Intoxication - diagnosis</topic><topic>Alcoholic Intoxication - epidemiology</topic><topic>Alcoholic Intoxication - therapy</topic><topic>Anxiety</topic><topic>Colleges & universities</topic><topic>Data</topic><topic>Data linkage</topic><topic>Demographics</topic><topic>Demography</topic><topic>Dependence</topic><topic>Dependency</topic><topic>Drunkenness</topic><topic>Emergencies</topic><topic>Emergency department</topic><topic>Emergency medical services</topic><topic>Emergency Service, Hospital - trends</topic><topic>Emergency services</topic><topic>Enrollments</topic><topic>Female</topic><topic>Females</topic><topic>Follow-Up Studies</topic><topic>Graduate students</topic><topic>Health care</topic><topic>Hospitalization - trends</topic><topic>Humans</topic><topic>Incidence</topic><topic>Information Storage and Retrieval - trends</topic><topic>International Classification of Diseases - trends</topic><topic>Intoxication</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Males</topic><topic>Markers</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Patient admissions</topic><topic>Primary care</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Sociodemographics</topic><topic>Student</topic><topic>Students</topic><topic>Taxation</topic><topic>Teams</topic><topic>Trends</topic><topic>United States - epidemiology</topic><topic>Universities - trends</topic><topic>Visits</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ngo, Duc Anh</creatorcontrib><creatorcontrib>Rege, Saumitra V.</creatorcontrib><creatorcontrib>Ait-Daoud, Nassima</creatorcontrib><creatorcontrib>Holstege, Christopher P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>PAIS Index</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ngo, Duc Anh</au><au>Rege, Saumitra V.</au><au>Ait-Daoud, Nassima</au><au>Holstege, Christopher P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in incidence and risk markers of student emergency department visits with alcohol intoxication in a U.S. public university—A longitudinal data linkage study</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>188</volume><spage>341</spage><epage>347</epage><pages>341-347</pages><issn>0376-8716</issn><eissn>1879-0046</eissn><abstract>•First longitudinal study documenting incidence of student alcohol intoxication.•There was a rising trend in incidence of ED visits with alcohol intoxication.•Student characteristics at enrollment were predictive of this problem drinking.•Campus related factors significantly attenuated socioeconomic gradients.
To examine the trends in incidence and socio-demographic, organizational, academic, and clinical risk markers of student alcohol intoxication associated with emergency department (ED) visits.
Student admission data from 2009 to 2015 were linked to primary healthcare data and subsequent ED visits with alcohol intoxication identified using ICD-9 codes within one year following the first (index) enrollment each year. Incidence rate per 10,000 person-years was calculated. Cox proportional hazard regression provided adjusted hazard ratios (HR) (95 % CIs) for the association between student characteristics and subsequent ED visits with alcohol intoxication.
Of 177,128 students aged 16–49 enrolled, 889 had at least one ED visit with alcohol intoxication, resulting in an incidence rate of 59/10,000 person-years. Incidence increased linearly from 45/10,000 person-years in 2009–10 to 71/10,000 person-years in the 2014–15 academic year (p < 0.001). HRs (95%CIs) of student characteristics associated with this outcome were: males (versus females): 1.38 (1.21–1.58); below 20 years of age (versus 25–30 years): 3.36 (1.99–5.65); Hispanic (versus Asian) students: 1.61 (1.16–2.25); parental tax dependency: 1.49 (1.16–1.91); Greek life member: 1.96 (1.69–2.26); member of an athletic team: 0.51 (0.36–0.72); undergraduate (versus graduate) students: 2.65 (1.88–3.74). Past year alcohol use or having been diagnosed with depression or anxiety were also significant predictors. Adjustments for campus-related factors strongly attenuated the associations between student socio-demographic characteristics with this outcome.
Linking student admission data with ED clinical data can help monitor student alcohol intoxication associated with ED visits and identify student groups at higher risk who subsequently can be targeted for intervention efforts.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>29857318</pmid><doi>10.1016/j.drugalcdep.2018.03.050</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5840-4540</orcidid></addata></record> |
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| ispartof | Drug and alcohol dependence, 2018-07, Vol.188, p.341-347 |
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| subjects | Adolescent Adult Alcohol intoxication Alcohol use Alcoholic beverages Alcoholic Intoxication - diagnosis Alcoholic Intoxication - epidemiology Alcoholic Intoxication - therapy Anxiety Colleges & universities Data Data linkage Demographics Demography Dependence Dependency Drunkenness Emergencies Emergency department Emergency medical services Emergency Service, Hospital - trends Emergency services Enrollments Female Females Follow-Up Studies Graduate students Health care Hospitalization - trends Humans Incidence Information Storage and Retrieval - trends International Classification of Diseases - trends Intoxication Longitudinal Studies Male Males Markers Mental depression Middle Aged Patient admissions Primary care Risk Risk Factors Sociodemographics Student Students Taxation Teams Trends United States - epidemiology Universities - trends Visits Young Adult |
| title | Trends in incidence and risk markers of student emergency department visits with alcohol intoxication in a U.S. public university—A longitudinal data linkage study |
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