ArticleAddiction (Abingdon, England)2018
Alcohol outlet density and alcohol related hospital admissions in England: a national small-area level ecological study.
Article in Addiction (Abingdon, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- A Data-Driven Exploratory Analysis of the Alcohol-Harm Paradox in South-East Wales.International journal of environmental research and public health · 2026Article
- Spirit-based ready-to-drink cocktails and public health law: modernization without deregulation.Health affairs scholar · 2026Article
- Mind the Gap: Exploring Social Inequalities in Alcohol Consumption using Nationally Representative Data from the 2019 and 2021 Health Survey for England.BMC public health · 2026Article
- Alcohol and Substance Use Among the Working Age Population: A Nationwide Study of Fall-Related Emergency Department Visits.Journal of studies on alcohol and drugs · 2024Article
- How Can We Measure Alcohol Outlet Density Around Schools? A Comparison Between Two Buffer-Based Methods.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Article
- Does the relationship between alcohol retail environment and alcohol outcomes vary by depressive symptoms? Findings from a U.S. Survey of Black, Hispanic and White drinkers.Addictive behaviors · 2023Article
- Increased proportion of alcohol-related trauma in a South London major trauma centre during lockdown: A cohort study.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2022Article
- Effects of multi-component programmes in preventing sales of alcohol to intoxicated patrons in nightlife settings in the United Kingdom.Addictive behaviors reports · 2022Article
- Examining how the geographic availability of alcohol within residential neighborhoods, activity spaces, and destination nodes is related to alcohol use by parents of young children.Drug and alcohol dependence · 2022Article
- Accessibility and availability of alcohol outlets around schools: An ecological study in the city of Madrid, Spain, according to socioeconomic area-level.Environmental research · 2022Article
- Forecasting the 2021 local burden of population alcohol-related harms using Bayesian structural time-series.Addiction (Abingdon, England) · 2019Article
- Local Alcohol Policy Implementation in Scotland: Understanding the Role of Accountability within Licensing.International journal of environmental research and public health · 2019Article
- Alcohol outlet density and alcohol related hospital admissions in England: a national small-area level ecological study.Addiction (Abingdon, England) · 2018Article
- Domestic gardens and self-reported health: a national population study.International journal of health geographics · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
BACKGROUND AND
aimsExcessive alcohol consumption has a substantial impact on public health services. A key element determining alcohol availability is alcohol outlet density. This study investigated the relationship between on-trade and off-trade outlets and hospital admission rates in local neighbourhoods.
designNational small-area level ecological study. SETTING AND
participantsAll 32 482 lower layer super output census areas (LSOAs) in England (42 227 108 million people aged 15+ years). Densities for six outlet categories (outlets within a 1-km radius of residential postcode centroids, averaged for all postcodes within each LSOA) were calculated. MEASUREMENTS: Main outcome measures were admissions due to acute or chronic conditions wholly or partially attributable to alcohol consumption from 2002/03 to 2013/14.
findingsThere were 1 007 137 admissions wholly, and 2 153 874 admissions partially, attributable to alcohol over 12 years. After adjustment for confounding, higher densities of on-trade outlets (pubs, bars and nightclubs; restaurants licensed to sell alcohol; other on-trade outlets) and convenience stores were associated with higher admission rate ratios for acute and chronic wholly attributable conditions. For acute wholly attributable conditions, admission rate ratios were 13% (95% confidence interval = 11-15%), 9% (7-10%), 12% (10-14%) and 10% (9-12%) higher, respectively, in the highest relative to the lowest density categories by quartile. For chronic wholly attributable conditions, rate ratios were 22% (21-24%), 9% (7-11%), 19% (17-21%) and 7% (6-9%) higher, respectively. Supermarket density was associated with modestly higher acute and chronic admissions but other off-trade outlet density was associated only with higher admissions for chronic wholly attributable conditions. For partially attributable conditions, there were no strong patterns of association with outlet densities.
conclusionsIn England, higher densities of several categories of alcohol outlets appear to be associated with higher hospital admission rates for conditions wholly attributable to alcohol consumption.
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