Development and evaluation of the OHCITIES instrument : assessing alcohol urban environments in the Heart Healthy Hoods project
Sureda, Xisca (Universidad de Alcalá)
Espelt, Albert (Institut d'Investigació Biomèdica Sant Pau)
Villalbí, Joan Ramón (Institut d'Investigació Biomèdica Sant Pau)
Cebrecos, Alba (Universidad de Alcalá)
Baranda, Lucía
Pearce, Jamie (University of Edinburgh)
Franco, Manuel (Johns Hopkins Bloomberg School of Public Health)
Universitat Autònoma de Barcelona

Data:	2017
Resum:	To describe the development and test-retest reliability of OHCITIES, an instrument characterising alcohol urban environment in terms of availability, promotion and signs of consumption. This study involved: (1) developing the conceptual framework for alcohol urban environment by means of literature reviewing and previous alcohol environment research experience; (2) pilot testing and redesigning the instrument; (3) instrument digitalisation; (4) instrument evaluation using test-retest reliability. Data for testing the reliability of the instrument were collected in seven census sections in Madrid in 2016 by two observers. We computed per cent agreement and Cohen's kappa coefficients to estimate inter-rater and test-retest reliability for alcohol outlet environment measures. We calculated interclass coefficients and their 95% CIs to provide a measure of inter-rater reliability for signs of alcohol consumption measures. We collected information on 92 on-premise and 24 off-premise alcohol outlets identified in the studied areas about availability, accessibility and promotion of alcohol. Most per cent-agreement values for alcohol measures in on-premise and off-premise alcohol outlets were greater than 80%, and inter-rater and test-retest reliability values were generally above 0. 80. Observers identified 26 streets and 3 public squares with signs of alcohol consumption. Intraclass correlation coefficient between observers for any type of signs of alcohol consumption was 0. 50 (95% CI -0. 09 to 0. 77). Few items promoting alcohol unrelated to alcohol outlets were found on public spaces. The OHCITIES instrument is a reliable instrument to characterise alcohol urban environment. This instrument might be used to understand how alcohol environment associates with alcohol behaviours and its related health outcomes, and can help in the design and evaluation of policies to reduce the harm caused by alcohol.
Ajuts:	European Commission 336893
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Alcohol ; Urban environment ; Cities ; Promotion ; Availability
Publicat a:	BMJ open, Vol. 7 (october 2017) , ISSN 2044-6055

DOI: 10.1136/bmjopen-2017-017362
PMID: 28982829

9 p, 323.1 KB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut de Recerca Sant Pau
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