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Health Place. 2015 May;33:172-80. doi: 10.1016/j.healthplace.2015.02.014. Epub 2015 Apr 2.

Is local alcohol outlet density related to alcohol-related morbidity and mortality in Scottish cities?

Author information

1
Centre for Research on Environment, Society and Health (CRESH), School of GeoSciences, University of Edinburgh, Edinburgh EH8 9XP, UK. Electronic address: e.richardson@ed.ac.uk.
2
Global Public Health Unit, School of Social and Political Science, University of Edinburgh, EH8 9LD, UK. Electronic address: S.E.Hill@ed.ac.uk.
3
Centre for Research on Environment, Society and Health (CRESH), Section of Public Health and Health Policy, Faculty of Medicine, University of Glasgow, Glasgow G12 8RZ, UK. Electronic address: richard.mitchell@glasgow.ac.uk.
4
Centre for Research on Environment, Society and Health (CRESH), School of GeoSciences, University of Edinburgh, Edinburgh EH8 9XP, UK. Electronic address: Jamie.pearce@ed.ac.uk.
5
Centre for Research on Environment, Society and Health (CRESH), School of GeoSciences, University of Edinburgh, Edinburgh EH8 9XP, UK. Electronic address: Niamh.Shortt@ed.ac.uk.

Abstract

Alcohol consumption may be influenced by the local alcohol retailing environment. This study is the first to examine neighbourhood alcohol outlet availability (on- and off-sales outlets) and alcohol-related health outcomes in Scotland. Alcohol-related hospitalisations and deaths were significantly higher in neighbourhoods with higher outlet densities, and off-sales outlets were more important than on-sales outlets. The relationships held for most age groups, including those under the legal minimum drinking age, although were not significant for the youngest legal drinkers (18-25 years). Alcohol-related deaths and hospitalisations were higher in more income-deprived neighbourhoods, and the gradient in deaths (but not hospitalisations) was marginally larger in neighbourhoods with higher off-sales outlet densities. Efforts to reduce alcohol-related harm should consider the potentially important role of the alcohol retail environment.

KEYWORDS:

Alcohol outlets; Drinking; Hospitalization; Mortality; Scotland

PMID:
25840352
PMCID:
PMC4415114
DOI:
10.1016/j.healthplace.2015.02.014
[Indexed for MEDLINE]
Free PMC Article

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