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Measurable effects of local alcohol licensing policies on population health in England
BACKGROUND: English alcohol policy is implemented at local government level, leading to variations in how it is put into practice. We evaluated whether differences in the presence or absence of cumulative impact zones and the ‘intensity’ of licensing enforcement—both aimed at regulating the availabi...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789824/ https://www.ncbi.nlm.nih.gov/pubmed/26555369 http://dx.doi.org/10.1136/jech-2015-206040 |
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author | de Vocht, F Heron, Jon Angus, Colin Brennan, Alan Mooney, John Lock, Karen Campbell, Rona Hickman, Matthew |
author_facet | de Vocht, F Heron, Jon Angus, Colin Brennan, Alan Mooney, John Lock, Karen Campbell, Rona Hickman, Matthew |
author_sort | de Vocht, F |
collection | PubMed |
description | BACKGROUND: English alcohol policy is implemented at local government level, leading to variations in how it is put into practice. We evaluated whether differences in the presence or absence of cumulative impact zones and the ‘intensity’ of licensing enforcement—both aimed at regulating the availability of alcohol and modifying the drinking environment—were associated with harm as measured by alcohol-related hospital admissions. METHODS: Premises licensing data were obtained at lower tier local authority (LTLA) level from the Home Office Alcohol and Late Night Refreshment Licensing data for 2007–2012, and LTLAs were coded as ‘passive’, low, medium or highly active based on whether they made use of cumulative impact areas and/or whether any licences for new premises were declined. These data were linked to 2009–2015 alcohol-related hospital admission and alcohol-related crime rates obtained from the Local Alcohol Profiles for England. Population size and deprivation data were obtained from the Office of National Statistics. Changes in directly age-standardised rates of people admitted to hospital with alcohol-related conditions were analysed using hierarchical growth modelling. RESULTS: Stronger reductions in alcohol-related admission rates were observed in areas with more intense alcohol licensing policies, indicating an ‘exposure–response’ association, in the 2007–2015 period. Local areas with the most intensive licensing policies had an additional 5% reduction (p=0.006) in 2015 compared with what would have been expected had these local areas had no active licensing policy in place. CONCLUSIONS: Local licensing policies appear to be associated with a reduction in alcohol-related hospital admissions in areas with more intense licensing policies. |
format | Online Article Text |
id | pubmed-4789824 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-47898242016-03-23 Measurable effects of local alcohol licensing policies on population health in England de Vocht, F Heron, Jon Angus, Colin Brennan, Alan Mooney, John Lock, Karen Campbell, Rona Hickman, Matthew J Epidemiol Community Health Alcohol BACKGROUND: English alcohol policy is implemented at local government level, leading to variations in how it is put into practice. We evaluated whether differences in the presence or absence of cumulative impact zones and the ‘intensity’ of licensing enforcement—both aimed at regulating the availability of alcohol and modifying the drinking environment—were associated with harm as measured by alcohol-related hospital admissions. METHODS: Premises licensing data were obtained at lower tier local authority (LTLA) level from the Home Office Alcohol and Late Night Refreshment Licensing data for 2007–2012, and LTLAs were coded as ‘passive’, low, medium or highly active based on whether they made use of cumulative impact areas and/or whether any licences for new premises were declined. These data were linked to 2009–2015 alcohol-related hospital admission and alcohol-related crime rates obtained from the Local Alcohol Profiles for England. Population size and deprivation data were obtained from the Office of National Statistics. Changes in directly age-standardised rates of people admitted to hospital with alcohol-related conditions were analysed using hierarchical growth modelling. RESULTS: Stronger reductions in alcohol-related admission rates were observed in areas with more intense alcohol licensing policies, indicating an ‘exposure–response’ association, in the 2007–2015 period. Local areas with the most intensive licensing policies had an additional 5% reduction (p=0.006) in 2015 compared with what would have been expected had these local areas had no active licensing policy in place. CONCLUSIONS: Local licensing policies appear to be associated with a reduction in alcohol-related hospital admissions in areas with more intense licensing policies. BMJ Publishing Group 2016-03 2015-11-10 /pmc/articles/PMC4789824/ /pubmed/26555369 http://dx.doi.org/10.1136/jech-2015-206040 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Alcohol de Vocht, F Heron, Jon Angus, Colin Brennan, Alan Mooney, John Lock, Karen Campbell, Rona Hickman, Matthew Measurable effects of local alcohol licensing policies on population health in England |
title | Measurable effects of local alcohol licensing policies on population health in England |
title_full | Measurable effects of local alcohol licensing policies on population health in England |
title_fullStr | Measurable effects of local alcohol licensing policies on population health in England |
title_full_unstemmed | Measurable effects of local alcohol licensing policies on population health in England |
title_short | Measurable effects of local alcohol licensing policies on population health in England |
title_sort | measurable effects of local alcohol licensing policies on population health in england |
topic | Alcohol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789824/ https://www.ncbi.nlm.nih.gov/pubmed/26555369 http://dx.doi.org/10.1136/jech-2015-206040 |
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