The association between alcohol retail access and health care visits attributable to alcohol for individuals with and without a history of alcohol‐related health‐care use.
Background and aims: Alcohol retail access is associated with alcohol use and related harms. This study measured whether this association differs for people with and without heavy and disordered patterns of alcohol use. Design: The study used a repeated cross‐sectional analysis of health administrat...
| Published in: | Addiction Vol. 119; no. 9; pp. 1554 - 1564 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Sep2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178782728&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178782728 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Sep2024 vid: 119 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 178782728 177476832 178782728 178782728 10.1111/add.16566 178782728 ppf: 1554 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The association between alcohol retail access and health care visits attributable to alcohol for individuals with and without a history of alcohol‐related health‐care use. aug: au: Myran, Daniel T. Friesen, Erik Talarico, Robert Gaudreault, Adrienne Taljaard, Monica Hobin, Erin Smith, Brendan T. Schwartz, Naomi Giesbrecht, Norman Crépault, Jean‐François Tanuseputro, Peter Manuel, Douglas G. affil: Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa Ontario,, Canada sug: subj: Alcohol Abuse Emergency Service Alcohol-Related Disorders Human Male Female Ontario Child Adolescence Young Adult Adult Aged Middle Age Aged, 80 and Over Geographic Locations Linear Regression Sociodemographic Factors Confidence Intervals Descriptive Statistics Child: 6-12 years Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Aged, 80 & over Male Female ab: Background and aims: Alcohol retail access is associated with alcohol use and related harms. This study measured whether this association differs for people with and without heavy and disordered patterns of alcohol use. Design: The study used a repeated cross‐sectional analysis of health administrative databases. Setting, participants/cases: All residents of Ontario, Canada aged 10–105 years with universal health coverage (n = 10 677 604 in 2013) were included in the analysis. Measurements Quarterly rates of emergency department (ED) and outpatient visits attributable to alcohol in 464 geographic regions between 2013 and 2019 were measured. Quarterly off‐premises alcohol retail access scores were calculated (average drive to the closest seven stores) for each geographic region. Mixed‐effect linear regression models adjusted for area‐level socio‐demographic covariates were used to examine associations between deciles of alcohol retail access and health‐care visits attributable to alcohol. Stratified analyses were run for individuals with and without prior alcohol‐attributable health‐care use in the past 2 years. Findings We included 437 707 ED visits and 505 271 outpatient visits attributable to alcohol. After adjustment, rates of ED visits were 39% higher [rate ratio (RR) = 1.39, 95% confidence interval (CI) = 1.20–1.61] and rates of outpatient visits were 49% higher (RR = 1.49, 95% CI = 1.26–1.75) in the highest versus lowest decile of alcohol access. There was a positive association between alcohol access and outpatient visits attributable to alcohol for individuals without prior health‐care attributable to alcohol (RR = 1.65, 95% CI = 1.39–1.95 for the highest to lowest decile of alcohol access) but not for individuals with prior health‐care attributable to alcohol (RR = 1.08, 95% CI = 0.90–1.30). There was a positive association between alcohol access and ED visits attributable to alcohol for individuals with and without prior health‐care for alcohol for ED visits. Conclusion: In Ontario, Canada, greater alcohol retail access appears to be associated with higher rates of emergency department (ED) and outpatient health‐care visits attributable to alcohol. Individuals without prior health‐care for alcohol may be more susceptible to greater alcohol retail access for outpatient but not ED visits attributable to alcohol. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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