Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh &...
-
Upload
alonzo-swofford -
Category
Documents
-
view
219 -
download
1
Transcript of Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh &...
![Page 1: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/1.jpg)
Access to Alcohol Outlets and Alcohol Consumption:
Findings from VicLANES
Professor Anne Kavanagh & Lauren KrnjackiCentre for Women’s Health, Gender & Society
Melbourne School of Population Health, University of Melbourne
![Page 2: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/2.jpg)
Alcohol and harm
• Health and social problems
– Binge drinking
– Long term / chronic use
• Individual risk factors
– Male
– Young
– Lower socio-economic status
![Page 3: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/3.jpg)
Alcohol environment
• Environmental risk factors
– Many outlets a problem?
• Reduce access Reduce consumption?
– National Alcohol Strategy
– Need further research to support this
![Page 4: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/4.jpg)
What has been done?
• Internationally:
– Most studies from U.S.
– Alcohol related problems
– Mixed results
![Page 5: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/5.jpg)
What has been done?
• Local evidence:
– Studied areas in Melbourne over time
– More outlets more harms in the area
– What happens to individuals?
![Page 6: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/6.jpg)
Research question
• Does access to outlets close to home increase harmful alcohol consumption?
– Focus on bottle shops
– Focus on consumption
• How many outlets are a problem?
– Threshold effect?
![Page 7: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/7.jpg)
VicLANES
• Conducted in Melbourne in late 2003
• Surveyed 4,500 people
• Investigated health behaviours
![Page 8: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/8.jpg)
VicLANES
![Page 9: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/9.jpg)
Data collection
• Individuals– Postal survey
– Valid response from 2349
• Outlets– List from Liquor Licensing Vic
– Audit to confirm location
![Page 10: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/10.jpg)
Alcohol access
Number of outlets
•0
•1
• 2
• 3 - 4
• 5 - 7
• 8 or more
•1km radius
•1km network
•Outlet
•Home
![Page 11: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/11.jpg)
Alcohol consumption
NHMRC Alcohol guidelines:
•Binge drinking (one session)– 6+ drinks for men / 4+ drinks for women
•Chronic drinking (weekly)– 29+ drinks for men / 15+ drinks for women
![Page 12: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/12.jpg)
Alcohol consumption
![Page 13: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/13.jpg)
Calculations
• Model: number of outlets and consumption?
• Controlled for the effect of:– Individual differences (age, income, gender)
– Area difference (wealth, distance from CBD)
– Able to isolate the effect of outlets on consumption
![Page 14: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/14.jpg)
Results
![Page 15: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/15.jpg)
Results
![Page 16: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/16.jpg)
Interpretation
• More alcohol outlets risk of binge drinking
• Policy advice:– No more that ‘x’ outlets near a household?
• Restrict outlets based on:– Population density?
– Not more than ‘x’ distance from another outlet
![Page 17: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/17.jpg)
Policy examples
• U.S. - Restrict licenses per capita
• U.K. - Alcohol disorder zones higher fees
• Locally - Assess cumulative impact
![Page 18: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/18.jpg)
Recommendations
• Policy– Reduce or limit number of stores
– Evaluation of policy initiatives
• Research– Further research other licensed premises
– Further research to examine the impact of price
![Page 19: Access to Alcohol Outlets and Alcohol Consumption: Findings from VicLANES Professor Anne Kavanagh & Lauren Krnjacki Centre for Women’s Health, Gender &](https://reader036.fdocuments.in/reader036/viewer/2022062318/551c1fab550346ad4f8b5a9d/html5/thumbnails/19.jpg)
Acknowledgements
• Funding: VicHealth
• Principal Investigator VicLANES: Anne Kavanagh
• Chief Investigators on VicLANES: Gavin Turrell, Damien Jolley, David Crawford, Susan Donath
• Co-authors: Anne Kavanagh, Rebecca Bentley, Mary Kelly, Lukar Thornton, S. V. Subramanian
• Project Manager: Tanya King