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

ACCESS DATA

Publications

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

Similar Datasets

Project description:BACKGROUND:Adolescents 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. METHODS:We 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). RESULTS:Thirty-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%). CONCLUSION:A 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.

Project description:BackgroundEarly uptake of multiple risky behaviours during adolescence, such as substance use, antisocial and sexual behaviours, can lead to poor health outcomes without timely interventions. This study investigated how early-life maternal attachment, or emotional bonds between mothers and infants, influenced later risky behaviours in adolescence alongside other potential explanatory pathways using the United Kingdom Millennium Cohort Study.MethodsTotal maternal attachment scores measured at 9 months using the Condon (1998) Maternal Postnatal Attachment Scale compared higher and lower attachment, where mothers in the lowest 10th percentile represented lower attachment. Multiple risky behaviours, defined as two or more risky behaviours (including smoking cigarettes, vaping, alcohol consumption, illegal drug use, antisocial behaviour, criminal engagement, unsafe sex, and gambling), were scored from 0 to 8 at age 17. Five multivariate logistic regression models examined associations between maternal attachment and multiple risky behaviours among Millennium Cohort Study members (n = 7796). Mediation analysis sequentially adjusted for blocks of explanatory mechanisms, including low attachment mechanisms (multiple births, infant prematurity, sex, breastfeeding, unplanned pregnancy and maternal age at birth), maternal depression, and social inequalities (single-parent status, socioeconomic circumstance by maternal education and household income) at 9 months and poor adolescent mental health at 14 years.ResultsChildren of mothers with lower maternal attachment at 9 months had 23% increased odds of multiple risky behaviours at 17 years (OR: 1.23, 95% CI: 1.00-1.50) in the unadjusted baseline model. All five explanatory blocks attenuated baseline odds. Low attachment mechanisms attenuated 13%, social inequalities 17%, and poor mental health 17%. Maternal depression attenuated the highest proportion (26%) after fully adjusting for all factors (30%).ConclusionsLower maternal attachment in early life predicted increased adolescent multiple risky behaviours. Almost a third of the excess risk was attributable to child, maternal and socioeconomic factors, with over a quarter explained by maternal depression. Recognising the influence of early-life risk factors on adolescent health could innovate current policies and interventions addressing multiple risky behaviour uptake affecting health inequalities across the life course.

Dataset Information

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

Publications

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

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure