GeoHealth Laboratory, Department of Geography, University of Canterbury, Christchurch, New Zealand.
Aust N Z J Public Health. 2012 Feb;36(1):48-54. doi: 10.1111/j.1753-6405.2012.00827.x.
To examine the association between geographic access to alcohol outlets and serious violent crime in New Zealand.
A national study of alcohol outlet access and serious violent crime used a cross-sectional ecological analysis. Serious violence offences recorded between 2005 and 2007 were aggregated for 286 police station areas. Using Geographical Information Systems (GIS), 9,320 licensed premises were geocoded and road travel distances to the closest alcohol outlet type/category were calculated for each area. Negative binomial regression models measured the association between the distance to the closest alcohol outlet and the number of serious violent offences in each police station area, controlling for area-level measures of social deprivation, Māori population, young males 15-29 years and population density.
There were significant negative associations between distance (access) to licensed outlets and the incidence of serious violent offences with greater levels of violent offending recorded in areas with close access to any licensed premises compared to those areas with least access (IRR 1.5, 95% CI 1.10-2.03); with on-licensed premises (IRR 1.6, 95% CI 1.16-2.08); and off-licensed premises (IRR 1.4, 95% CI 1.05-1.93).
Having greater geographic access to alcohol outlets was associated with increased levels of serious violent offending across study areas.
Alcohol availability and access promoted under the current liberalised licensing regime are important contextual determinants of alcohol-related harm within New Zealand communities.
研究新西兰酒类销售点的地理位置与严重暴力犯罪之间的关联。
本项关于酒类销售点分布与严重暴力犯罪的全国性研究采用了横断面生态分析方法。汇总了 2005 年至 2007 年间记录的严重暴力犯罪案件,将其按 286 个警区归类。利用地理信息系统(GIS)对 9320 个持牌酒类销售点进行地理编码,并计算每个警区到最近酒类销售点类型/类别的道路行驶距离。负二项回归模型测量了警区范围内每个地区最近酒类销售点的距离与严重暴力犯罪案件数量之间的关联,控制了警区层面的社会贫困程度、毛利人口、15-29 岁的年轻男性和人口密度等因素。
有执照的酒类销售点的分布(可达性)与严重暴力犯罪的发生率呈显著负相关,与可达性最低的地区相比,可达性较高的地区发生严重暴力犯罪的几率更高(IRR1.5,95%CI1.10-2.03);与有酒类零售许可证的销售点(IRR1.6,95%CI1.16-2.08)和酒类批发许可证的销售点(IRR1.4,95%CI1.05-1.93)的情况相同。
酒类销售点的地理位置可达性越高,研究区域内的严重暴力犯罪发生率就越高。
现行宽松的酒类许可证制度下的酒类供应和可得性是新西兰社区内与酒精相关的伤害的重要背景决定因素。