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Causes, types and severity of injury among army soldiers hospitalized with alcohol comorbidity
Jonathan Howland1, Nicole S Bell, Ilyssa E Hollander
1US Army Research Institute of Environmental Medicine, Natick, MA 01760-5007, USA. jhowl@bu.edu
Aim:
To examine the relationship between alcohol use and the cause, type and severity of hospitalized injuries.
Design/Setting:
We used the Total Army Injury and Health Outcomes Database (TAIHOD) to conduct cross-sectional analyses of the association between alcohol comorbidity and the cause, type and severity of soldiers' non-combat injuries requiring hospitalization.
Participants:
Subjects were active-duty US army soldiers (n = 211 790) hospitalized with a primary diagnosis of injury between 1980 and 2002.
Findings:
Alcohol comorbidity was positively associated with hospitalized injuries resulting from fights and falls and negatively associated with sports injuries; positively associated with hospitalized cases of head injury, open wounds and poisonings and negatively associated with musculoskeletal injury; and, overall, associated with shorter length of stay. Controlling for demographic factors did not moderate the association between alcohol and cause, type or severity of injury.
Conclusion:
Alcohol comorbidity is specifically associated with injuries related to impairment and antisocial behavior.
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