{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T18:01:53Z","timestamp":1780682513757,"version":"3.54.1"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100004837","name":"Spanish Ministry of Science and Innovation","doi-asserted-by":"publisher","award":["RYC2021-033123-I"],"award-info":[{"award-number":["RYC2021-033123-I"]}],"id":[{"id":"10.13039\/501100004837","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["CIHR FRN181677"],"award-info":[{"award-number":["CIHR FRN181677"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study examines socioeconomic inequalities in alcohol-related emergency room (ER) visits in Catalonia, combining individual and area-level socioeconomic factors and comparing the results with the ones for all ER visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This population-based study retrospectively analyzed all 7\u00a0043\u00a0795 individuals aged 12 and older who received public healthcare in Catalonia in 2022 using sociodemographic, ER visits, and medical diagnoses data. Individuals were classified by individual-based and area-based socioeconomic levels (ISL and ASL, respectively). Binomial models assessed associations between ISL and ER visits, stratifying results by sex, age, and ASL. Alternative models were performed including interactions between both socioeconomic levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In 2022, 22.2% of individuals visited ERs, of which 0.45% accounted for alcohol-related ER visits. Socioeconomic disparities were evident: individuals in the lowest ISL had an alcohol-related ER visit prevalence six times higher than the highest ISL. This pattern persisted across ASL, with more pronounced effects in wealthier regions. Age and sex influenced trends, with middle-aged males from low ISL groups showing the highest prevalence ratios. Interaction analysis revealed that the combined effect of low individual socioeconomic status and living in disadvantaged areas was smaller than would be expected if the effects were multiplicative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Significant socioeconomic disparities in ER visits exist in Catalonia, with lower socioeconomic groups, especially at the individual level, experiencing higher rates of alcohol-related ER visits. These findings underscore the need to address socioeconomic inequalities in healthcare access, particularly concerning alcohol-related health outcomes, highlighting the need to further research ISL and ASL interactions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/alcalc\/agag039","type":"journal-article","created":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T12:09:13Z","timestamp":1778760553000},"source":"Crossref","is-referenced-by-count":0,"title":["Individual- and area-level inequalities in alcohol-related disorders and emergency hospital admissions in Catalonia"],"prefix":"10.1093","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5444-1560","authenticated-orcid":false,"given":"Pol","family":"Rovira","sequence":"first","affiliation":[{"name":"Program on Substance Abuse & WHO Collaborating Centre, Public Health Agency of Catalonia , 330 Arag\u00f3 St., 08009, Barcelona 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,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Colom","sequence":"additional","affiliation":[{"name":"Program on Substance Abuse & WHO Collaborating Centre, Public Health Agency of Catalonia , 330 Arag\u00f3 St., 08009, Barcelona ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5665-0385","authenticated-orcid":false,"given":"J\u00fcrgen","family":"Rehm","sequence":"additional","affiliation":[{"name":"Program on Substance Abuse & WHO Collaborating Centre, Public Health Agency of Catalonia , 330 Arag\u00f3 St., 08009, Barcelona ,","place":["Spain"]},{"name":"Institute for Mental Health Policy Research & Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH) , 250 College Street, 9th Floor, Toronto, Ontario M5T 1R8 ,","place":["Canada"]},{"name":"Dalla Lana School of Public Health, Institute of Health Policy, Management and Evaluation, University of Toronto (UofT) , 155 College Street, 6th Floor, Toronto, Ontario M5T 3M7 ,","place":["Canada"]},{"name":"Institute of Medical Science, University of Toronto , Medical Sciences Building, 1 King\u2019s College Cir Suite 2374, Toronto, Ontario M5S 3K3 ,","place":["Canada"]},{"name":"Department of Psychiatry, University of Toronto , 250 College Street, 8th Floor, Toronto, Ontario M5T 1R8 ,","place":["Canada"]},{"name":"Zentrum f\u00fcr Interdisziplin\u00e4re Suchtforschung der Universit\u00e4t Hamburg (ZIS), Universit\u00e4tsklinikum Hamburg-Eppendorf , Martinistra\u00dfe 52, 20246 Hamburg ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergi","family":"Trias-Llim\u00f3s","sequence":"additional","affiliation":[{"name":"Department of Political and Social Sciences, DemoSoc Research Group, Universitat Pompeu Fabra , 08005, 25-27 Ramon Trias Fargas, Barcelona 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