• Aust N Z J Public Health · Feb 2016

    Associations between alcohol outlets and emergency department injury presentations: effects of distance from the central business district.

    • Michelle Hobday, Lynn Meuleners, Wenbin Liang, William Gilmore, and Tanya Chikritzhs.
    • National Drug Research Institute, Health Research Campus, Curtin University, Western Australia.
    • Aust N Z J Public Health. 2016 Feb 1; 40 (1): 43-8.

    ObjectiveTo examine the effects of licensed outlets and sales on levels of alcohol-related injuries presenting to emergency departments (EDs) in the Inner, Middle and Outer postcode zones of Perth, Australia.MethodsUsing panel data (2002-2010), a surrogate measure (based on day of week and time of day of presentation) was used to identify alcohol-related injuries presenting at EDs. Postcodes were grouped according to their distance from the central business district (CBD). Numbers of alcohol outlets and their sales were the primary explanatory variables. Data were analysed using negative binomial regression with random effects.ResultsIn the Inner and Outer postcode zones, counts of on-site outlets were positively associated with alcohol-related injury (IRR: 1.008; 95%CI 1.003-1.013 and IRR: 1.021; 95%CI 1.013-1.030 respectively). An additional off-site outlet was associated with 6.8% fewer alcohol-related injuries (95%CI 0.887-0.980). In the Middle postcode zone, mean off-site sales were positively associated with injury (IRR: 1.024; 95%CI 1.003-1.044).ConclusionsAssociations between alcohol availability variables and injury differed by outlet type and distance from the CBD.ImplicationsThese findings provide further evidence to support stronger controls on liquor licensing, and indicate the need for different controls according to the location and type of licence.© 2015 Public Health Association of Australia.

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