The association between alcohol outlet density and alcohol use among urban and regional Australian adolescents

Azar, Denise, White, Victoria, Coomber, Kerri, Faulkner, Agatha, Livingston, Michael, Chikritzhs, Tanya, Room, Robin and Wakefield, Melanie 2016, The association between alcohol outlet density and alcohol use among urban and regional Australian adolescents, Addiction, vol. 111, no. 1, pp. 65-72, doi: 10.1111/add.13143.

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Title The association between alcohol outlet density and alcohol use among urban and regional Australian adolescents
Author(s) Azar, Denise
White, Victoria
Coomber, Kerri
Faulkner, Agatha
Livingston, Michael
Chikritzhs, Tanya
Room, Robin
Wakefield, Melanie
Journal name Addiction
Volume number 111
Issue number 1
Start page 65
End page 72
Total pages 8
Publisher Wiley
Place of publication London, Eng.
Publication date 2016-01
ISSN 1360-0443
Keyword(s) Adolescent
outlet density
risky drinking
Science & Technology
Life Sciences & Biomedicine
Substance Abuse
Summary AIMS: While recent evidence suggests that higher alcohol outlet density is associated with greater alcohol use among adolescents, influence of the four main outlet types on youth drinking within urban and regional communities is unknown. This study provides the first investigation of this relationship. DESIGN: Repeated cross-sectional surveys with random samples of secondary students clustered by school. Mixed-effects logistic regression analyses examined the association between each outlet type and the drinking outcomes, with interaction terms used to test urban/regional differences. SETTING: Australia, 2002-11. PARTICIPANTS: Respondents participating in a triennial survey (aged 12-17 years); 44 897 from urban settings, 23 311 from regional settings. MEASUREMENTS: The key outcome measures were past month alcohol use, risky drinking among all students and risky drinking among past week drinkers. For each survey year, students were assigned a postcode-level outlet density (number of licences per 1000 population) for each outlet type (general, on-premise, off-premise, clubs). FINDINGS: Interaction terms revealed a significant association between off-premises outlet density and risky drinking among all adolescents in urban (odds ratio = 1.36, 95% confidence interval CI = 1.05-1.75, P < 0.05) but not regional areas. Similarly, club density was associated with the drinking outcomes in urban communities only. General and on-premises density was associated with alcohol use and risky drinking among all adolescents. CONCLUSIONS: Higher densities of general, on- and off-premises outlets in an adolescent's immediate neighbourhood are related to increased likelihood of alcohol consumption among all adolescents. The density of licensed clubs is associated more strongly with drinking for urban than for regional adolescents.
Language eng
DOI 10.1111/add.13143
Field of Research 170199 Psychology not elsewhere classified
11 Medical And Health Sciences
17 Psychology And Cognitive Sciences
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Wiley
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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