title: Poisoning hospitalisations among reproductive-aged women in the USA, 1998-2006.
abstract: OBJECTIVE
  To describe poisoning hospitalisations among reproductive-aged women from 1998 to 2006.
  
  
  METHODS
  1998-2006 data from the Nationwide Inpatient Sample of the Healthcare Cost and Utilisation Project were used to identify hospitalisations for poisonings among US women aged 15-44 years. Differences in hospitalisation characteristics were compared by intent using χ(2) statistics. Trends in poisoning hospitalisation rates were calculated overall and by subgroup.
  
  
  RESULTS
  There were approximately 636,000 poisoning hospitalisations in women aged 15-44 years during 1998-2006. Hospitalisations for intentionally self-inflicted poisonings had a higher proportion of women aged 15-24 years and privately insured women than did unintentional poisonings (p<0.001). Poisoning hospitalisations in rural areas and those that resulted in death were more likely to be of undetermined intent than those for which intent was specified (p<0.001). Co-diagnoses of substance abuse (34.5%) or mental disorders (66.5%) were high. The rate of poisoning hospitalisations overall and unintentional poisoning hospitalisations increased 6% and 22%, respectively, during this period (p<0.001). The most frequently diagnosed poisoning agent was acetaminophen. Poisonings attributable to acetaminophen, opioids, central nervous system stimulants and benzodiazepines increased, while poisonings attributable to antidepressants decreased (p<0.05).
  
  
  CONCLUSIONS
  The increase in unintentional poisoning hospitalisations among women aged 15-44 years and the changing profile of poisoning agents should inform the healthcare community's poisoning prevention strategies. Poisoning prevention strategies should include a component to address substance abuse and mental health disorders among reproductive-age women.
authors.affiliation: Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30341, USA. shanna.cox@cdc.hhs.gov
authors.forename: Shanna
authors.initials: S
authors.lastname: Cox
authors.forename: Cassie
authors.initials: C
authors.lastname: Kuo
authors.forename: Denise J
authors.initials: DJ
authors.lastname: Jamieson
authors.forename: Athena P
authors.initials: AP
authors.lastname: Kourtis
authors.forename: Melissa L
authors.initials: ML
authors.lastname: McPheeters
authors.forename: Susan F
authors.initials: SF
authors.lastname: Meikle
authors.forename: Samuel F
authors.initials: SF
authors.lastname: Posner
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data / Q000639:trends*; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology; D011041:Poisoning / Q000453:epidemiology*; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D055815:Young Adult