Is alcohol outlet availability associated with binge drinking in Canadian young adults? Findings from British Columbia and Quebec.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2024-08-01 Epub Date: 2024-06-25 DOI:10.17269/s41997-024-00905-6

Stephanie Sersli, Martine Shareck

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Abstract

Objectives: Alcohol availability is associated with alcohol consumption and related harms, but there is less evidence on associations with heavy episodic drinking (HED), a drinking pattern prevalent among young adults. This study aimed to assess the associations between alcohol availability and HED among young Canadians.

Methods: We used a population-based sample of Canadian urban-dwelling young adult drinkers (18‒29 years) from the cross-sectional Canadian Community Health Survey (CCHS; cycles 2015‒2019). We linked data from CCHS respondents in British Columbia and Quebec with two measures of alcohol availability for both offsite and onsite outlets: density (AOD) and accessibility (SAI) within dissemination areas (N = 1,067,747). We used logistic regression to estimate the associations between alcohol availability and monthly HED, adjusting for covariates.

Results: The associations between availability and HED differed by province, and availability measure. In British Columbia, offsite and onsite accessibility using SAI was inversely associated with HED. For example, living in neighbourhoods with medium alcohol accessibility (as compared to low) was significantly associated with reduced odds of HED (offsite OR = 0.33, 95% CI 0.17‒0.64; onsite OR = 0.49, 95% CI 0.27‒0.89). In Quebec, offsite availability was positively associated with HED using SAI (although not statistically significant) while no clear trend was seen for onsite availability.

Conclusion: Results were consistent with previous evidence. Restricting spatial availability of alcohol remains an important public health strategy for decreasing the ease/convenience of access. Understanding why patterns of availability and drinking differ across regions could inform regionally tailored policies.

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酒精销售点的可获得性与加拿大年轻人的狂饮有关吗？不列颠哥伦比亚省和魁北克省的调查结果。

目标：酒精供应与酒精消费及相关危害有关，但与大量偶发性饮酒（HED）有关的证据较少，而大量偶发性饮酒是青壮年中普遍存在的一种饮酒模式。本研究旨在评估加拿大年轻人中酒精供应与 HED 之间的关系：我们使用了横断面加拿大社区健康调查（CCHS；周期为 2015-2019 年）中的加拿大城市年轻成年饮酒者（18-29 岁）人群样本。我们将不列颠哥伦比亚省和魁北克省 CCHS 受访者的数据与两种衡量场外和场内销售点酒精供应情况的指标联系起来：传播区域内的密度（AOD）和可及性（SAI）（N = 1,067,747 人）。我们使用逻辑回归法估算了酒精供应量与月 HED 之间的关系，并对协变量进行了调整：酒精供应量与 HED 之间的关系因省份和供应量而异。在不列颠哥伦比亚省，使用 SAI 的非现场和现场可得性与 HED 成反比。例如，居住在中等酒精可得性（相对于低酒精可得性）的社区与 HED 发生几率的降低有显著关系（非现场 OR = 0.33，95% CI 0.17-0.64；现场 OR = 0.49，95% CI 0.27-0.89）。在魁北克省，异地可用性与使用 SAI 的 HED 呈正相关（尽管无统计学意义），而现场可用性则无明显趋势：结论：结果与之前的证据一致。限制酒精的空间供应仍然是一项重要的公共卫生策略，以减少获取酒精的便利性。了解不同地区的酒精供应和饮酒模式为何不同，可以为制定适合地区特点的政策提供依据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.