Alcohol outlets, drug paraphernalia sales, and neighborhood drug overdose.
Alcohol outlets, drug paraphernalia sales, and neighborhood drug overdose.
复制标题
DOI：
10.1016/j.drugpo.2021.103289
复制
发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Martins SS
中科院分区：
文献类型：
--
作者：
Nesoff ED;Milam AJ;Morrison C;Weir BW;Branas CC;Furr-Holden DM;Knowlton AR;Martins SS
饮酒场所与各种形式的伤害有关，并可能导致社区在吸毒过量方面存在差异。很少有研究考察饮酒渠道和药物过量之间的关系。这项研究调查了饮酒点是否与附近的药物过量率有关，以及毒品用具的销售是否有助于这种联系。在巴尔的摩市(n=653)的人口普查区组内进行了横断面生态空间分析。结果是2015年因任何药物过量而接到的EMS电话计数(n=3,856)。感兴趣的暴露是获得营业外和营业内消费许可的酒类销售点的计数，以及非营业场所销售毒品用具(例如，钝包装纸、袋子、烟斗)的比例。负二项回归被用来评估出口数量和过量服药率之间的关系，如果用具销售改变了这种关系，控制了其他邻近因素。对空间自相关性进行评估，并相应调整回归推断。在调整了其他社区变量后，每增加一个场外饮酒点就会使社区过量服药率增加16.6%(IRR=1.17，95%CI=1.11，1.23)。在调整了非酒店饮酒场所的因素后，室内饮酒场所与过量服药率没有显著相关性(IRR=1.01，95%CI=0.97，1.06)。异地网点销售毒品用具的比例与过量用药率呈负相关(IRR=0.55，95%CI=0.41，0.74)，但不改变异地网点与过量用药的关系。这项研究为酒精销售点许可证和分区的政策决策提供了初步的公共卫生证据。酒精销售点可以成为减少伤害战略的潜在社区合作伙伴，例如在识别过量症状或见义勇为法律方面的健康交流。
Alcohol outlets have been associated with various forms of injury and may contribute to neighborhood disparities in drug overdose. Few studies have examined the associations between alcohol outlets and drug overdose. This study investigated whether alcohol outlets were associated with the neighborhood drug overdose rate and whether the sale of drug paraphernalia contributes to this association. A cross-sectional ecological spatial analysis was conducted within census block groups in Baltimore City (n=653). Outcomes were counts of EMS calls for any drug overdose in 2015 (n=3,856). Exposures of interest were counts of alcohol outlets licensed for off-premise and on-premise consumption and the proportion of off-premise outlets selling drug paraphernalia (e.g., blunt wrappers, baggies, pipes). Negative binomial regression was used to assess the relationship between outlet count and overdose rate, and if paraphernalia sales altered this relationship, controlling for other neighborhood factors. Spatial autocorrelation was assessed and regression inference adjusted accordingly. Each additional off-premise alcohol outlet was associated with a 16.6% increase in the neighborhood overdose rate (IRR=1.17, 95%CI=(1.11, 1.23)), adjusted for other neighborhood variables. On-premise alcohol outlets were not significantly associated with overdose rate when adjusting for off-premise alcohol outlets (IRR=1.01, 95% CI=(0.97, 1.06)). The proportion of off-premise outlets that sold drug paraphernalia was negatively associated with overdose rate (IRR=0.55, 95% CI=(0.41, 0.74)) and did not alter the relationship between off-premise outlets and overdose. This study provides preliminary public health evidence for informing policy decisions about alcohol outlet licensing and zoning. Alcohol outlets could be potential community partners for harm reduction strategies such as health communication in identifying overdose symptoms or Good Samaritan Laws.
登录
查看更多内容
影响因子：
4.4
作者：
Latimore, Amanda D.;Bergstein, Rachel S.
通讯作者：
Bergstein, Rachel S.
DOI：
10.1016/j.drugpo.2017.06.008
发表时间：
2017-10
期刊：
The International journal on drug policy
影响因子：
--
作者：
Koester S;Mueller SR;Raville L;Langegger S;Binswanger IA
通讯作者：
Binswanger IA
DOI：
10.1007/s11524-020-00453-7
发表时间：
2020-07-06
影响因子：
6.6
作者：
Furr-Holden, C. Debra M.;Milam, Adam J.;Leaf, Philip J.
通讯作者：
Leaf, Philip J.
影响因子：
5.8
作者：
Beckett, K;Nyrop, K;Pfingst, L
通讯作者：
Pfingst, L
影响因子：
12.7
作者：
Cerda, Magdalena;Ransome, Yusuf;Galea, Sandro
通讯作者：
Galea, Sandro