title: Ethnic group variations in alcohol-related hospital admissions in England: does place matter?
abstract: OBJECTIVE
  The health burden of alcohol use is socially and geographically patterned in many countries. Less is known about variations in this burden between ethnic groups and whether this differs across place of residence.
  
  
  METHODS
  National cross-sectional study using hospital admission data in England. Alcohol-related admission rates, where an alcohol-related condition was either the primary diagnosis (considered as the reason for admission) or a comorbidity, were calculated using ethnic group specific rates for English regions.
  
  
  RESULTS
  In 2010/11 there were a total of 264,870 alcohol-related admissions in England. Admission rates were higher in the North of England than elsewhere (e.g. for primary diagnosis 161 per 100,000 population in the North vs. 62 per 100,000 in the South). These patterns were not uniform across ethnic groups however. For example, admission rates for alcohol-related comorbidity were four times higher among White Irish in London compared with those in the South of England (306 to 76 per 100,000) and four times higher in Indians living in the Midlands compared with those in the South of England (128 to 29 per 100,000). These patterns were similar for admissions with a comorbid alcohol-related condition.
  
  
  CONCLUSIONS
  Geographical location may be an important determinant of within and between ethnic group variations in alcohol-related hospital admissions in England. While a number of factors were not examined here, this descriptive analysis suggests that this heterogeneity should be taken into account when planning interventions and services for the prevention and management of alcohol misuse.
authors.affiliation: a Department of Primary Care and Public Health, School of Public Health , Imperial College London , UK.
authors.forename: Eleanor
authors.initials: E
authors.lastname: Barry
authors.forename: Anthony A
authors.initials: AA
authors.lastname: Laverty
authors.forename: Azeem
authors.initials: A
authors.lastname: Majeed
authors.forename: Christopher
authors.initials: C
authors.lastname: Millett
mesh_terms: D019973:Alcohol-Related Disorders / Q000208:ethnology*; D003430:Cross-Sectional Studies; D004739:England / Q000453:epidemiology; D005006:Ethnicity / Q000706:statistics & numerical data*; D062306:Geography, Medical; D006760:Hospitalization; D006801:Humans; D010343:Patient Admission / Q000706:statistics & numerical data*; D012111:Residence Characteristics
keywords: England; alcohol; ethnicity; hospital admissions