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    The association between alcohol outlet density and alcohol use among urban and regional Australian adolescents

    Access Status
    Open access via publisher
    Authors
    Azar, D.
    White, V.
    Coomber, K.
    Faulkner, A.
    Livingston, M.
    Chikritzhs, Tanya
    Room, R.
    Wakefield, M.
    Date
    2015
    Type
    Journal Article
    
    Metadata
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    Citation
    Azar, D. and White, V. and Coomber, K. and Faulkner, A. and Livingston, M. and Chikritzhs, T. and Room, R. et al. 2015. The association between alcohol outlet density and alcohol use among urban and regional Australian adolescents. Addiction.
    Source Title
    Addiction
    DOI
    10.1111/add.13143
    ISSN
    0965-2140
    School
    National Drug Research Institute (NDRI)
    URI
    http://hdl.handle.net/20.500.11937/15122
    Collection
    • Curtin Research Publications
    Abstract

    © 2015 Society for the Study of Addiction. Aims: While recent evidence suggests that higher alcohol outlet density is associated with greater alcohol use among adolescents, influence of the four main outlet types on youth drinking within urban and regional communities is unknown. This study provides the first investigation of this relationship. Design: Repeated cross-sectional surveys with random samples of secondary students clustered by school. Mixed-effects logistic regression analyses examined the association between each outlet type and the drinking outcomes, with interaction terms used to test urban/regional differences. Setting: Australia, 2002-11. Participants: Respondents participating in a triennial survey (aged 12-17years); 44897 from urban settings, 23311 from regional settings. Measurements: The key outcome measures were past month alcohol use, risky drinking among all students and risky drinking among past week drinkers. For each survey year, students were assigned a postcode-level outlet density (number of licences per 1000 population) for each outlet type (general, on-premise, off-premise, clubs). Findings: Interaction terms revealed a significant association between off-premises outlet density and risky drinking among all adolescents in urban (odds ratio=1.36, 95% confidence interval CI=1.05-1.75, P < 0.05) but not regional areas. Similarly, club density was associated with the drinking outcomes in urban communities only. General and on-premises density was associated with alcohol use and risky drinking among all adolescents. Conclusions: Higher densities of general, on- and off-premises outlets in an adolescent's immediate neighbourhood are related to increased likelihood of alcohol consumption among all adolescents. The density of licensed clubs is associated more strongly with drinking for urban than for regional adolescents.

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