Alcohol Sale Status and Suicide in Kentucky, 2005-2012Hanan Abdulghafoor Khaleel, Sabrina V Brown*, Warren Jay Christian and Steven Fleming
Department of Epidemiology and Kentucky Injury Prevention and Research Center, College of Public Health, University of Kentucky, Lexington, Kentucky
- *Corresponding Author:
- Sabrina V Brown
Department of Epidemiology and Kentucky Injury Prevention and Research Center
College of Public Health, University of Kentucky
Lexington, Kentucky, USA
E-mail: [email protected].edu
Received date: May 04, 2016; Accepted date: May 23, 2016; Published date: May 27, 2016
Citation: Khaleel HA, Brown SV, Christian WJ, Fleming S (2016) Alcohol Sale Status and Suicide in Kentucky, 2005-2012. J Alcohol Drug Depend 4:240. doi: 10.4172/2329-6488.1000240
Copyright: © 2016 Khaleel HA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: The current study aims to determine whether suicide decedents who are residents of wet counties have higher odds of alcohol involvement than suicide decedents who are residents of moist/dry counties; and determine whether the association between alcohol sale status and alcohol-related suicide exists only in counties with a high population size.
Methods: Multilevel logistic regression analysis was used to analyze decedents who died violently and were therefore included in the Kentucky Violent Death Reporting System, 2005-2012. Stratification by population size was done to study its possible interaction with alcohol sale status of the decedent’s residence.
Results: Approximately 36% of suicide decedents who lived in wet counties had an alcohol-related suicide, compared to 33% among those in moist/ dry counties. After adjusting for potential confounders, residence in a wet county was associated with a 22% increase in the odds of alcohol-related suicide (aOR=1.22, 95%CI= 1.00-1.51). Population size was not an effect modifier.
Conclusion: Suicide decedents who resided in wet counties had increased odds of alcohol-related suicides in comparison to residents of moist/dry counties, after adjusting for potential confounders and population size. A multifaceted approach that aims to reducing gun accessibility, providing health care for the mentally ill and the elderly, improving the economic status of the community by increasing accessibility to education and providing job opportunities is needed.