Page last updated: May 28, 2018
Effects of a multi-component intervention on improving adherence to, and knowledge of, alcohol legislation in a UK nightlife setting

A study assessed the association between the implementation of a community-based multicomponent intervention (Drink Less Enjoy More) and sales of alcohol to pseudo-intoxicated patrons along with nightlife patron awareness of associated legislation.

The Drink Less Enjoy More intervention included three interacting components: community mobilisation and awareness raising; responsible bar server training; and active law enforcement of existing legislation prohibiting sales of alcohol to, and purchasing of alcohol for, a person who appears to be intoxicated with alcohol.

The study focussed on one UK municipality with a large night-time economy. And included over 70 Licensed premises and over 200 nightlife patrons. The primary outcomes were alcohol service refusal to pseudo-intoxicated patrons and nightlife patron knowledge of alcohol legislation (illegal to sell alcohol to, and purchase alcohol for, intoxicated people), adjusted for potential confounders including characteristics of the area, venue, test purchase, and nightlife patron.

Pre-intervention, 16.4% of alcohol sales were refused, compared with 74.0% at follow-up. In adjusted analyses, the odds of service refusal were higher at follow-up (adjusted odds ratio [AOR] 14.6, p<0.001). Service refusal was also associated with server gender and patron drunkenness within the venue. Amongst drinkers, accurate awareness of alcohol legislation was higher at follow-up (for sales 44.5% initially, compared to 66.0% at follow up; and for purchase, 32.5% initially, compared to 56.0% at follow-up). In adjusted analyses, knowledge of legislation was higher at followup (sales: AOR 2.7, p<0.001; purchasing: AOR 2.7, p<0.001). Knowledge of legislation was also associated with participant age (purchasing) and expectations of intoxication (sales).

The study concludes that the Drink Less Enjoy More community-based multi-component intervention was associated with a reduction in sales of alcohol to pseudo-intoxicated patrons in on-licensed premises in a UK nightlife setting and an improvement in nightlife patron awareness of associated legislation.

Source: Drink Less Enjoy More: effects of a multicomponent intervention on improving adherence to, and knowledge of, alcohol legislation in a UK nightlife setting. Quigg Z, Hughes K, Butler N, Ford K, Canning I, Bellis MA. Addiction. 2018 Mar 25.

doi: 10.1111/ add.14223.

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