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Article: Associations Between the Physical Availability of Alcohol and Alcohol Use: Regional Variation Across 15 Major Cities in Ontario, Canada

TitleAssociations Between the Physical Availability of Alcohol and Alcohol Use: Regional Variation Across 15 Major Cities in Ontario, Canada
Authors
Issue Date2022
Citation
Journal of Studies on Alcohol and Drugs, 2022, v. 83, n. 6, p. 839-848 How to Cite?
AbstractObjective: Rates of alcohol use and alcohol-related harms increase with greater alcohol availability. However, regional differences in sociodemographic characteristics and built environment may affect this association. This study evaluated the association between off-premise alcohol availability and alcohol use in Ontario, Canada, and the degree to which this association varies between cities. Method: This was a cross-sectional spatial analysis of urban neighborhoods in Ontario, Canada (n = 11,742). The primary exposure was off-premise alcohol availability, based on the drive time from a neighborhood to the closest off-premise outlets. The primary outcome was the neighborhood-level prevalence of high-volume alcohol use (>2 drinks/day [males], >1 drink/ day [females]) based on survey data from 2000 to 2014. The association between availability and use was assessed using Bayesian hierarchical spatial models to account for spatial autocorrelation. Results: There was an overall positive association between alcohol availability and high-volume alcohol use (male coefficient estimate (β) = 0.19, 95% credible interval [CI] [0.16, 0.22]; female β = 0.17, 95% CI [0.13, 0.21]). How-ever, the association was eliminated in models that allowed for this association to vary between cities via an interaction term (male β =-0.04, 95% CI [-0.26, 0.19]; female β =-0.04, 95% CI [-0.34, 0.26]). This was explained by variability in the association between cities, where some cities demonstrated a positive association between availability and use and others demonstrated a negative association. Conclusions: Although there is a province-wide positive association between off-premise alcohol availability and high-volume alcohol use, there is substantial regional variation in this association that may affect the local effectiveness of alcohol regulation policies.
Persistent Identifierhttp://hdl.handle.net/10722/346952
ISSN
2023 Impact Factor: 2.4
2023 SCImago Journal Rankings: 1.102

 

DC FieldValueLanguage
dc.contributor.authorFriesen, Erik Loewen-
dc.contributor.authorKurdyak, Paul-
dc.contributor.authorJewett, Rae-
dc.contributor.authorSmith, Brendan Tyler-
dc.contributor.authorHobin, Erin-
dc.contributor.authorTanuseputro, Peter-
dc.contributor.authorMyran, Daniel Thomas-
dc.date.accessioned2024-09-17T04:14:23Z-
dc.date.available2024-09-17T04:14:23Z-
dc.date.issued2022-
dc.identifier.citationJournal of Studies on Alcohol and Drugs, 2022, v. 83, n. 6, p. 839-848-
dc.identifier.issn1937-1888-
dc.identifier.urihttp://hdl.handle.net/10722/346952-
dc.description.abstractObjective: Rates of alcohol use and alcohol-related harms increase with greater alcohol availability. However, regional differences in sociodemographic characteristics and built environment may affect this association. This study evaluated the association between off-premise alcohol availability and alcohol use in Ontario, Canada, and the degree to which this association varies between cities. Method: This was a cross-sectional spatial analysis of urban neighborhoods in Ontario, Canada (n = 11,742). The primary exposure was off-premise alcohol availability, based on the drive time from a neighborhood to the closest off-premise outlets. The primary outcome was the neighborhood-level prevalence of high-volume alcohol use (>2 drinks/day [males], >1 drink/ day [females]) based on survey data from 2000 to 2014. The association between availability and use was assessed using Bayesian hierarchical spatial models to account for spatial autocorrelation. Results: There was an overall positive association between alcohol availability and high-volume alcohol use (male coefficient estimate (β) = 0.19, 95% credible interval [CI] [0.16, 0.22]; female β = 0.17, 95% CI [0.13, 0.21]). How-ever, the association was eliminated in models that allowed for this association to vary between cities via an interaction term (male β =-0.04, 95% CI [-0.26, 0.19]; female β =-0.04, 95% CI [-0.34, 0.26]). This was explained by variability in the association between cities, where some cities demonstrated a positive association between availability and use and others demonstrated a negative association. Conclusions: Although there is a province-wide positive association between off-premise alcohol availability and high-volume alcohol use, there is substantial regional variation in this association that may affect the local effectiveness of alcohol regulation policies.-
dc.languageeng-
dc.relation.ispartofJournal of Studies on Alcohol and Drugs-
dc.titleAssociations Between the Physical Availability of Alcohol and Alcohol Use: Regional Variation Across 15 Major Cities in Ontario, Canada-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.15288/jsad.21-00402-
dc.identifier.pmid36484581-
dc.identifier.scopuseid_2-s2.0-85143813873-
dc.identifier.volume83-
dc.identifier.issue6-
dc.identifier.spage839-
dc.identifier.epage848-
dc.identifier.eissn1938-4114-

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