Environmental contexts of combined alcohol and energy drink use: Associations with intoxication in licensed venues

Droste, Nicolas, Miller, Peter, Pennay, Amy, Zinkiewicz, Lucille and Lubman, Dan I. 2016, Environmental contexts of combined alcohol and energy drink use: Associations with intoxication in licensed venues, International journal of drug policy, vol. 36, pp. 58-66, doi: 10.1016/j.drugpo.2016.06.016.

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Title Environmental contexts of combined alcohol and energy drink use: Associations with intoxication in licensed venues
Author(s) Droste, Nicolas
Miller, PeterORCID iD for Miller, Peter orcid.org/0000-0002-6896-5437
Pennay, Amy
Zinkiewicz, LucilleORCID iD for Zinkiewicz, Lucille orcid.org/0000-0002-1861-1673
Lubman, Dan I.
Journal name International journal of drug policy
Volume number 36
Start page 58
End page 66
Total pages 9
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-10
ISSN 0955-3959
Keyword(s) Alcohol
Energy drinks
Licensed venues
Observational research
Summary Background : Environmental factors inside licensed venues have been found to influence the intoxication levels and consumption practices of patrons. The consumption of alcohol mixed with energy drinks (AmED) occurs primarily at or prior to attending licensed venues, however there is a lack of in situ research investigating AmED use in these contexts. Given that AmED use has been linked with increased alcohol consumption, intoxication, illicit substance use, and risk taking behaviours, this paper explores the environmental correlates and levels of intoxication associated with AmED use in licensed venues.

Methods : Structured observations were undertaken in five Australian cities on Friday and Saturday nights. Covert teams spent 4–5 h in venues and recorded hourly observations on patron, venue, and staff characteristics, alcohol, illicit drug and AmED consumption patterns and intoxication levels.

Results : 898 hourly observations were recorded across 68 venues. All but one venue served energy drinks, and patron AmED use was observed during 34.9% of hourly records. AmED use was more prevalent after 12am and in nightclub venues compared to bars and pubs, and was positively associated with high intoxication levels, illicit drug use, and younger crowds. After controlling for environmental factors (i.e. venue crowding, service practices, venue characteristics, patron demographics and behaviour) AmED use did not predict high intoxication at a venue level in multivariable models.

Conclusion : AmED consumption is ubiquitous in the licensed venues of Australian night-time entertainment districts, particularly busy nightclub venues where intoxication and risky consumption are heightened. However, AmED use was not associated with high patron intoxication when environmental factors were considered.
Language eng
DOI 10.1016/j.drugpo.2016.06.016
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920414 Substance Abuse
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30089145

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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