Correction added on 11 March 2014, after first online publication: Table 4 of this article was amended to reflect the correct dataset on which this study was based. The changes made in the text as a result of the amendments to Table 4 are marked by an asterisk (*). The conclusion of the study was not affected by these changes.
Changes in injury-related hospital emergency department presentations associated with the imposition of regulatory versus voluntary licensing conditions on licensed venues in two cities
Article first published online: 26 FEB 2014
© 2014 Australasian Professional Society on Alcohol and other Drugs
Drug and Alcohol Review
Special Issue: Alcohol policy attitudes trends, determinants and implications, Guest Editors: Norman Giesbrecht and Michael Livingston
Volume 33, Issue 3, pages 314–322, May 2014
How to Cite
Miller, P., Curtis, A., Palmer, D., Busija, L., Tindall, J., Droste, N., Gillham, K., Coomber, K. and Wiggers, J. (2014), Changes in injury-related hospital emergency department presentations associated with the imposition of regulatory versus voluntary licensing conditions on licensed venues in two cities. Drug and Alcohol Review, 33: 314–322. doi: 10.1111/dar.12118
- Issue published online: 24 APR 2014
- Article first published online: 26 FEB 2014
- Manuscript Accepted: 12 JAN 2014
- Manuscript Received: 29 AUG 2013
- Australian National Drug Law Enforcement Fund
- emergency department;
Introduction and Aims
Regulatory and collaborative intervention strategies have been developed to reduce the harms associated with alcohol consumption on licensed venues around the world, but there remains little research evidence regarding their comparative effectiveness. This paper describes concurrent changes in the number of night-time injury-related hospital emergency department presentations in two cities that implemented either a collaborative voluntary approach to reducing harms associated with licensed premises (Geelong) or a regulatory approach (Newcastle).
Design and Methods
This paper reports findings from Dealing with Alcohol-Related problems in the Night-Time Economy project. Data were drawn from injury-specific International Classification of Disease, 10th Revision codes for injuries (S and T codes) presenting during high-alcohol risk times (midnight—5.59 am, Saturday and Sunday mornings) at the emergency departments in Geelong Hospital and Newcastle (John Hunter Hospital and the Calvary Mater Hospital), before and after the introduction of licensing conditions between the years of 2005 and 2011. Time-series, seasonal autoregressive integrated moving average analyses were conducted on the data obtained from patients' medical records.
Significant reductions in injury-related presentations during high-alcohol risk times were found for Newcastle since the imposition of regulatory licensing conditions (344 attendances per year, P < 0.001). None of the interventions deployed in Geelong (e.g. identification scanners, police operations, radio networks or closed-circuit television) were associated with reductions in emergency department presentations.
Discussion and Conclusions
The data suggest that mandatory interventions based on trading hours restrictions were associated with reduced emergency department injury presentations in high-alcohol hours than voluntary interventions. [Miller P, Curtis A, Palmer D, Busija L, Tindall J, Droste N, Gillham K, Coomber K, Wiggers J. Changes in injury-related hospital emergency department presentations associated with the imposition of regulatory versus voluntary licensing conditions on licensed venues in two cities. Drug Alcohol Rev 2014;33:314–322]*