Hill-McManus, D., Angus, C.R. orcid.org/0000-0003-0529-4135, Meng, Y. et al. (3 more authors) (2014) Injury Alcohol-Attributable Fractions: Methodological Issues and Developments. Discussion Paper. HEDS Discussion Paper Series (14.02). Health Economics and Decision Science, School of Health and Related Research (ScHARR), University of Sheffield , Sheffield.
Abstract
Background: Alcohol-attributable fractions (AAFs) are routinely used to estimate the burden of injury resulting from alcohol. Recent methodological advances allow AAFs to be estimated using national survey data. However, this requires assuming that the drinking patterns are equivalent to those used by epidemiological studies estimating the relative risk of injury. This study explores the implications of this assumption and presents an improved method of estimating injury AAFs. Methods: Diary survey is used to describe individuals’ drinking occasions and estimate AAFs. Statistical methods and numerical integration are used to combine the evidence on the risk of injury when intoxicated with the diary data. Alternative assumptions are chosen to explore the implications of using national survey data. Results:Overall, an estimated 27% of road traffic accident (RTA) and 23% of non-RTA injuries in Britain are attributable to alcohol. AAF estimates for RTAs range from 54% to 2% and for non-RTAs from 36% to 8% in men aged 16-24 and women aged 55-64 respectively. Two potentially more realistic assumptions relating to the use of national survey data resulted in substantially lower AAF estimates for RTAs. Conclusion: Current methods of estimating injury AAFs using national survey data are flawed for some harms, particularly RTAs, where the data is not consistent with the epidemiological literature. Our findings indicate that the burden of injuries from RTAs in England has been previously overestimated. Further research into the prevalence of risky behaviours when intoxicated is required to refine these methods and produce more robust burden of injury estimates.
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2014 The Authors. Reproduced in accordance with the publisher's self-archiving policy. |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > Health Economics and Decision Science > HEDS Discussion Paper Series |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 21 Apr 2016 10:02 |
Last Modified: | 21 Apr 2016 10:09 |
Published Version: | https://www.sheffield.ac.uk/scharr/sections/heds/d... |
Status: | Published |
Publisher: | Health Economics and Decision Science, School of Health and Related Research (ScHARR), University of Sheffield |
Series Name: | HEDS Discussion Paper Series |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:97968 |