Close menu

SURE

Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

Social deprivation as a marker for alcohol harms, and implications for local harm reduction policies in England: an ecological study

Allan, Chris, Mooney, John and Ling, Jonathan (2018) Social deprivation as a marker for alcohol harms, and implications for local harm reduction policies in England: an ecological study. The Lancet, 292 (S15). s15. ISSN 0140-6736

Item Type: Article

Abstract

Background
Cumulative impact policies restricting the award of new licences to sell alcohol have been implemented in many local authorities across England as a means of tackling alcohol harms. Providing evidence linking local harms with availability, however, can present practical challenges for public health teams. We sought to examine the extent to which measures of availability together with local small area characteristics were associated with both acute and chronic alcohol harms in a local authority in north east England.

Methods
Routinely available data on all adverse alcohol-related events across crime and disorder, and health, were collated for the years 2012–13 to 2014–15. The area concerned has a relatively dispersed population of over 65 000 with one major urban centre. Analysis was done using rates derived from population estimates at Middle Layer Super Output Area level. Rank correlation estimates were derived for the strength of the association between event rates, density of licensed premises, and Index of Multiple Deprivation (IMD) 2010. Scatterplots and correlation coefficients were examined to determine the statistical strength of any associations. Choropleth maps were constructed using ArcView (Esri) to facilitate visual comparisons of the data.

Findings
There was a weak non-significant correlation between outlet density and adverse alcohol-related events (r=0•21; r2=0•044; p=0•09), which was higher and strongly significant when restricted to off-sales only (r=0•55; r2=0•304; p<0•0001). IMD score and the rate of composite alcohol-related events were also significantly correlated (r=0•68; r2=0•461; p<0•0001). Removing police data to rectify double counting arising from its inclusion in IMD determination led to a revised correlation of r=0•84 (r2=0•704; p<0•0001) for composite events, and r=0•79 (r2=0•62; p<0•0001) when restricted to alcohol-related hospital admissions. Correlations were weakly positive but strongly significant between off-sales outlet density and IMD (r=0•44; r2=0•196; p>0•0001).

Interpretation
The strongest predictor of the cumulative harm and health harms from alcohol, in keeping with studies from other regions, was social deprivation, as determined by IMD score. The significant positive correlation between off-license density and alcohol health harms in particular, presents a credible argument for restricting off license density in areas with higher social deprivation.

Funding: None.

[img] PDF (Peer reviewed Conference Abstract of Oral Presentation)
Allan_SocialDeprvnAlclHarm_LancetPHSci2018.pdf - Published Version
Restricted to Repository staff only

Download (55kB) | Request a copy

More Information

Related URLs:
Depositing User: John Mooney

Identifiers

Item ID: 10198
Identification Number: https://doi.org/10.1016/S0140-6736(18)32098-1
ISSN: 0140-6736
URI: http://sure.sunderland.ac.uk/id/eprint/10198
Official URL: https://www.sciencedirect.com/science/article/pii/...

Users with ORCIDS

ORCID for John Mooney: ORCID iD orcid.org/0000-0002-6639-8491
ORCID for Jonathan Ling: ORCID iD orcid.org/0000-0003-2932-4474

Catalogue record

Date Deposited: 26 Nov 2018 09:34
Last Modified: 29 Apr 2021 14:05