Investigation of the Association Between Alcohol Outlet Density and Alcohol-Related Hospital Admission Rates in England: Study Protocol

Maheswaran, Ravi; Holmes, John; Green, Mark A.; Strong, Mark; Pearson, Tim; Meier, Petra

doi:10.2196/resprot.6300

Cited by 3 publications

(7 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The strongest link was between pubs, bars and nightclubs and admissions for alcoholic liver disease. We also observed associations between restaurants and other on‐trade outlets and acute and chronic wholly attributable conditions, which we had not expected . The other on‐trade outlets category is a heterogeneous group of outlets, but restaurants are a clearly defined category and merit further investigation to establish if there is a causal link.…”

Section: Discussionsupporting

confidence: 86%

“…A key novel aspect of our study is that we examined subcategories of on‐trade and off‐trade outlets. For on‐trade outlets, we found associations between pubs, bars and nightclubs and both acute and chronic wholly attributable conditions, as we had expected . The strongest link was between pubs, bars and nightclubs and admissions for alcoholic liver disease.…”

Section: Discussionmentioning

confidence: 50%

“…In addition, a hypothesis that might potentially explain any association between outlet density and health outcomes is that outlets cluster in ‘unhealthy’ areas where illness levels are high and harmful health behaviours such as smoking are prevalent . We used lung cancer admissions as a proxy for such areas.…”

Section: Methodsmentioning

confidence: 99%

“…We carried out subsidiary analyses based on a priori hypotheses . We examined lagged effects, examined associations between changes in outlet density and changes in hospital admissions, examined the effects of changing the distance radius used for calculating outlet density and used Bayesian hierarchical modelling incorporating unstructured and spatially structured random effects to examine residual spatial autocorrelation .…”

Section: Methodsmentioning

confidence: 99%

“…We carried out a national study to investigate associations between the densities of several subcategories of alcohol outlets and hospital admissions due to acute and chronic conditions wholly or partially attributable to alcohol. Our a‐priori hypotheses included examining if there was any evidence of lagged effects .…”

Section: Introductionmentioning

confidence: 96%

See 4 more Smart Citations

Alcohol outlet density and alcohol related hospital admissions in England: a national small‐area level ecological study

et al. 2018

Self Cite

View full text Add to dashboard Cite

Background and aimsExcessive alcohol consumption has a substantial impact on public health services. A key element determining alcohol availability is alcohol outlet density. This study investigated the relationship between on‐trade and off‐trade outlets and hospital admission rates in local neighbourhoods.DesignNational small‐area level ecological study.Setting and participantsAll 32 482 lower layer super output census areas (LSOAs) in England (42 227 108 million people aged 15+ years). Densities for six outlet categories (outlets within a 1‐km radius of residential postcode centroids, averaged for all postcodes within each LSOA) were calculated.MeasurementsMain outcome measures were admissions due to acute or chronic conditions wholly or partially attributable to alcohol consumption from 2002/03 to 2013/14.FindingsThere were 1 007 137 admissions wholly, and 2 153 874 admissions partially, attributable to alcohol over 12 years. After adjustment for confounding, higher densities of on‐trade outlets (pubs, bars and nightclubs; restaurants licensed to sell alcohol; other on‐trade outlets) and convenience stores were associated with higher admission rate ratios for acute and chronic wholly attributable conditions. For acute wholly attributable conditions, admission rate ratios were 13% (95% confidence interval = 11–15%), 9% (7–10%), 12% (10–14%) and 10% (9–12%) higher, respectively, in the highest relative to the lowest density categories by quartile. For chronic wholly attributable conditions, rate ratios were 22% (21–24%), 9% (7–11%), 19% (17–21%) and 7% (6–9%) higher, respectively. Supermarket density was associated with modestly higher acute and chronic admissions but other off‐trade outlet density was associated only with higher admissions for chronic wholly attributable conditions. For partially attributable conditions, there were no strong patterns of association with outlet densities.ConclusionsIn England, higher densities of several categories of alcohol outlets appear to be associated with higher hospital admission rates for conditions wholly attributable to alcohol consumption.

show abstract

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 50%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

See 3 more Smart Citations

Alcohol outlet density and alcohol related hospital admissions in England: a national small‐area level ecological study

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

Public health policies and alcohol-related liver disease

et al. 2019

View full text Add to dashboard Cite

Alcohol-related liver disease (ALD) represents a major public health problem worldwide. According to the World Health Organization, the highest levels of per capita alcohol consumption are observed in countries of the European Region. Alcohol consumption is also alarmingly increasing in developing countries. ALD is one of the main contributors to the burden of alcoholattributable deaths and disability. In the United States, severe forms of ALD such alcoholic hepatitis have increased in the last decade and in the United Kingdom, three-quarters of liver-related mortality results from alcohol consumption. Besides genetic factors, there is strong evidence that the amount of alcohol consumed plays a major role in the development of advanced ALD. Establishing effective public health policies is therefore mandatory to reduce the burden of ALD. Since the 90s, major public health institutions and governments have developed a variety of policies in order to reduce the harm caused by excessive drinking. These policies encompass multiple factors, from pricing and taxation to advertising regulation. Measures focused on taxation and price regulation have been shown to be the most effective at reducing alcohol-related mortality. However, there are few studies focused on the effect of public policies on ALD. This review article summarises the factors influencing ALD burden and the role of different public health policies.

show abstract

Intra-urban excessive alcohol drinking: Geographic disparities, associated neighborhood characteristics and implications for healthy city planning

Sun

Li²,

Jin³

et al. 2019

Sustainable Cities and Society

View full text Add to dashboard Cite

Investigation of the Association Between Alcohol Outlet Density and Alcohol-Related Hospital Admission Rates in England: Study Protocol

Cited by 3 publications

References 20 publications

Alcohol outlet density and alcohol related hospital admissions in England: a national small‐area level ecological study

Alcohol outlet density and alcohol related hospital admissions in England: a national small‐area level ecological study

Public health policies and alcohol-related liver disease

Intra-urban excessive alcohol drinking: Geographic disparities, associated neighborhood characteristics and implications for healthy city planning

Contact Info

Product

Resources

About