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<p>Alcohol is a leading cause of preventable morbidity and mortality, with emergency departments (EDs) carrying a substantial burden. We aimed to estimate sex-specific associations between alcohol consumption and (1) the probability of alcohol-attributable ED visits, (2) per-person ED costs, and (3) variation across major condition groups. We analyzed 45,275 past-week drinkers from Ontario using the Canadian Community Health Survey (2000–2006) linked to ED records (2007–2017) and cost estimates. Two-part models estimated the probability and per-person cost of alcohol-attributable ED visits, stratified by sex and condition. Over 1.2 million alcohol-attributable ED visits and $542 million CAD in costs occurred during follow-up. Alcohol consumption was associated with higher ED visit probability and costs overall and among men, and with higher costs among women. Harms extended beyond heavy drinkers and were distributed across the population. These results support continuum-of-risk guidelines and the need for both population-wide and sex-specific prevention strategies.</p>

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Sex Differences in Alcohol-Attributable Emergency Department Utilization in Ontario (2000–2017): A Population-Based Retrospective Cohort Study

  • 期刊论文

  • 发表日期：

    2026年5月1日

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  • James M. Clay,
  • Russell C. Callaghan,
  • Adam Sherk,
  • Mark Asbridge

摘要

Alcohol is a leading cause of preventable morbidity and mortality, with emergency departments (EDs) carrying a substantial burden. We aimed to estimate sex-specific associations between alcohol consumption and (1) the probability of alcohol-attributable ED visits, (2) per-person ED costs, and (3) variation across major condition groups. We analyzed 45,275 past-week drinkers from Ontario using the Canadian Community Health Survey (2000–2006) linked to ED records (2007–2017) and cost estimates. Two-part models estimated the probability and per-person cost of alcohol-attributable ED visits, stratified by sex and condition. Over 1.2 million alcohol-attributable ED visits and $542 million CAD in costs occurred during follow-up. Alcohol consumption was associated with higher ED visit probability and costs overall and among men, and with higher costs among women. Harms extended beyond heavy drinkers and were distributed across the population. These results support continuum-of-risk guidelines and the need for both population-wide and sex-specific prevention strategies.