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Change in alcohol outlet density and alcohol-related harm to population health (CHALICE).
BMC Public Health. 2012 Jun 12; 12:428.BP

Abstract

BACKGROUND

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 2005-09, 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 midnight-6am, 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.

Authors+Show Affiliations

Institute of Primary Care & Public Health, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4YS, UK. foned@cf.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22691534

Citation

Fone, David, et al. "Change in Alcohol Outlet Density and Alcohol-related Harm to Population Health (CHALICE)." BMC Public Health, vol. 12, 2012, p. 428.
Fone D, Dunstan F, White J, et al. Change in alcohol outlet density and alcohol-related harm to population health (CHALICE). BMC Public Health. 2012;12:428.
Fone, D., Dunstan, F., White, J., Webster, C., Rodgers, S., Lee, S., Shiode, N., Orford, S., Weightman, A., Brennan, I., Sivarajasingam, V., Morgan, J., Fry, R., & Lyons, R. (2012). Change in alcohol outlet density and alcohol-related harm to population health (CHALICE). BMC Public Health, 12, 428. https://doi.org/10.1186/1471-2458-12-428
Fone D, et al. Change in Alcohol Outlet Density and Alcohol-related Harm to Population Health (CHALICE). BMC Public Health. 2012 Jun 12;12:428. PubMed PMID: 22691534.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Change in alcohol outlet density and alcohol-related harm to population health (CHALICE). AU - Fone,David, AU - Dunstan,Frank, AU - White,James, AU - Webster,Chris, AU - Rodgers,Sarah, AU - Lee,Shin, AU - Shiode,Narushige, AU - Orford,Scott, AU - Weightman,Alison, AU - Brennan,Iain, AU - Sivarajasingam,Vas, AU - Morgan,Jennifer, AU - Fry,Richard, AU - Lyons,Ronan, Y1 - 2012/06/12/ PY - 2012/05/14/received PY - 2012/06/12/accepted PY - 2012/6/14/entrez PY - 2012/6/14/pubmed PY - 2012/10/19/medline SP - 428 EP - 428 JF - BMC public health JO - BMC Public Health VL - 12 N2 - BACKGROUND: 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 2005-09, 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 midnight-6am, 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. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/22691534/Change_in_alcohol_outlet_density_and_alcohol_related_harm_to_population_health__CHALICE__ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-428 DB - PRIME DP - Unbound Medicine ER -