Women and Men Admitted for Alcohol Intoxication at an Emergency Department: Alcohol Use Disorders, Substance Use and Health and Social Status 7 Years Later.

Details

Serval ID
serval:BIB_FD5CBD5B003B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Women and Men Admitted for Alcohol Intoxication at an Emergency Department: Alcohol Use Disorders, Substance Use and Health and Social Status 7 Years Later.
Journal
Alcohol and alcoholism (Oxford, Oxfordshire)
Author(s)
Adam A., Faouzi M., Yersin B., Bodenmann P., Daeppen J.B., Bertholet N.
ISSN
1464-3502 (Electronic)
ISSN-L
0735-0414
Publication state
Published
Issued date
09/2016
Peer-reviewed
Oui
Volume
51
Number
5
Pages
567-575
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish

Abstract
To assess the prevalence of alcohol use disorder (AUD), substance use, mental health and social status 7 years following an Emergency Department (ED) admission for alcohol intoxication. To assess gender differences in these prevalences.
Cohort of 631 patients aged 18-30 years admitted for alcohol intoxication in 2006-2007 at a tertiary referral hospital in Switzerland, contacted for an interview in 2014. Assessment consisted of demography, Alcohol Use Disorders Identification Test-Consumption, Mini International Neuropsychiatric Interview for AUD, Patient Health Questionnaire (depression, anxiety) and lifetime/past year use of tobacco/illegal drugs. Gender differences were assessed with Chi-square tests, t-tests and Wilcoxon tests.
In 2014, 318/631 (50.4%) completed the interview. Study completers were not different from non-completers on baseline characteristics (all P > 0.2). Of study completers, 36.8% were unemployed, 56.9% reported hazardous alcohol use, 15.1% alcohol dependence, 13.2% harmful use, 18.6% depression, 15.4% anxiety disorder. Prevalence of any use (lifetime/past year) was 93.4%/80.2% for tobacco, 86.6%/53.1% for cannabis, 54.7%/22.6% for cocaine, 25.6%/13.5% for sedatives, 40.9%/11.0% for stimulants, 21.7%/7.2% for opioids. Men reported significantly more binge drinking, AUD, cannabis use (past year) and more lifetime cannabis, cocaine and stimulants use (all P < 0.05). There was no gender difference in the prevalence of hazardous alcohol use and tobacco use. The prevalence of psychiatric disorders was significantly higher in women (P < 0.05).
Seven years after being admitted for alcohol intoxication, young patients are likely to present substance misuse, mental health disorders and social problems, suggesting  that they should be offered secondary prevention measures while in the ED.
We studied a cohort of patients aged 18-30 and admitted for alcohol intoxication in 2006-2007 at a tertiary hospital. Participants were interviewed in 2014. Seven years after an admission for alcohol intoxication, patients are likely to present AUDs, substance misuse, mental health disorders and social problems.

Keywords
Adolescent, Adult, Aftercare, Alcohol-Related Disorders/epidemiology, Alcoholic Intoxication/therapy, Emergency Service, Hospital/statistics & numerical data, Female, Health Status, Hospitalization/statistics & numerical data, Humans, Male, Sex Factors, Social Class, Substance-Related Disorders/epidemiology, Surveys and Questionnaires, Switzerland/epidemiology, Young Adult
Pubmed
Open Access
Yes
Create date
07/07/2016 14:53
Last modification date
20/08/2019 17:28
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