Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1991 Dec;81(12):1571–1575. doi: 10.2105/ajph.81.12.1571

Injury-related medical care utilization in a problem drinking population.

J O Blose 1, H D Holder 1
PMCID: PMC1405299  PMID: 1746651

Abstract

BACKGROUND. Population-based data on the overall risk of injury among problem drinkers are extremely limited. METHODS. We conducted an eight-year study of injury-related medical care utilization for a group of problem drinkers (n = 3 729) enrolled in the health insurance plan of a large manufacturing firm with plants in a number of midwestern states. A comparison non-problem drinking cohort matched on age, gender, and number of years of enrollment with the same company plan was also utilized. RESULTS. Problem drinkers utilized injury-related medical care at a rate 1.6 times that of the comparison group and experienced injury-related medical care costs which were three times as high. Increased risks were found for both men and women and for all ages studied. CONCLUSIONS. This study is one of the few to examine the overall incidence of fatal and non-fatal injuries among a large population of problem drinkers and provides evidence that higher medical care costs are associated with chronic alcohol use.

Full text

PDF
1571

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cherpitel C. J. Drinking patterns and problems associated with injury status in emergency room admissions. Alcohol Clin Exp Res. 1988 Feb;12(1):105–110. doi: 10.1111/j.1530-0277.1988.tb00141.x. [DOI] [PubMed] [Google Scholar]
  2. Cherpitel C. J. Prediction of alcohol-related casualties among emergency room admissions. Int J Addict. 1989 Aug;24(8):725–737. doi: 10.3109/10826088909047309. [DOI] [PubMed] [Google Scholar]
  3. Cherpitel C. J. Prediction of alcohol-related casualties: a comparison of two emergency room populations. Drug Alcohol Depend. 1989 Dec;24(3):195–203. doi: 10.1016/0376-8716(89)90056-2. [DOI] [PubMed] [Google Scholar]
  4. Harlan L. C., Harlan W. R., Parsons P. E. The economic impact of injuries: a major source of medical costs. Am J Public Health. 1990 Apr;80(4):453–459. doi: 10.2105/ajph.80.4.453. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hilton M. E., Clark W. B. Changes in American drinking patterns and problems, 1967-1984. J Stud Alcohol. 1987 Nov;48(6):515–522. doi: 10.15288/jsa.1987.48.515. [DOI] [PubMed] [Google Scholar]
  6. Hingson R. W., Lederman R. I., Walsh D. C. Employee drinking patterns and accidental injury: a study of four New England states. J Stud Alcohol. 1985 Jul;46(4):298–303. doi: 10.15288/jsa.1985.46.298. [DOI] [PubMed] [Google Scholar]
  7. Hingson R., Howland J. Alcohol as a risk factor for injury or death resulting from accidental falls: a review of the literature. J Stud Alcohol. 1987 May;48(3):212–219. doi: 10.15288/jsa.1987.48.212. [DOI] [PubMed] [Google Scholar]
  8. Honkanen R., Ertama L., Kuosmanen P., Linnoila M., Alha A., Visuri T. The role of alcohol in accidental falls. J Stud Alcohol. 1983 Mar;44(2):231–245. doi: 10.15288/jsa.1983.44.231. [DOI] [PubMed] [Google Scholar]
  9. Howland J., Hingson R. Alcohol as a risk factor for drownings: a review of the literature (1950-1985). Accid Anal Prev. 1988 Feb;20(1):19–25. doi: 10.1016/0001-4575(88)90011-5. [DOI] [PubMed] [Google Scholar]
  10. Howland J., Hingson R. Alcohol as a risk factor for injuries or death due to fires and burns: review of the literature. Public Health Rep. 1987 Sep-Oct;102(5):475–483. [PMC free article] [PubMed] [Google Scholar]
  11. Smith G. S., Kraus J. F. Alcohol and residential, recreational, and occupational injuries: a review of the epidemiologic evidence. Annu Rev Public Health. 1988;9:99–121. doi: 10.1146/annurev.pu.09.050188.000531. [DOI] [PubMed] [Google Scholar]
  12. Stephens C. J. Alcohol consumption and casualties; drinking in the event. Drug Alcohol Depend. 1987 Nov;20(2):115–127. doi: 10.1016/0376-8716(87)90060-3. [DOI] [PubMed] [Google Scholar]
  13. Wechsler H., Kasey E. H., Thum D., Demone H. W., Jr Alcohol level and home accidents. Public Health Rep. 1969 Dec;84(12):1043–1050. [PMC free article] [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES