Dataset Information

Living in proximity of a bar and risky alcohol behaviours: a longitudinal study.

ABSTRACT: AIMS:We examined whether distance from home to the nearest bar, i.e. alcohol outlet permitting consumption on the premises, is associated with risky alcohol behaviours. DESIGN:Cross-sectional and longitudinal study. SETTING AND PARTICIPANTS:The cross-sectional data consisted of 78?858 and the longitudinal data of 54?778 Finnish Public Sector Study participants between 2000 and 2009 [mean follow-up 6.8 years (SD?=?2.0)]. MEASUREMENTS:Distances from home to the nearest bar were calculated using Global Positioning System coordinates. The outcome variables were heavy alcohol use (drinking above the weekly guidelines) and extreme drinking occasions (passing out because of alcohol use). We used binomial logistic regression in cross-sectional analyses and in longitudinal mixed effects (between-individual) analyses. Conditional logistic regression was used in longitudinal fixed effects (within-individual) analyses. FINDINGS:Cross-sectionally, the likelihood of an extreme drinking occasion and heavy use was higher among those who resided <1 versus???1?km from a bar. Longitudinally, between individuals, a decrease from >1?km to ?1?km in distance was weakly associated with an extreme drinking occasion [odds ratio (OR) 1.18, 95% confidence interval (CI) 0.98-1.41] and heavy use (1.12, 95% CI 0.97-1.29). Within-individual, the OR for becoming a heavy user was 1.17 (95% CI 1.02-1.34), per 1?km decrease in log-transformed continuous distance, the corresponding OR for an extreme drinking occasion was 1.03 (95% CI 0.89-1.18). CONCLUSIONS:Moving place of residence close to, or far from, a bar appears to be associated with a small corresponding increase or decrease in risky alcohol behaviour.

SUBMITTER: Halonen JI

PROVIDER: S-EPMC3529803 | biostudies-literature | 2013 Feb

REPOSITORIES: biostudies-literature

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Living in proximity of a bar and risky alcohol behaviours: a longitudinal study.

Halonen Jaana I JI Kivimäki Mika M Virtanen Marianna M Pentti Jaana J Subramanian S V SV Kawachi Ichiro I Vahtera Jussi J

Addiction (Abingdon, England) 20121018 2

<h4>Aims</h4>We examined whether distance from home to the nearest bar, i.e. alcohol outlet permitting consumption on the premises, is associated with risky alcohol behaviours.<h4>Design</h4>Cross-sectional and longitudinal study.<h4>Setting and participants</h4>The cross-sectional data consisted of 78 858 and the longitudinal data of 54 778 Finnish Public Sector Study participants between 2000 and 2009 [mean follow-up 6.8 years (SD = 2.0)].<h4>Measurements</h4>Distances from home to the nearest ...[more]

PMID: 22897634

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Project description:BackgroundAdolescents living with HIV (ALWHIV) in sub-Saharan Africa encounter multiple health problems that are often unrecognised by the public and the healthcare workforce. The aim of this systematic review was to identify risky health behaviours and their associated factors among ALWHIV in sub-Saharan Africa.MethodsWe systematically searched for articles in Medline, SCOPUS, Directory of Open Access Journals, Science Direct, ProQuest, Psych-info, Web of science, WHO Global Index Medicus library, Cochrane, and Google Scholar. Studies were included in this review if: they were original studies; participants were aged from 10 to 19 years; participants were ALWHIV or they had data from different key informants focusing on ALWHIV within the age group; they had health behaviours as an outcome; they were conducted in sub-Saharan Africa and were published before December 2016. Data were extracted and the quality of the studies was appraised using the Mixed Method Appraisal Tool (MMAT).ResultsThirty-six studies met the eligibility criteria. Nineteen studies scored 100% (indicating high quality), sixteen studies scored 75% (indicating moderate quality) and one study scored 50% (indicating low quality) on the MMAT scale. Adherence to antiretroviral therapy among ALWHIV was suboptimal and was negatively affected by forgetfulness, opportunistic infection, long distance to clinics, and fear of unplanned disclosure. Many adolescents were sexually active, but the majority did not disclose their HIV status to sexual partners, despite knowing their diagnosis (range 76-100% across available studies) and some did not use protection (condoms) to prevent transmission of HIV and other sexually transmitted diseases (range 35-55%). Disclosure to and from adolescents was low across the studies and was associated with fear of disclosure aftermaths including stigma and discrimination (range 40-57%).ConclusionA considerable proportion of ALWHIV in sub-Saharan Africa engage in multiple risky health behaviours, which have a substantial negative impact on their wellbeing and cause significant risk and burden to their families, sexual partners and societies.

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Dataset Information

Living in proximity of a bar and risky alcohol behaviours: a longitudinal study.

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Living in proximity of a bar and risky alcohol behaviours: a longitudinal study.

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