Kypri Kypros, McElduff Patrick, Miller Peter
School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
Drug Alcohol Rev. 2014 May;33(3):323-6. doi: 10.1111/dar.12123. Epub 2014 Mar 3.
In 2008 pub closing times were restricted from 5 am to 3:30 am in the central business district (CBD) of Newcastle, Australia. A previous study showed a one-third reduction in assaults in the 18 months following the restriction. We assessed whether the assault rate remained lower over the following 3.5 years and whether the introduction of a 'lockout' in nearby Hamilton was associated with a reduction in assaults there.
We used a pre-post design with comparison against two post-change periods. The setting was Greater Newcastle (population 530,000) and subjects were persons apprehended for assault in the CBD and nearby Hamilton, an area with late trading pubs where a lockout and other strategies were implemented in 2010. Cases were police-recorded assault apprehensions occurring from 10 pm to 6 am in one pre-change period: January 2001 to March 2008, and two post-change periods: (i) April 2008 to September 2009 and (ii) October 2009 to March 2013. Negative binomial regression with terms for secular trend and seasonal effects was used to estimate Post1: Pre and Post2: Pre Incidence Rate Ratios and confidence intervals.
In the CBD recorded assaults fell from 99/quarter before the restriction to 68/quarter in the first post-change period [incidence rate ratio (IRR) 0.67, 95% confidence interval (CI) 0.55-0.82] and 71/quarter (IRR: 0.68, 95% CI: 0.55-0.85) in the later post-change period. In the same periods in Hamilton, assault rates were 23, 24, and 22 per quarter respectively.
The restriction in closing time was associated with a sustained lower assault rate in the Newcastle CBD. We find no evidence that lockouts and other outlet management strategies were effective in Hamilton.
2008年,澳大利亚纽卡斯尔中央商务区(CBD)的酒吧关门时间从凌晨5点限制到凌晨3点30分。此前一项研究表明,在限制实施后的18个月里,袭击事件减少了三分之一。我们评估了在接下来的3.5年里袭击率是否仍保持在较低水平,以及在附近的汉密尔顿实施“封锁”措施是否与该地区袭击事件的减少有关。
我们采用前后对照设计,并与两个变化后的时期进行比较。研究范围为大纽卡斯尔地区(人口53万),研究对象为在中央商务区和附近汉密尔顿因袭击被捕的人员,汉密尔顿是一个有营业至深夜酒吧的地区,2010年在该地区实施了封锁及其他策略。案例为警方记录的在一个变化前时期(2001年1月至2008年3月)以及两个变化后时期(i)2008年4月至2009年9月和(ii)2009年10月至2013年3月晚上10点至早上6点发生的袭击逮捕事件。使用带有长期趋势和季节效应项的负二项回归来估计Post1:Pre和Post2:Pre发病率比及置信区间。
在中央商务区,记录的袭击事件从限制前的每季度99起降至变化后第一个时期的每季度68起[发病率比(IRR)0.67,95%置信区间(CI)0.55 - 0.82],在变化后的后期为每季度71起(IRR:0.68,95% CI:0.55 - 0.85)。在汉密尔顿的同一时期,袭击率分别为每季度23起、24起和22起。
关门时间的限制与纽卡斯尔中央商务区持续较低的袭击率相关。我们没有发现证据表明封锁及其他场所管理策略在汉密尔顿有效。