Abstract：
OBJECTIVE: In 2017 the Northern Territory (NT) government re-introduced the Banned Drinker Register (BDR) to address the high rates of alcohol related harm. This paper aims to evaluate whether trends in assault, maltreatment and sentinel injuries in children and adolescents were associated with the re-introduction of the BDR, in the context of other local interventions such as police officers stationed in bottle shops being partially removed, Police Auxiliary Liquor Inspectors, and the introduction of a minimum unit price of alcohol.
METHODS: Interrupted time series analysis was used to assess monthly trends in emergency department presentations and inpatient hospital admissions for assault, maltreatment and sentinel injuries between January 2014 and December 2019 in the regions of Greater Darwin, Alice Springs, and Katherine.
RESULTS: A significant step increase after the introduction of the BDR in emergency department presentations for assault and maltreatment was present when examining the three regions combined (β = 7.65, 95 % CI = 2.15, 13.16). However, this was not present at the individual community level. Results across a range of other models pointed towards null effects of the BDR introduction.
CONCLUSIONS: The current study found that the re-introduction of the BDR had minimal impact on rates of assault, maltreatment, or sentinel injuries in children and adolescents. To ensure long-term harm mitigation from alcohol use, a combination of evidence informed alcohol policies that address the price and availability of alcohol in a comprehensive framework, along with measures which address the underlying social determinants of unregulated drinking and health more broadly will assist in reducing alcohol related harm in both children and adults.
METHODS: Interrupted time series analysis was used to assess monthly trends in emergency department presentations and inpatient hospital admissions for assault, maltreatment and sentinel injuries between January 2014 and December 2019 in the regions of Greater Darwin, Alice Springs, and Katherine.
RESULTS: A significant step increase after the introduction of the BDR in emergency department presentations for assault and maltreatment was present when examining the three regions combined (β = 7.65, 95 % CI = 2.15, 13.16). However, this was not present at the individual community level. Results across a range of other models pointed towards null effects of the BDR introduction.
CONCLUSIONS: The current study found that the re-introduction of the BDR had minimal impact on rates of assault, maltreatment, or sentinel injuries in children and adolescents. To ensure long-term harm mitigation from alcohol use, a combination of evidence informed alcohol policies that address the price and availability of alcohol in a comprehensive framework, along with measures which address the underlying social determinants of unregulated drinking and health more broadly will assist in reducing alcohol related harm in both children and adults.
摘要：
目标：2017年，北领地（NT）政府重新引入了禁止饮酒者登记册（BDR），以解决与酒精相关的高致死率。本文旨在评估攻击的趋势，儿童和青少年的虐待和前哨损伤与BDR的重新引入有关，在其他地方干预措施的背景下，例如驻扎在瓶子店的警察被部分撤离，警察辅助酒类检查员，以及引入酒精的最低单价。
方法：使用中断时间序列分析来评估急诊科就诊和住院患者的每月趋势，2014年1月至2019年12月在大达尔文地区的虐待和哨兵伤害，爱丽丝泉,还有凯瑟琳.
结果：在对这三个区域进行合并检查时，在急诊科的攻击和虐待报告中引入BDR后，出现了显着的增加（β=7.65，95％CI=2.15，13.16）。然而,这在个人社区层面是不存在的。一系列其他模型的结果指向BDR引入的无效效果。
结论：当前的研究发现，重新引入BDR对攻击率的影响很小，虐待,或儿童和青少年的哨兵伤害。为了确保长期缓解饮酒造成的伤害，结合有证据的酒精政策，在一个全面的框架内解决酒精的价格和可用性，以及更广泛地解决无管制饮酒和健康的潜在社会决定因素的措施，将有助于减少儿童和成人与酒精有关的伤害。
方法：使用中断时间序列分析来评估急诊科就诊和住院患者的每月趋势，2014年1月至2019年12月在大达尔文地区的虐待和哨兵伤害，爱丽丝泉,还有凯瑟琳.
结果：在对这三个区域进行合并检查时，在急诊科的攻击和虐待报告中引入BDR后，出现了显着的增加（β=7.65，95％CI=2.15，13.16）。然而,这在个人社区层面是不存在的。一系列其他模型的结果指向BDR引入的无效效果。
结论：当前的研究发现，重新引入BDR对攻击率的影响很小，虐待,或儿童和青少年的哨兵伤害。为了确保长期缓解饮酒造成的伤害，结合有证据的酒精政策，在一个全面的框架内解决酒精的价格和可用性，以及更广泛地解决无管制饮酒和健康的潜在社会决定因素的措施，将有助于减少儿童和成人与酒精有关的伤害。
