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Article: Change in alcohol outlet density and alcohol-related harm to population health (CHALICE)

TitleChange in alcohol outlet density and alcohol-related harm to population health (CHALICE)
Authors
KeywordsAlcohol
Alcohol-Related Harm
Anonymised Record-Linkage
Multilevel Analysis
Outlet Density
Spatial Analysis
Issue Date2012
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpublichealth/
Citation
Bmc Public Health, 2012, v. 12 n. 1 How to Cite?
AbstractBackground: Excess alcohol consumption has serious adverse effects on health and violence-related harm. In the UK around 37% of men and 29% of women drink to excess and 20% and 13% report binge drinking. The potential impact on population health from a reduction in consumption is considerable. One proposed method to reduce consumption is to reduce availability through controls on alcohol outlet density. In this study we investigate the impact of a change in the density of alcohol outlets on alcohol consumption and alcohol-related harms to health in the community. Methods/Design: A natural experiment of the effect of change in outlet density between 200509, in Wales, UK; population 2.4 million aged 16 years and over. Data on outlets are held by the 22 local authorities in Wales under The Licensing Act 2003. The study outcomes are change in (1) alcohol consumption using data from annual Welsh Health Surveys, (2) alcohol-related hospital admissions using the Patient Episode Database for Wales, (3) Accident & Emergency department attendances between midnight6am, and (4) alcohol-related violent crime against the person, using Police data. The data will be anonymously record-linked within the Secure Anonymised Information Linkage Databank at individual and 2001 Census Lower Super Output Area levels. New methods of network analysis will be used to estimate outlet density. Longitudinal statistical analysis will use (1) multilevel ordinal models of consumption and logistic models of admissions and Accident & Emergency attendance as a function of change in individual outlet exposure, adjusting for confounding variables, and (2) spatial models of the change in counts/rates of each outcome measure and outlet density. We will assess the impact on health inequalities and will correct for population migration. Discussion: This inter-disciplinary study requires expertise in epidemiology and public health, health informatics, medical statistics, geographical information science, and research into alcohol-related violence. Information governance requirements for the use of record-linked data have been approved together with formal data access agreements for the use of the Welsh Health Survey and Police data. The dissemination strategy will include policy makers in national and local government. Public engagement will be through the Clinical Research Collaboration-Cymru "Involving People" network, which will provide input into the implementation of the research. © 2012 Fone et al.; licensee BioMed Central Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/183468
ISSN
2015 Impact Factor: 2.209
2015 SCImago Journal Rankings: 1.372
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorFone, Den_US
dc.contributor.authorDunstan, Fen_US
dc.contributor.authorWhite, Jen_US
dc.contributor.authorWebster, Cen_US
dc.contributor.authorRodgers, Sen_US
dc.contributor.authorLee, Sen_US
dc.contributor.authorShiode, Nen_US
dc.contributor.authorOrford, Sen_US
dc.contributor.authorWeightman, Aen_US
dc.contributor.authorBrennan, Ien_US
dc.contributor.authorSivarajasingam, Ven_US
dc.contributor.authorMorgan, Jen_US
dc.contributor.authorFry, Ren_US
dc.contributor.authorLyons, Ren_US
dc.date.accessioned2013-05-27T08:38:15Z-
dc.date.available2013-05-27T08:38:15Z-
dc.date.issued2012en_US
dc.identifier.citationBmc Public Health, 2012, v. 12 n. 1en_US
dc.identifier.issn1471-2458en_US
dc.identifier.urihttp://hdl.handle.net/10722/183468-
dc.description.abstractBackground: Excess alcohol consumption has serious adverse effects on health and violence-related harm. In the UK around 37% of men and 29% of women drink to excess and 20% and 13% report binge drinking. The potential impact on population health from a reduction in consumption is considerable. One proposed method to reduce consumption is to reduce availability through controls on alcohol outlet density. In this study we investigate the impact of a change in the density of alcohol outlets on alcohol consumption and alcohol-related harms to health in the community. Methods/Design: A natural experiment of the effect of change in outlet density between 200509, in Wales, UK; population 2.4 million aged 16 years and over. Data on outlets are held by the 22 local authorities in Wales under The Licensing Act 2003. The study outcomes are change in (1) alcohol consumption using data from annual Welsh Health Surveys, (2) alcohol-related hospital admissions using the Patient Episode Database for Wales, (3) Accident & Emergency department attendances between midnight6am, and (4) alcohol-related violent crime against the person, using Police data. The data will be anonymously record-linked within the Secure Anonymised Information Linkage Databank at individual and 2001 Census Lower Super Output Area levels. New methods of network analysis will be used to estimate outlet density. Longitudinal statistical analysis will use (1) multilevel ordinal models of consumption and logistic models of admissions and Accident & Emergency attendance as a function of change in individual outlet exposure, adjusting for confounding variables, and (2) spatial models of the change in counts/rates of each outcome measure and outlet density. We will assess the impact on health inequalities and will correct for population migration. Discussion: This inter-disciplinary study requires expertise in epidemiology and public health, health informatics, medical statistics, geographical information science, and research into alcohol-related violence. Information governance requirements for the use of record-linked data have been approved together with formal data access agreements for the use of the Welsh Health Survey and Police data. The dissemination strategy will include policy makers in national and local government. Public engagement will be through the Clinical Research Collaboration-Cymru "Involving People" network, which will provide input into the implementation of the research. © 2012 Fone et al.; licensee BioMed Central Ltd.en_US
dc.languageengen_US
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcpublichealth/en_US
dc.relation.ispartofBMC Public Healthen_US
dc.subjectAlcoholen_US
dc.subjectAlcohol-Related Harmen_US
dc.subjectAnonymised Record-Linkageen_US
dc.subjectMultilevel Analysisen_US
dc.subjectOutlet Densityen_US
dc.subjectSpatial Analysisen_US
dc.titleChange in alcohol outlet density and alcohol-related harm to population health (CHALICE)en_US
dc.typeArticleen_US
dc.identifier.emailWebster, C: cwebster@hku.hken_US
dc.identifier.authorityWebster, C=rp01747en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1186/1471-2458-12-428en_US
dc.identifier.pmid22691534-
dc.identifier.scopuseid_2-s2.0-84861968408en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-84861968408&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume12en_US
dc.identifier.issue1en_US
dc.identifier.isiWOS:000306968600001-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridFone, D=7004633314en_US
dc.identifier.scopusauthoridDunstan, F=51663233400en_US
dc.identifier.scopusauthoridWhite, J=8068220100en_US
dc.identifier.scopusauthoridWebster, C=7201838784en_US
dc.identifier.scopusauthoridRodgers, S=7102011661en_US
dc.identifier.scopusauthoridLee, S=55246427500en_US
dc.identifier.scopusauthoridShiode, N=6701758603en_US
dc.identifier.scopusauthoridOrford, S=6701703252en_US
dc.identifier.scopusauthoridWeightman, A=7004346860en_US
dc.identifier.scopusauthoridBrennan, I=24483136500en_US
dc.identifier.scopusauthoridSivarajasingam, V=55245898100en_US
dc.identifier.scopusauthoridMorgan, J=55245845600en_US
dc.identifier.scopusauthoridFry, R=23472524500en_US
dc.identifier.scopusauthoridLyons, R=55245775100en_US

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