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Association between Bar Closing Time, Alcohol Use Disorders and Blood Alcohol Concentration: A Cross-Sectional Observational Study of Nightlife-Goers in Perth, Australia

Author

Listed:
  • William Gilmore

    (National Drug Research Institute and enAble Institute, Faculty of Health Sciences, Curtin University, Perth, WA 6845, Australia)

  • Martyn Symons

    (National Drug Research Institute and enAble Institute, Faculty of Health Sciences, Curtin University, Perth, WA 6845, Australia)

  • Wenbin Liang

    (School of Public Health, Fujian Medical University, Fuzhou 350108, China)

  • Kathryn Graham

    (Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada)

  • Kypros Kypri

    (School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia)

  • Peter Miller

    (Centre for Drug Use, Addictive and Anti-Social Behaviour Research, Deakin University, Geelong, VIC 3220, Australia)

  • Tanya Chikritzhs

    (National Drug Research Institute and enAble Institute, Faculty of Health Sciences, Curtin University, Perth, WA 6845, Australia)

Abstract

Introduction and aims: Associations between bar trading hours, a government lever for controlling alcohol availability, nightlife-goer intoxication levels and their likelihood of alcohol use disorder (AUD) have not been explored. We investigated whether: (i) participant AUD was associated with blood alcohol concentration (BAC); and, (ii) any association between AUD and BAC was moderated by participant preferred bar (i.e., venue spent most time at) closing time. Design and methods: A cross-sectional observational study using a sample of nightlife-goers who went out drinking in Perth, Western Australia, on weekends in 2015-16. Participants who reported alcohol use that night and spent most time in a bar (n = 667) completed street intercept surveys including AUDIT-C (n = 459) and provided a breath sample to estimate BAC (n = 651). We used gender-specific multinomial logistic regression models to explore associations between participant AUDIT-C score (1–4, lower risk; 5–7, hazardous; 8–12, active AUD), preferred bar type (standard vs. late closing time based on absence or presence of an extended trading permit) and BAC (male: 0–0.049, 0.05–0.099, ≥0.1 g/100 mL; female: 0–0.049, 0.05–0.079, ≥0.08 g/100 mL). Results: Males with active AUD (RR = 3.31; 95% CI 1.30–8.42; p = 0.01) and females with hazardous/active AUD (RR = 9.75; 95% CI 2.78–34.21; p < 0.001) were both more likely to have high-range BAC than their counterparts typically drinking at lower risk. We also found preferred bar type moderated the association between AUDIT-C score and BAC for some males but no females. Males with active AUD and high-range BAC were less likely to prefer late closing bars than males usually drinking at lower risk and high-range BAC (RR = 0.12; 95% CI 0.02–0.96; p = 0.046). Discussion and conclusions: Our study provides evidence of positive associations between AUD and acute intoxication among nightlife-goers and on the moderating effect of bar closing times among males.

Suggested Citation

  • William Gilmore & Martyn Symons & Wenbin Liang & Kathryn Graham & Kypros Kypri & Peter Miller & Tanya Chikritzhs, 2022. "Association between Bar Closing Time, Alcohol Use Disorders and Blood Alcohol Concentration: A Cross-Sectional Observational Study of Nightlife-Goers in Perth, Australia," IJERPH, MDPI, vol. 19(12), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7026-:d:834169
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    References listed on IDEAS

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    1. Marcus, Jan & Siedler, Thomas, 2015. "Reducing binge drinking? The effect of a ban on late-night off-premise alcohol sales on alcohol-related hospital stays in Germany," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 0, pages 55-77.
    2. William Gilmore & Martyn Symons & Wenbin Liang & Kathryn Graham & Kypros Kypri & Peter Miller & Tanya Chikritzhs, 2021. "Association between Nightlife Goers’ Likelihood of an Alcohol Use Disorder and Their Preferred Bar’s Closing Time: A Cross-Sectional Observational Study in Perth, Australia," IJERPH, MDPI, vol. 18(24), pages 1-10, December.
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