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Access to Alcohol Outlets From Home and Work in Sweden: Longitudinal Associations With Problem Drinking
Stockholm University, Faculty of Social Sciences, Department of Psychology, Stress Research Institute.ORCID iD: 0000-0002-5030-3697
Stockholm University, Faculty of Social Sciences, Department of Psychology, Stress Research Institute.ORCID iD: 0000-0002-2908-1903
Stockholm University, Faculty of Social Sciences, Department of Psychology, Stress Research Institute.ORCID iD: 0000-0002-8806-5698
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Number of Authors: 52023 (English)In: Journal of Studies on Alcohol and Drugs, ISSN 1937-1888, E-ISSN 1938-4114, Vol. 84, no 1, p. 37-44Article in journal (Refereed) Published
Abstract [en]

Objective: The association of proximity of alcohol outlets to the workplace with problem drinking has not been previously studied. We examined longitudinal associations of living and working in proximity to alcohol outlets with problem drinking. Method: The data consisted of 13,306 employed respondents to the Swedish Longitudinal Occupational Survey of Health between 2012 and 2018. Road distances from the respondents' home and workplace to the nearest liquor outlet, beer outlet, and bar were calculated by Statistics Sweden. We used distance variables both as categorized, to indicate changes in distance, and as continuous variables. Self-reported problem drinking was assessed using modified Cut-Annoyed-Guilty-Eye (CAGE) questions. Binomial logistic regression with generalized estimating equation was used to examine the associations. Results: A decrease (vs. remained unchanged) in the distance from home to a liquor outlet was associated with a higher likeli- hood of problem drinking (odds ratio = 1.21, 95% confidence interval [1.02, 1.45]). A protective association for problem drinking was observed when the distance from home to a beer outlet increased (vs. remained unchanged) (0.65 [0.44, 0.95]). A decrease (vs. remained unchanged) in the distance from work to a bar was also associated with a higher likelihood of problem drinking (1.37 [1.00, 1.88]). The likelihood of problem drinking was increased also per 1-km decrease in distance from home to liquor outlets (1.01 [1.00, 1.02]), risk estimates being higher for women than for men. Conclusions: Alcohol outlet proximity to the workplace could be an additional determinant of harmful alcohol consumption behavior. Reducing the number of on- and off-premise alcohol outlets could reduce the level of harmful alcohol consumption.

Place, publisher, year, edition, pages
2023. Vol. 84, no 1, p. 37-44
National Category
Public Health, Global Health and Social Medicine
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URN: urn:nbn:se:su:diva-229711DOI: 10.15288/jsad.21-00365ISI: 001042315200004PubMedID: 36799672Scopus ID: 2-s2.0-85148327508OAI: oai:DiVA.org:su-229711DiVA, id: diva2:1862488
Available from: 2024-05-29 Created: 2024-05-29 Last updated: 2025-02-20Bibliographically approved

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Raza, AuribaMagnusson Hanson, LindaWesterlund, HugoHalonen, Jaana I.

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