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被忽视的影响:夜间经济中的家庭暴力和酒精政策。

An overlooked effect: domestic violence and alcohol policies in the night-time economy.

机构信息

Drug Policy Modelling Program, Social Policy Research Centre, UNSW Sydney, Kensington, Australia.

National Drug Research Institute and enAble Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia.

出版信息

Addiction. 2023 Aug;118(8):1471-1481. doi: 10.1111/add.16192. Epub 2023 Apr 17.

Abstract

BACKGROUND AND AIMS

Restrictive late-night alcohol policies are aimed at reducing alcohol-related violence but, to date, no evaluations of their impact on family and domestic violence have been conducted. This study aimed to measure whether modifying the drinking environment and restricting on-site trading hours affected reported rates of family and domestic violence.

DESIGN, SETTING AND PARTICIPANTS: This study used a non-equivalent control group design with two treatment sites and two matched control sites with pre- and postintervention data on rates of family and domestic violence assaults within local catchment areas of four late-night entertainment precincts in New South Wales, Australia, covering a population of 27 309 people. Participants comprised monthly counts of police-recorded incidents of domestic violence assaults from January 2001 to December 2019.

INTERVENTIONS AND COMPARATORS

Two variations of restrictive late-night interventions were used: restricted entry to late-night venues after 1:30 a.m., trading ceasing at 3:30 a.m. and other restrictions on alcohol service (Newcastle); and restricted entry to late-night venues after 1 a.m. and a range of restrictions on alcohol service (Hamilton). The comparators were no restrictions on late-night trading or modifications of the drinking environment (Wollongong and Maitland).

MEASUREMENTS

Measurements involved the rate, type and timing of reported family and domestic violence assaults.

FINDINGS

Reported rates of domestic violence assaults fell at both intervention sites, while reported domestic violence assaults increased over time in the control sites. The protective effects in Newcastle were robust and statistically significant across three main models. The relative reduction associated with the intervention in Newcastle was 29% (incidence rate ratio = 0.71, 95% confidence interval: 0.60-0.83) and an estimated 204 assaults were prevented across the duration of the study. The protective effects found in Hamilton were not consistently supported across the three main models.

CONCLUSIONS

Increases to late-night alcohol restrictions may reduce rates of domestic violence.

摘要

背景和目的

限制深夜饮酒政策旨在减少与酒精相关的暴力行为,但迄今为止,尚未对其对家庭和家庭暴力影响进行评估。本研究旨在衡量改变饮酒环境和限制现场营业时间是否会影响报告的家庭和家庭暴力率。

设计、设置和参与者:本研究采用非等效对照组设计,在澳大利亚新南威尔士州四个深夜娱乐区的当地范围内,有两个治疗地点和两个匹配的对照地点,有家庭和家庭暴力袭击率的干预前后数据,覆盖 27309 人。参与者包括 2001 年 1 月至 2019 年 12 月期间警方记录的家庭暴力袭击每月计数。

干预措施和比较

使用了两种限制深夜干预措施:凌晨 1 点 30 分以后限制进入深夜场所,凌晨 3 点 30 分停止交易,以及其他限制酒精服务的措施(纽卡斯尔);凌晨 1 点以后限制进入深夜场所,并对酒精服务进行一系列限制(汉密尔顿)。对照组是对深夜交易没有限制或对饮酒环境进行修改(卧龙岗和梅特兰)。

测量

测量涉及报告的家庭和家庭暴力袭击的发生率、类型和时间。

结果

报告的家庭暴力袭击率在两个干预地点都有所下降,而在对照组中,报告的家庭暴力袭击率随时间推移而增加。纽卡斯尔的保护效果在三个主要模型中都是稳健和统计学显著的。与干预相关的相对减少量为 29%(发病率比=0.71,95%置信区间:0.60-0.83),在研究期间估计预防了 204 起袭击事件。汉密尔顿的保护效果在三个主要模型中并不一致。

结论

增加深夜酒精限制可能会降低家庭暴力率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/075c/10952798/4fde03db8220/ADD-118-1471-g001.jpg

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