Hazardous birthday drinking among young people: population-based impacts on emergency department and in-patient hospital admissions

Russell C. Callaghan, Marcos Sanches, Jodi M. Gatley, Lon Mu Liu, James K Cunningham

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

BACKGROUND AND AIMS: There is growing concern about the possible adverse health impacts of binge drinking during birthday celebrations among adolescents and young adults. We estimate the impacts of birthday alcohol use on adolescent and young adult in-patient/emergency department (ED) hospital admissions.

DESIGN: We employed Autoregressive Integrated Moving Average (ARIMA) intervention analysis to assess whether the rate of ICD-10 alcohol-use-disorder (AUD) events per 1000 in-patient/ED admissions increased significantly during birthday weeks.

SETTING: All in-patient/ED admissions in Ontario, Canada from 1 April 2002 to 31 March 2007.

PARTICIPANTS: Individuals aged 12-30 years.

MEASUREMENTS: AUD events per 1000 in-patient/ED admissions by age in weeks.

FINDINGS: Multiple increases were found. The largest occurred during the birthday week of 19 years of age, the beginning of the minimum legal drinking age (MLDA) in Ontario: AUD admission rates increased (spiked) by 38.30 per 1000 total admissions [95% confidence interval (CI) = 34.66-41.94] among males (a 114.3% increase over baseline), and by 28.13 (95% CI = 25.56-30.70) among females (a 164.0% increase). Among both genders, the second largest birthday-week spikes occurred during ages 20-22 years, followed by somewhat lower but still pronounced birthday-week spikes during ages 23-26 years and 30 years (all these spikes: P < 0.05). Birthday-week spikes occurred as early as age 16 years for males and 14 years for females (both spikes: P < 0.05).

CONCLUSIONS: There appears to be an increase in alcohol-related adverse events from drinking around the time of one's birthday among young adults in Canada.

Original languageEnglish (US)
Pages (from-to)1667-1675
Number of pages9
JournalAddiction (Abingdon, England)
Volume109
Issue number10
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

Fingerprint

Patient Admission
Drinking
Hospital Emergency Service
Alcohols
Young Adult
Ontario
Population
Canada
Confidence Intervals
Binge Drinking
International Classification of Diseases
Health
Underage Drinking

Keywords

  • Adolescents
  • alcohol
  • binge drinking
  • birthday celebrations
  • emergency department
  • hospitalization
  • morbidity

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Cite this

Hazardous birthday drinking among young people : population-based impacts on emergency department and in-patient hospital admissions. / Callaghan, Russell C.; Sanches, Marcos; Gatley, Jodi M.; Liu, Lon Mu; Cunningham, James K.

In: Addiction (Abingdon, England), Vol. 109, No. 10, 01.10.2014, p. 1667-1675.

Research output: Contribution to journalArticle

Callaghan, Russell C. ; Sanches, Marcos ; Gatley, Jodi M. ; Liu, Lon Mu ; Cunningham, James K. / Hazardous birthday drinking among young people : population-based impacts on emergency department and in-patient hospital admissions. In: Addiction (Abingdon, England). 2014 ; Vol. 109, No. 10. pp. 1667-1675.
@article{6dda79eb2b6243d0bcf91aa1f1113692,
title = "Hazardous birthday drinking among young people: population-based impacts on emergency department and in-patient hospital admissions",
abstract = "BACKGROUND AND AIMS: There is growing concern about the possible adverse health impacts of binge drinking during birthday celebrations among adolescents and young adults. We estimate the impacts of birthday alcohol use on adolescent and young adult in-patient/emergency department (ED) hospital admissions.DESIGN: We employed Autoregressive Integrated Moving Average (ARIMA) intervention analysis to assess whether the rate of ICD-10 alcohol-use-disorder (AUD) events per 1000 in-patient/ED admissions increased significantly during birthday weeks.SETTING: All in-patient/ED admissions in Ontario, Canada from 1 April 2002 to 31 March 2007.PARTICIPANTS: Individuals aged 12-30 years.MEASUREMENTS: AUD events per 1000 in-patient/ED admissions by age in weeks.FINDINGS: Multiple increases were found. The largest occurred during the birthday week of 19 years of age, the beginning of the minimum legal drinking age (MLDA) in Ontario: AUD admission rates increased (spiked) by 38.30 per 1000 total admissions [95{\%} confidence interval (CI) = 34.66-41.94] among males (a 114.3{\%} increase over baseline), and by 28.13 (95{\%} CI = 25.56-30.70) among females (a 164.0{\%} increase). Among both genders, the second largest birthday-week spikes occurred during ages 20-22 years, followed by somewhat lower but still pronounced birthday-week spikes during ages 23-26 years and 30 years (all these spikes: P < 0.05). Birthday-week spikes occurred as early as age 16 years for males and 14 years for females (both spikes: P < 0.05).CONCLUSIONS: There appears to be an increase in alcohol-related adverse events from drinking around the time of one's birthday among young adults in Canada.",
keywords = "Adolescents, alcohol, binge drinking, birthday celebrations, emergency department, hospitalization, morbidity",
author = "Callaghan, {Russell C.} and Marcos Sanches and Gatley, {Jodi M.} and Liu, {Lon Mu} and Cunningham, {James K}",
year = "2014",
month = "10",
day = "1",
doi = "10.1111/add.12626",
language = "English (US)",
volume = "109",
pages = "1667--1675",
journal = "Addiction",
issn = "0965-2140",
publisher = "Wiley-Blackwell",
number = "10",

}

TY - JOUR

T1 - Hazardous birthday drinking among young people

T2 - population-based impacts on emergency department and in-patient hospital admissions

AU - Callaghan, Russell C.

AU - Sanches, Marcos

AU - Gatley, Jodi M.

AU - Liu, Lon Mu

AU - Cunningham, James K

PY - 2014/10/1

Y1 - 2014/10/1

N2 - BACKGROUND AND AIMS: There is growing concern about the possible adverse health impacts of binge drinking during birthday celebrations among adolescents and young adults. We estimate the impacts of birthday alcohol use on adolescent and young adult in-patient/emergency department (ED) hospital admissions.DESIGN: We employed Autoregressive Integrated Moving Average (ARIMA) intervention analysis to assess whether the rate of ICD-10 alcohol-use-disorder (AUD) events per 1000 in-patient/ED admissions increased significantly during birthday weeks.SETTING: All in-patient/ED admissions in Ontario, Canada from 1 April 2002 to 31 March 2007.PARTICIPANTS: Individuals aged 12-30 years.MEASUREMENTS: AUD events per 1000 in-patient/ED admissions by age in weeks.FINDINGS: Multiple increases were found. The largest occurred during the birthday week of 19 years of age, the beginning of the minimum legal drinking age (MLDA) in Ontario: AUD admission rates increased (spiked) by 38.30 per 1000 total admissions [95% confidence interval (CI) = 34.66-41.94] among males (a 114.3% increase over baseline), and by 28.13 (95% CI = 25.56-30.70) among females (a 164.0% increase). Among both genders, the second largest birthday-week spikes occurred during ages 20-22 years, followed by somewhat lower but still pronounced birthday-week spikes during ages 23-26 years and 30 years (all these spikes: P < 0.05). Birthday-week spikes occurred as early as age 16 years for males and 14 years for females (both spikes: P < 0.05).CONCLUSIONS: There appears to be an increase in alcohol-related adverse events from drinking around the time of one's birthday among young adults in Canada.

AB - BACKGROUND AND AIMS: There is growing concern about the possible adverse health impacts of binge drinking during birthday celebrations among adolescents and young adults. We estimate the impacts of birthday alcohol use on adolescent and young adult in-patient/emergency department (ED) hospital admissions.DESIGN: We employed Autoregressive Integrated Moving Average (ARIMA) intervention analysis to assess whether the rate of ICD-10 alcohol-use-disorder (AUD) events per 1000 in-patient/ED admissions increased significantly during birthday weeks.SETTING: All in-patient/ED admissions in Ontario, Canada from 1 April 2002 to 31 March 2007.PARTICIPANTS: Individuals aged 12-30 years.MEASUREMENTS: AUD events per 1000 in-patient/ED admissions by age in weeks.FINDINGS: Multiple increases were found. The largest occurred during the birthday week of 19 years of age, the beginning of the minimum legal drinking age (MLDA) in Ontario: AUD admission rates increased (spiked) by 38.30 per 1000 total admissions [95% confidence interval (CI) = 34.66-41.94] among males (a 114.3% increase over baseline), and by 28.13 (95% CI = 25.56-30.70) among females (a 164.0% increase). Among both genders, the second largest birthday-week spikes occurred during ages 20-22 years, followed by somewhat lower but still pronounced birthday-week spikes during ages 23-26 years and 30 years (all these spikes: P < 0.05). Birthday-week spikes occurred as early as age 16 years for males and 14 years for females (both spikes: P < 0.05).CONCLUSIONS: There appears to be an increase in alcohol-related adverse events from drinking around the time of one's birthday among young adults in Canada.

KW - Adolescents

KW - alcohol

KW - binge drinking

KW - birthday celebrations

KW - emergency department

KW - hospitalization

KW - morbidity

UR - http://www.scopus.com/inward/record.url?scp=85027955894&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85027955894&partnerID=8YFLogxK

U2 - 10.1111/add.12626

DO - 10.1111/add.12626

M3 - Article

C2 - 25047919

AN - SCOPUS:85027955894

VL - 109

SP - 1667

EP - 1675

JO - Addiction

JF - Addiction

SN - 0965-2140

IS - 10

ER -