Alcohol Consumption and 15 Causes of Fatal Injuries: A Systematic Review and Meta-analysis
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Alcohol Consumption and 15 Causes of Fatal Injuries: A Systematic Review and Meta-analysis

Public Access Version Available on: August 01, 2023, 12:00 AM
Please check back on the date listed above.
  • English

  • Details:

    • Alternative Title:
      Am J Prev Med
    • Description:

      The proportion of fatal nontraffic injuries that involve high levels of alcohol use or alcohol intoxication was assessed by cause of injury to generate alcohol-attributable fractions (AAFs). Updated AAFs can contribute to improved estimates of the public health impact of excessive alcohol use.


      Peer-reviewed and “gray” literature for 1995–2019 on 15 causes of fatal nontraffic injuries in the United States, Canada, or Mexico were systematically reviewed, and state data systems were queried, for available estimates of fatalities with recorded blood alcohol content (BAC) levels and proportions of decedents with BACs ≥ 0.10g/dL by cause of injury. For each injury cause, AAFs across studies were synthesized by meta-analysis of single proportions using generalized linear mixed models.


      In total, 60 published studies and 40 additional population-level data points from six state data systems were included. The meta-analyzed AAFs by cause of injury follow: air-space transport (0.03), aspiration (0.24), child maltreatment (0.09), drowning (0.31), fall injuries (0.37), fire injuries (0.34), firearm injuries (0.24), homicide (0.29), hypothermia (0.29), motor vehicle nontraffic crashes (0.42), occupational and machine injuries (0.08), other road vehicle crashes (railroad trespasser injuries) (0.63), poisoning (not alcohol) (0.20), suicide (0.21), and water transport (0.27), yielding an overall median AAF of 0.27.


      Excessive alcohol use is associated with substantial proportions of violent and non-violent injury deaths. These findings can improve the data used for estimating alcohol-attributable injury deaths and inform the planning and implementation of evidence-based strategies (e.g., increasing alcohol taxes, regulating alcohol outlet density) to prevent them.

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