TY  - JOUR
PY  - 2019//
TI  - Estimating alcohol-attributable fractions for injuries based on data from emergency department and observational studies: a comparison of two methods
JO  - Addiction
A1  - Ye, Yu
A1  - Shield, Kevin
A1  - Cherpitel, Cheryl J.
A1  - Manthey, Jakob
A1  - Korcha, Rachael
A1  - Rehm, Jürgen
SP  - 462
EP  - 470
VL  - 114
IS  - 3
N2  - AIM: To compare the injury alcohol-attributable fractions (AAFs) estimated using emergency department (ED) data to AAFs estimated by combining population alcohol consumption data with corresponding relative risks (RRs). <br><br>DESIGN: Comparative Risk Assessment SETTING AND PARTICIPANTS: ED studies in 27 countries (n = 24,971) MEASUREMENTS: AAFs were estimated by means of an acute method using data on injury cases from 36 ED studies combined with odds ratios obtained from ED case-crossover studies. Corresponding AAFs for injuries were estimated by combining population-level data on alcohol consumption obtained from the Global Information System on Alcohol and Health with corresponding RRs obtained from a previous meta-analysis. <br><br>FINDINGS: ED-based injury AAF estimates ranged from 5% (Canada 2002 and the Czech Republic) to 40% (South Africa), with a mean AAF across all studies of 15% (19% for males and 8% for females). Population-based injury AAF estimates ranged from 21% (India) to 51% (Spain and the Czech Republic), with a mean AAF across all country-years of 37% (43% for males and 23% for females). The Pearson correlation coefficient for the two types of injury AAF estimates was 0.09 for the total, 0.06 for males, and 0.32 for females. <br><br>CONCLUSIONS: Two methods of estimating the injury alcohol-attributable fractions (AAFs) - emergency department data versus population method - produce widely differing results. Across 36 country-years, the mean AAF using the population method was 36.8%, more than twice as large as emergency department data-based acute estimates, which average 15.4%.<br><br>This article is protected by copyright. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0965-2140
UR  - http://dx.doi.org/10.1111/add.14477
ID  - ref1
ER  -