The association between off- and on-premise alcohol outlet density and 100% alcohol-attributable emergency department visits by neighbourhood-level socioeconomic status in Ontario, Canada

IF 3.8 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Samantha M. Forbes , Naomi Schwartz , Sze Hang Fu , Erin Hobin , Brendan T. Smith
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Abstract

Alcohol availability is positively associated with alcohol use and harms, but the influence of socioeconomic status (SES) on these associations is not well established. This population-based cross-sectional study examined neighbourhood-level associations between physical alcohol availability (measured as off- and on-premise alcohol outlet density) and 100% alcohol-attributable emergency department (ED) visits by neighbourhood SES in Ontario, Canada from 2017 to 2019 (n = 19,740). A Bayesian spatial modelling approach was used to assess associations and account for spatial autocorrelation, which produced risk ratios (RRs) and 95% credible intervals (95% CrI). Each additional off-premise alcohol outlet in a neighbourhood was associated with a 3% increased risk of alcohol-attributable ED visits in both men (RR = 1.03, 95%CrI: 1.02–1.04) and women (RR = 1.03, 95% CrI: 1.02–1.04). Positive associations were also observed between on-premise alcohol outlet density and alcohol-attributable ED visits, although effect sizes were small. A disproportionately greater association with ED visits was observed with increasing alcohol outlet density in the lowest compared to higher SES neighbourhoods. Reducing physical alcohol availability may be an important policy lever for reducing alcohol harm and alcohol-attributable health inequities.

加拿大安大略省按邻里社会经济地位划分的店外和店内酒类销售点密度与 100%酒精所致急诊就诊率之间的关系。
酒精供应与酒精使用和危害呈正相关,但社会经济地位(SES)对这些关联的影响尚未得到充分证实。这项基于人口的横断面研究考察了加拿大安大略省 2017 年至 2019 年间(n = 19740)按社区社会经济地位(SES)划分的物理酒精可用性(以店外和店内酒精销售点密度衡量)与 100%酒精导致的急诊科(ED)就诊率之间的邻里关系。采用贝叶斯空间建模方法评估相关性并考虑空间自相关性,从而得出风险比 (RR) 和 95% 可信区间 (95% CrI)。在男性(RR = 1.03,95% 置信区间:1.02-1.04)和女性(RR = 1.03,95% 置信区间:1.02-1.04)中,社区内每增加一个店外饮酒点,酒精导致的急诊就诊风险就会增加 3%。此外,还观察到酒类销售点密度与酒精导致的急诊就诊之间存在正相关关系,但效应大小较小。与社会经济地位较高的居民区相比,在社会经济地位最低的居民区,随着饮酒场所密度的增加,ED就诊率与饮酒场所密度之间的关系更大。减少酒精的实际供应可能是减少酒精危害和酒精导致的健康不平等的重要政策杠杆。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health & Place
Health & Place PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.70
自引率
6.20%
发文量
176
审稿时长
29 days
期刊介绍: he journal is an interdisciplinary journal dedicated to the study of all aspects of health and health care in which place or location matters.
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