Curtis Ashlee, Coomber Kerri, Droste Nicolas, Hyder Shannon, Palmer Darren, Miller Peter G
School of Psychology, Faculty of Health, Deakin University, Geelong, Australia.
School of Humanities and Social Sciences, Deakin University, Geelong, Australia.
Drug Alcohol Rev. 2017 May;36(3):359-368. doi: 10.1111/dar.12501. Epub 2017 Apr 20.
The relationship between alcohol intoxication and harm is well known, and many community-based interventions have been introduced in an attempt to reduce the rates of alcohol-related harm. The current paper uses two metropolitan and two regional Australian cities as sites to investigate the impact of community-based interventions on the reduction of alcohol-related harms.
Data for injury-related emergency department (ED) presentations and police attended assaults during high-alcohol hours (i.e. 20:00-06:00 h, Friday and Saturday nights) were obtained for each site from 2000 to 2015 for ED presentations and from 2000 to 2016 for police assaults. Autoregressive integrated moving average time series analyses were conducted to determine the impact of the community-based interventions introduced at each site for reducing these rates of ED injury presentations and police attended assaults.
None of the community-level interventions that were introduced across the four sites resulted in a reduction in ED presentation rates or assault rates.
The majority of interventions introduced across the four sites were proposed and implemented by local liquor accords. Given none of the interventions demonstrated a reduction in ED injury presentation rates or police attended assault rates, it is argued that local liquor accords may not be best placed to propose alcohol-related harm reduction measures, and instead, there should be a focus on the implementation of evidence-based regulatory strategies, such as restricted trading hours. [Curtis A, Coomber K, Droste N, Hyder S, Palmer D, Miller PG. Effectiveness of community-based interventions for reducing alcohol-related harm in two metropolitan and two regional sites in Victoria, Australia. Drug Alcohol Rev 2017;36:359-368].
酒精中毒与危害之间的关系众所周知，为降低与酒精相关的危害发生率，已引入了许多基于社区的干预措施。本文以澳大利亚的两个大城市和两个地区城市为研究地点，调查基于社区的干预措施对减少与酒精相关危害的影响。
获取了各研究地点2000年至2015年期间与伤害相关的急诊科就诊数据以及周五和周六晚上酒精消费高峰时段（即20:00 - 06:00）警方处理的袭击事件数据，其中急诊科就诊数据涵盖2000年至2015年，警方处理的袭击事件数据涵盖2000年至2016年。采用自回归积分滑动平均时间序列分析来确定各研究地点引入的基于社区的干预措施对降低这些急诊科伤害就诊率和警方处理的袭击事件发生率的影响。
在这四个研究地点实施的社区层面干预措施均未导致急诊科就诊率或袭击率下降。
在这四个研究地点实施的大多数干预措施是由当地酒类协议提出并实施的。鉴于这些干预措施均未显示出急诊科伤害就诊率或警方处理的袭击事件发生率有所降低，有人认为当地酒类协议可能并非提出减少与酒精相关危害措施的最佳选择，相反，应专注于实施基于证据的监管策略，如限制营业时间。[柯蒂斯A，库姆伯K，德罗斯特N，海德S，帕尔默D，米勒PG。澳大利亚维多利亚州两个大城市和两个地区基于社区的干预措施对减少与酒精相关危害的有效性。《药物与酒精评论》2017；36：359 - 368]
