A Multilevel Model of Alcohol Outlet Density, Individual Characteristics and Alcohol-Related Injury in Argentinean Young Adults.
A Multilevel Model of Alcohol Outlet Density, Individual Characteristics and Alcohol-Related Injury in Argentinean Young Adults.
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DOI：
10.1097/cxa.0000000000000097
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Cremonte M
中科院分区：
文献类型：
--
作者：
Conde K;Nesoff ED;Peltzer RI;Cremonte M
此前来自高收入国家的研究一直表明，酒精相关危害与酒精出口密度等社区特征之间存在关联，但这项研究尚未扩展到中低收入国家。我们评估了邻里特征的作用，如酒精出口密度，过度拥挤和犯罪率，以及个人特征，包括性别，年龄，酒精和大麻的使用，以及与阿根廷大学生酒精相关伤害的地理流动性。数据收集从一个随机抽样的学生参加国立公立大学（n = 1346）。进行描述性、双变量和多水平logistic回归分析。在最终的模型中，场所内的酒精出口密度，而不是场所外的出口密度，过度拥挤或犯罪，与过去一年和一生的酒精相关伤害有关（中位数比值比=1.16）。在个体水平上，饮酒量（OR =1.05，95% CI=（1.01，1.10））、饮酒频率（OR=1.66，95% CI=（1.41，1.97））和年龄（OR=0.81，95% CI=（0.74，0.88））与过去一年和终生酒精相关损伤相关。这项研究对非高收入国家信息匮乏的领域做出了贡献，发现了与以往文献的差异。
Previous research from high-income countries has consistently shown an association between alcohol-related harms and neighborhood characteristics such as alcohol outlet density, but this research has not been extended to middle- and low-income countries. We assessed the role of neighborhood characteristics such as alcohol outlet density, overcrowding and crime rates, and individual characteristics including gender, age, alcohol and marijuana use, and geographic mobility associated with alcohol-related injuries in university students in Argentina. Data were collected from a randomized sample of students attending a national public university (n = 1346). Descriptive, bivariable, and multilevel logistic regression analyses were performed. In the final model, on-premises alcohol outlet density—but not off-premises outlet density, overcrowding or crime—was associated with past-year and lifetime alcohol-related injury (median odds ratio=1.16). At the individual level, quantity (odds ratio (OR)=1.05, 95% CI=(1.01, 1.10)) and frequency (OR=1.66, 95% CI=(1.41,1.97)) of alcohol consumption and age (OR=0.81, 95% CI=(0.74, 0.88)) were associated with past-year and lifetime alcohol-related injury. This study contributes to an area with a paucity of information from non-high-income countries, finding differences with previous literature.
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