Access to alcohol outlets and harmful alcohol consumption : a multi-level study in Melbourne, Australia
Data(s) |
01/10/2011
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Resumo |
<b>Aims</b> To assess the association between access to off-premises alcohol outlets and harmful alcohol consumption.<br /><b>Design, setting and participants</b> Multi-level study of 2334 adults aged 18–75 years from 49 census collector districts (the smallest spatial unit in Australia at the time of survey) in metropolitan Melbourne. <br /><b>Measurements</b> Alcohol outlet density was defined as the number of outlets within a 1-km road network of respondents’ homes and proximity was the shortest road network distance to the closest outlet from their home. Using multi-level logistic regression we estimated the association between outlet density and proximity and four measures of harmful alcohol consumption: drinking at levels associated with short-term harm at least weekly and monthly; drinking at levels associated with long-term harm and frequency of consumption. <br /><b>Findings</b> Density of alcohol outlets was associated with increased risk of drinking alcohol at levels associated with harm. The strongest association was for short-term harm at least weekly [odds ratio (OR) 1.10, 95% confidence interval (CI) 1.04–1.16]. When density was fitted as a categorical variable, the highest risk of drinking at levels associated with short-term harm was when there were eight or more outlets (short-term harm weekly: OR 2.36, 95% CI 1.22–4.54 and short-term harm monthly: OR 1.80, 95% CI 1.07–3.04). We found no evidence to support an association between proximity and harmful alcohol consumption.<br /><b>Conclusions</b> The number of off-premises alcohol outlets in a locality is associated with the level of harmful alcohol consumption in that area. Reducing the number of off-premises alcohol outlets could reduce levels of harmful alcohol consumption.<br /> |
Identificador | |
Idioma(s) |
eng |
Publicador |
Wiley-Blackwell Publishing |
Relação |
http://dro.deakin.edu.au/eserv/DU:30044454/thornton-accessto-2011.pdf http://dx.doi.org/10.1111/j.1360-0443.2011.03510.x |
Direitos |
2011, Wiley-Blackwell Publishing |
Palavras-Chave | #alcohol #alcohol outlet #density #harmful consumption #multi-level analysis #proximity #socio-economic position |
Tipo |
Journal Article |