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Do community interventions targeting licensed venues reduce alcohol-related emergency department presentations?


Peter Miller PhD, Senior Research Fellow, Anders Sønderlund BAppSci(Psych)(Hons), Research Assistant, Kerri Coomber BAppSci(Psych)(Hons), Research Assistant, Darren Palmer BA Hons, MA Crim PhD, Associate Professor, Karen Gillham MSSc, Director Health Promotion, Jennifer Tindall MS (Health Promotion), Program Manager, John Wiggers, BA (Hons), PhD, Associate Professor. Dr Peter G. Miller, School of Psychology, Geelong Waterfront Campus, Deakin University, Level 3, 27 Brougham Street, Geelong, Vic. 3220, Australia. Tel: +61 3 5227 8138; Fax: +61 3 5227 8621; E-mail:


Introduction and Aims.Excessive alcohol consumption is related to substantial health and social order costs. Many of the harms have been identified as coming from licensed venues. Most communities struggle to find interventions that are effective, particularly in an environment of little federal government action. Furthermore, most interventions are based on little or no empirical evidence. This study aims to investigate the effect of a suite of interventions on emergency department (ED) attendances in Geelong, Australia.

Design and Methods.This paper reports stage one findings from the Dealing with Alcohol-Related Problems in the Night-time Economy project (DANTE) and specifically examines all alcohol-related injury frequencies before to after intervention in the City of Greater Geelong of Victoria, Australia, from 2005 to 2009. Auto-regressive integrated moving average time-series were used to determine the effect of the interventions on ED attendances in Geelong.

Results.There were 3934 triage presentations involving alcohol. Over two-thirds (68.9%) of triage presentations were male and over half (58.5%) of alcohol-related attendances occurred on the weekend. The time-series analyses indicated that ID scanners (z = 2.66, P < 0.001) and the Just Think awareness campaign (z = 4.21, P < 0.001) were significant predictors of increases in alcohol-related injury presentation rates to the ED.

Discussion and Conclusions.Overall, the community interventions implemented have not been associated with reduced alcohol-related attendances at the ED. The findings raise questions about whether targeting the night-time economy is effective and whether interventions should instead be targeted at reducing whole-of-community alcohol consumption.[Miller P, Sønderlund A, Coomber K, Palmer D, Gillham K, Tindall J, Wiggers J. Do community interventions targeting licensed venues reduce alcohol-related emergency department presentations? Drug Alcohol Rev 2011;30:546–553]