BackgroundPrevalence of alcohol-related harms in England are among the highest in Europe and represents an important policy issue. Understanding how alcohol-related trends vary by demographic factors is important for informing policy debates. The aim of our study was to examine trends in alcohol-related admissions to hospital in England, with a focus on variations by sex, age and socioeconomic deprivation.MethodsWe used data on hospital admissions for England for the financial years 2002/03 to 2013/14. Our four main outcome variables were acute and chronic conditions wholly and partially attributable to alcohol consumption. We also looked at four specific conditions wholly attributable to alcohol. Socioeconomic deprivation was measured using the English Indices of Deprivation of a patient’s residence (categorised by quintile). We calculated crude rates, age-specific rates (visualised by Lexis plots) and directly standardised rates by deprivation category, separately for males and females.ResultsTotal admissions for all alcohol-attributable admissions increased from 201,398 in 2002/03 to 303,716 in 2013/14. The relative increase of these admissions was larger than compared to non-alcohol attributable admissions. Acute admissions wholly attributable to alcohol had the largest relative increase of our outcome measures, and displayed a bimodal distribution with higher rates in adolescence/young adults and middle age. Chronic conditions wholly attributable to alcohol were concentrated in middle age (particularly males). While admission rates were generally higher for males, females had higher rates of hospitalisations due to ‘Intentional self-poisoning due to alcohol’. We also found evidence of wide social inequalities by level of deprivation, which were wider for men than compared to women across all of our outcome measures other than ‘Intentional self-poisoning due to alcohol’.ConclusionsOur study expands the evidence base to help understand population level trends in alcohol-related admissions by age, sex and socioeconomic deprivation. There have been increasing hospital admissions attributable to alcohol between 2002/03 and 2013/14, particularly concentrated in middle aged males and deprived areas. However, the increase in young females being admitted for ‘Intentional self-poisoning due to alcohol’ raises additional concerns.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4265-0) contains supplementary material, which is available to authorized users.
Aberdeen University Research and Industrial Services (AURIS) undertook a joint industry pilot investigation on “Scientific Criteria for Optimizing Oil Spill Cleanup Operations and Effort” from October 1993 to March 1994. This project examined the worldwide scientific literature on the effects of oil spills, and experimental and natural clearances, on both rocky shores and salt marshes, to ascertain whether defensible scientific criteria could be used to establish the appropriate end point for oil spill cleanup operations. After exhaustive screening of the literature, the investigation found that ecological recovery of shore biota usually follows natural time scales of up to three years for rocky shores and five years for salt marshes, regardless of cleanup. Cleanup has a negative or marginal influence on these time scales, so there is little scientific justification for shore treatment. It may be justified, however, by socioeconomic factors relating to recreation, tourism, fisheries, aquaculture, visual amenity, or birds and mammals. In exceptional cases, where oil has formed heavy smothering deposits or toxic subsurface deposits, there are grounds for treatment to promote ecological recovery of the shore biota within the expected time scales.
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