Acute alcohol use among suicide decedents in 14 US states: Impacts of off-premise and on-premise alcohol outlet density

Norman Giesbrecht, Nathalie Huguet, Lauren Ogden, Mark S. Kaplan, Bentson H. Mcfarland, Raul Caetano, Kenneth R. Conner, Kurt B. Nolte

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Aims: To estimate the association between per capita alcohol retail outlet density and blood alcohol concentration (BAC) from 51547 suicide decedents and to analyse the relationship between alcohol outlet density and socio-demographic characteristics among alcohol-positive suicide decedents in the United States by racial/ethnic groups and method of suicide. Design: Analysis of US data, 2003-11, National Violent Death Reporting System. Setting: Suicide decedents from 14 US states. Participants: A total of 51347 suicide decedents tested for BAC. Measurements: BAC and levels were derived from coroner/medical examiner reports. Densities of county level on-premises and off-premises alcohol retail outlets were calculated using the 2010 Census. Findings: Multi-level logistic regression models suggested that higher off-premises alcohol outlet densities were associated with greater proportions of alcohol-related suicides among men-for suicides with alcohol present [BAC >0; adjusted odds ratio (AOR)=1.08, 95% confidence interval (CI)=1.03-1.13]. Interactions between outlet density and decedents' characteristics were also tested. There was an interaction between off-premises alcohol availability and American Indian/Alaska Native race (AOR=1.36; 95% CI=1.10-1.69) such that this subgroup had highest BAC positivity. On-premises density was also associated with BAC >0 (AOR=1.07; 95% CI=1.03-1.11) and BAC ≥0.08 (AOR=1.05; 95% CI=1.02-1.09) among male decedents. Conclusions: In the United States, the density of both on- and off-premises alcohol outlets in a county is associated positively with alcohol-related suicide, especially among American Indians/Alaska Natives.

Original languageEnglish (US)
Pages (from-to)300-307
Number of pages8
JournalAddiction
Volume110
Issue number2
DOIs
StatePublished - Feb 1 2015

Fingerprint

Suicide
Alcohols
Odds Ratio
Confidence Intervals
North American Indians
Logistic Models
Coroners and Medical Examiners
Blood Alcohol Content
Censuses
Ethnic Groups
Demography

Keywords

  • Acute alcohol use
  • Alcohol outlet density
  • Epidemiology
  • Race/ethnicity
  • Suicide
  • US states

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

Cite this

Giesbrecht, N., Huguet, N., Ogden, L., Kaplan, M. S., Mcfarland, B. H., Caetano, R., ... Nolte, K. B. (2015). Acute alcohol use among suicide decedents in 14 US states: Impacts of off-premise and on-premise alcohol outlet density. Addiction, 110(2), 300-307. https://doi.org/10.1111/add.12762

Acute alcohol use among suicide decedents in 14 US states : Impacts of off-premise and on-premise alcohol outlet density. / Giesbrecht, Norman; Huguet, Nathalie; Ogden, Lauren; Kaplan, Mark S.; Mcfarland, Bentson H.; Caetano, Raul; Conner, Kenneth R.; Nolte, Kurt B.

In: Addiction, Vol. 110, No. 2, 01.02.2015, p. 300-307.

Research output: Contribution to journalArticle

Giesbrecht, N, Huguet, N, Ogden, L, Kaplan, MS, Mcfarland, BH, Caetano, R, Conner, KR & Nolte, KB 2015, 'Acute alcohol use among suicide decedents in 14 US states: Impacts of off-premise and on-premise alcohol outlet density', Addiction, vol. 110, no. 2, pp. 300-307. https://doi.org/10.1111/add.12762
Giesbrecht, Norman ; Huguet, Nathalie ; Ogden, Lauren ; Kaplan, Mark S. ; Mcfarland, Bentson H. ; Caetano, Raul ; Conner, Kenneth R. ; Nolte, Kurt B. / Acute alcohol use among suicide decedents in 14 US states : Impacts of off-premise and on-premise alcohol outlet density. In: Addiction. 2015 ; Vol. 110, No. 2. pp. 300-307.
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abstract = "Aims: To estimate the association between per capita alcohol retail outlet density and blood alcohol concentration (BAC) from 51547 suicide decedents and to analyse the relationship between alcohol outlet density and socio-demographic characteristics among alcohol-positive suicide decedents in the United States by racial/ethnic groups and method of suicide. Design: Analysis of US data, 2003-11, National Violent Death Reporting System. Setting: Suicide decedents from 14 US states. Participants: A total of 51347 suicide decedents tested for BAC. Measurements: BAC and levels were derived from coroner/medical examiner reports. Densities of county level on-premises and off-premises alcohol retail outlets were calculated using the 2010 Census. Findings: Multi-level logistic regression models suggested that higher off-premises alcohol outlet densities were associated with greater proportions of alcohol-related suicides among men-for suicides with alcohol present [BAC >0; adjusted odds ratio (AOR)=1.08, 95{\%} confidence interval (CI)=1.03-1.13]. Interactions between outlet density and decedents' characteristics were also tested. There was an interaction between off-premises alcohol availability and American Indian/Alaska Native race (AOR=1.36; 95{\%} CI=1.10-1.69) such that this subgroup had highest BAC positivity. On-premises density was also associated with BAC >0 (AOR=1.07; 95{\%} CI=1.03-1.11) and BAC ≥0.08 (AOR=1.05; 95{\%} CI=1.02-1.09) among male decedents. Conclusions: In the United States, the density of both on- and off-premises alcohol outlets in a county is associated positively with alcohol-related suicide, especially among American Indians/Alaska Natives.",
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AB - Aims: To estimate the association between per capita alcohol retail outlet density and blood alcohol concentration (BAC) from 51547 suicide decedents and to analyse the relationship between alcohol outlet density and socio-demographic characteristics among alcohol-positive suicide decedents in the United States by racial/ethnic groups and method of suicide. Design: Analysis of US data, 2003-11, National Violent Death Reporting System. Setting: Suicide decedents from 14 US states. Participants: A total of 51347 suicide decedents tested for BAC. Measurements: BAC and levels were derived from coroner/medical examiner reports. Densities of county level on-premises and off-premises alcohol retail outlets were calculated using the 2010 Census. Findings: Multi-level logistic regression models suggested that higher off-premises alcohol outlet densities were associated with greater proportions of alcohol-related suicides among men-for suicides with alcohol present [BAC >0; adjusted odds ratio (AOR)=1.08, 95% confidence interval (CI)=1.03-1.13]. Interactions between outlet density and decedents' characteristics were also tested. There was an interaction between off-premises alcohol availability and American Indian/Alaska Native race (AOR=1.36; 95% CI=1.10-1.69) such that this subgroup had highest BAC positivity. On-premises density was also associated with BAC >0 (AOR=1.07; 95% CI=1.03-1.11) and BAC ≥0.08 (AOR=1.05; 95% CI=1.02-1.09) among male decedents. Conclusions: In the United States, the density of both on- and off-premises alcohol outlets in a county is associated positively with alcohol-related suicide, especially among American Indians/Alaska Natives.

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