{"id":13240,"date":"2023-01-31T00:00:00","date_gmt":"2023-01-31T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/publications\/journal-articles\/changes-in-health-service-use-due-to-alcohol-during-the-covid-19-pandemic-among-individuals-with-and-individuals-without-pre-existing-alcohol-related-medical-diagnoses\/"},"modified":"2024-03-25T14:26:30","modified_gmt":"2024-03-25T18:26:30","slug":"changes-in-health-service-use-due-to-alcohol-during-the-covid-19-pandemic-among-individuals-with-and-individuals-without-pre-existing-alcohol-related-medical-diagnoses","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-in-health-service-use-due-to-alcohol-during-the-covid-19-pandemic-among-individuals-with-and-individuals-without-pre-existing-alcohol-related-medical-diagnoses\/","title":{"rendered":"Changes in health service use due to alcohol during the COVID-19 pandemic among individuals with and individuals without pre-existing alcohol-related medical diagnoses"},"content":{"rendered":"<p><strong>Objective<\/strong> \u2014 To compare changes in outpatient and acute care visits due to alcohol during the COVID-19 pandemic between individuals with and those without a history of alcohol-related health service use (AHSU).<\/p>\n<p><strong>Methods<\/strong> \u2014 We conducted a cross-sectional analysis of health administrative data in Ontario, Canada. The Ontario population was stratified into those with and those without 1+ health service encounter(s) due to alcohol in the past 2 years. We compared age- and sex-standardized rates of alcohol-related outpatient visits, emergency department (ED) visits, and hospitalizations during the first 15 months of the pandemic (March 2020\u2013May 2021) to those during the same 15-month period prior to the pandemic (March 2018\u2013May 2019).<\/p>\n<p><strong>Results<\/strong> \u2014 Of 13,450,750 eligible Ontarians on March 11, 2022, 129,434 (1.0%) had AHSU in the previous 2 years. Overall, rates of alcohol-related outpatient visits and hospitalizations increased, while rates of alcohol-related ED visits decreased during the pandemic. There was a similar relative increase in rates of alcohol-related outpatient visits and hospitalizations between those with and those without prior AHSU. However, the absolute increase in rates of alcohol-related outpatient visits and hospitalizations was higher among those with prior AHSU (outpatient rate difference (RD) per 10,000 population: 852.3, 95% confidence interval (CI): 792.7, 911.9; inpatient RD: 26.0, 95% CI: \u22122.3, 54.2) than among those without (outpatient RD: 6.5, 95% CI: 6.0, 6.9; inpatient RD: 0.4, 95% CI: 0.2, 0.7).<\/p>\n<p><strong>Conclusion<\/strong> \u2014 Rates of alcohol-related outpatient and inpatient care increased during the COVID-19 pandemic, and high rate of recurrent harm among individuals with pre-pandemic AHSU was an important contributor to this trend.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective \u2014 To compare changes in outpatient and acute care visits due to alcohol during the COVID-19 pandemic between individuals with and those without a history of alcohol-related health service use (AHSU). Methods \u2014 We conducted a cross-sectional analysis of health administrative data in Ontario, Canada. The Ontario population was stratified into those with and [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[57,62,39],"migration-helper-qa-sample-set":[],"class_list":["post-13240","journal_article","type-journal_article","status-publish","hentry","topic-diet-and-nutrition","topic-health-services-research","topic-infectious-diseases"],"acf":{"citation":"Myran D, Friesen EL, Pugliese M, Milani C, Kurdyak P, Saraswat M, Tanuseputro P. <em>Can J Public Health<\/em>. 2023; 114(2):185-94. Epub 2023 Jan 31.","source_url":"https:\/\/doi.org\/10.17269\/s41997-023-00739-8","ices_scientist":[1152,1107,17551],"site":[6734],"research_program":[6740],"news_release":[13262],"journal_article":"","atlas":"","research_report":"","infographic":[13301],"video":"","downloads":null,"links":null,"sitecore_item_id":"B8A5CBB5-D723-4132-9AD2-E37E28F03B7B","sitecore_item_name":"Changes-in-health-service-use-due-to-alcohol-during-the-COVID-19-pandemic","sitecore_field_values":"{\r\n  \"Title\": \"Changes in health service use due to alcohol during the COVID-19 pandemic among individuals with and individuals without pre-existing alcohol-related medical diagnoses\",\r\n  \"Short title\": \"Changes in health service use due to\",\r\n  \"Summary\": \"The study found that rates of alcohol-related outpatient and inpatient care increased during the COVID-19 pandemic.\",\r\n  \"Citation\": \"<p>Myran D, Friesen EL, Pugliese M, Milani C, Kurdyak P, Saraswat M, Tanuseputro P. <em>Can J Public Health<\/em>. 2023; Jan 31 [Epub ahead of print]. DOI: <a href=\"https:\/\/doi.org\/10.17269\/s41997-023-00739-8\" title=\"opens external link\">https:\/\/doi.org\/10.17269\/s41997-023-00739-8<\/a><\/p>\",\r\n  \"Abstract\": \"<p><strong>Objective<\/strong> &mdash; To compare changes in outpatient and acute care visits due to alcohol during the COVID-19 pandemic between individuals with and those without a history of alcohol-related health service use (AHSU).<\/p>n<p><strong>Methods<\/strong> &mdash; We conducted a cross-sectional analysis of health administrative data in Ontario, Canada. The Ontario population was stratified into those with and those without 1+ health service encounter(s) due to alcohol in the past 2 years. We compared age- and sex-standardized rates of alcohol-related outpatient visits, emergency department (ED) visits, and hospitalizations during the first 15 months of the pandemic (March 2020&ndash;May 2021) to those during the same 15-month period prior to the pandemic (March 2018&ndash;May 2019).<\/p>n<p><strong>Results<\/strong> &mdash; Of 13,450,750 eligible Ontarians on March 11, 2022, 129,434 (1.0%) had AHSU in the previous 2 years. Overall, rates of alcohol-related outpatient visits and hospitalizations increased, while rates of alcohol-related ED visits decreased during the pandemic. There was a similar relative increase in rates of alcohol-related outpatient visits and hospitalizations between those with and those without prior AHSU. However, the absolute increase in rates of alcohol-related outpatient visits and hospitalizations was higher among those with prior AHSU (outpatient rate difference (RD) per 10,000 population: 852.3, 95% confidence interval (CI): 792.7, 911.9; inpatient RD: 26.0, 95% CI: &minus;2.3, 54.2) than among those without (outpatient RD: 6.5, 95% CI: 6.0, 6.9; inpatient RD: 0.4, 95% CI: 0.2, 0.7).<\/p>n<p><strong>Conclusion<\/strong> &mdash; Rates of alcohol-related outpatient and inpatient care increased during the COVID-19 pandemic, and high rate of recurrent harm among individuals with pre-pandemic AHSU was an important contributor to this trend.<\/p>\",\r\n  \"ICES Scientists\": \"{B5C574DB-2952-4976-9299-A6F54F1757FA}|{B9979611-1657-47B5-B80F-08815BA48831}\",\r\n  \"Posted Date\": \"20230131T000000\",\r\n  \"Show on Publications Landing Page\": \"1\",\r\n  \"In The News\": \"{4E11791E-217A-4B3B-9AC0-FEF0725CA3F5}\"\r\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2023\/January\/Changes-in-health-service-use-due-to-alcohol-during-the-COVID-19-pandemic"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Changes in health service use due to alcohol during the COVID-19 pandemic among individuals with and individuals without pre-existing alcohol-related medical diagnoses<\/title>\n<meta name=\"description\" content=\"Objective \u2014 To compare changes in outpatient and acute care visits due to alcohol during the COVID-19 pandemic between individuals with and those without\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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