Understanding the association between neighbourhood socioeconomic status and grocery store alcohol sales following market liberalization in Ontario, Canada

Friesen, Erik Loewen; Staykov, Emiliyan; Myran, Daniel T.

doi:10.17269/s41997-022-00694-w

Cited by 3 publications

(1 citation statement)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The following area-level covariates were included in the statistical models a priori, as they were identified as potential confounders based on our previous work on alcohol availability and alcoholattributable health service use in Ontario [7,15,16,23,30,34]. We used area-level variables, as individual-level data on income, education and ethnicity are not available at ICES.…”

Section: Covariatesmentioning

confidence: 99%

The association between alcohol retail access and health care visits attributable to alcohol for individuals with and without a history of alcohol‐related health‐care use

Myran,

Friesen,

Talarico

et al. 2024

Addiction

Self Cite

View full text Add to dashboard Cite

Background and aimsAlcohol retail access is associated with alcohol use and related harms. This study measured whether this association differs for people with and without heavy and disordered patterns of alcohol use.DesignThe study used a repeated cross‐sectional analysis of health administrative databases.Setting, participants/casesAll residents of Ontario, Canada aged 10–105 years with universal health coverage (n = 10 677 604 in 2013) were included in the analysis.MeasurementsQuarterly rates of emergency department (ED) and outpatient visits attributable to alcohol in 464 geographic regions between 2013 and 2019 were measured. Quarterly off‐premises alcohol retail access scores were calculated (average drive to the closest seven stores) for each geographic region. Mixed‐effect linear regression models adjusted for area‐level socio‐demographic covariates were used to examine associations between deciles of alcohol retail access and health‐care visits attributable to alcohol. Stratified analyses were run for individuals with and without prior alcohol‐attributable health‐care use in the past 2 years.FindingsWe included 437 707 ED visits and 505 271 outpatient visits attributable to alcohol. After adjustment, rates of ED visits were 39% higher [rate ratio (RR) = 1.39, 95% confidence interval (CI) = 1.20–1.61] and rates of outpatient visits were 49% higher (RR = 1.49, 95% CI = 1.26–1.75) in the highest versus lowest decile of alcohol access. There was a positive association between alcohol access and outpatient visits attributable to alcohol for individuals without prior health‐care attributable to alcohol (RR = 1.65, 95% CI = 1.39–1.95 for the highest to lowest decile of alcohol access) but not for individuals with prior health‐care attributable to alcohol (RR = 1.08, 95% CI = 0.90–1.30). There was a positive association between alcohol access and ED visits attributable to alcohol for individuals with and without prior health‐care for alcohol for ED visits.ConclusionIn Ontario, Canada, greater alcohol retail access appears to be associated with higher rates of emergency department (ED) and outpatient health‐care visits attributable to alcohol. Individuals without prior health‐care for alcohol may be more susceptible to greater alcohol retail access for outpatient but not ED visits attributable to alcohol.

show abstract

Section: Covariatesmentioning

confidence: 99%

The association between alcohol retail access and health care visits attributable to alcohol for individuals with and without a history of alcohol‐related health‐care use

Myran,

Friesen,

Talarico

et al. 2024

Addiction

Self Cite

View full text Add to dashboard Cite

show abstract

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

Forbes,

Schwartz,

et al. 2024

Health & Place

View full text Add to dashboard Cite

Geographic clustering of cannabis stores in Canadian cities: A spatial analysis of the legal cannabis market 4 years post‐legalisation

Friesen,

Konikoff,

Dickson

et al. 2024

Drug and Alcohol Review

View full text Add to dashboard Cite

IntroductionFollowing the legalisation of non‐medical cannabis in 2018, the number of cannabis stores in Canada has rapidly expanded with limited regulation on their geographic placement. This study characterised the clustering of cannabis stores in Canadian cities and evaluated the association of clustering with provincial policy and sociodemographic variables.MethodsCross‐sectional spatial analysis of cannabis store density in dissemination areas (‘neighbourhoods’, n = 39,226) in Canadian cities in September 2022. Cannabis store density was defined as the count of stores within 1000 m of a neighbourhood centre. Clusters of high‐density cannabis retail were identified using Local Indicators of Spatial Autocorrelation. Associations between provincial policy (privatised vs. public market), sociodemographic variables and cannabis store density were evaluated using multivariable regression.ResultsClusters of high‐density cannabis retail were identified in 86% of Canadian cities, and neighbourhoods in clusters had a median of 5 stores within 1000 m. Toronto, Canada's most populous city, had the most extreme clustering where neighbourhoods in clusters had a median of 10 stores (and a maximum of 25 stores) within 1000 m. Neighbourhoods in private versus public retail markets had a significantly higher neighbourhood‐level density of cannabis stores (adjusted rate ratio [aRR] 63.37, 95% confidence interval [CI] 25.66–156.33). Lower neighbourhood income quintile was also associated with a higher neighbourhood‐level density of cannabis stores (Q5 vs. Q1, aRR 1.28, 95% CI 1.17–1.40).Discussion and ConclusionsSince cannabis was legalised, clusters of high‐density cannabis retail have emerged in most Canadian cities and were more likely to form lower income neighbourhoods and in private retail markets.

show abstract

Understanding the association between neighbourhood socioeconomic status and grocery store alcohol sales following market liberalization in Ontario, Canada

Cited by 3 publications

References 29 publications

The association between alcohol retail access and health care visits attributable to alcohol for individuals with and without a history of alcohol‐related health‐care use

The association between alcohol retail access and health care visits attributable to alcohol for individuals with and without a history of alcohol‐related health‐care use

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

Geographic clustering of cannabis stores in Canadian cities: A spatial analysis of the legal cannabis market 4 years post‐legalisation

Contact Info

Product

Resources

About