Development and evaluation of the OHCITIES instrument: assessing alcohol urban environments in the Heart Healthy Hoods project

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• dc.contributor.author Sureda, Xisca
• dc.contributor.author Espelt Hernández, Albert, 1981-
• dc.contributor.author Villalbí, Joan R.
• dc.contributor.author Cebrecos, Alba
• dc.contributor.author Baranda, Lucía
• dc.contributor.author Pearce, Jamie
• dc.contributor.author Franco, Manuel
• dc.date.accessioned 2024-10-21T06:24:02Z
• dc.date.available 2024-10-21T06:24:02Z
• dc.date.issued 2017
• dc.description.abstract Objectives 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. Design 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. Setting Data for testing the reliability of the instrument were collected in seven census sections in Madrid in 2016 by two observers. Primary and secondary outcome measures 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. Results 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. Conclusions 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.
• dc.description.sponsorship This study is part of the project Heart Healthy Hoods study funded by the European Research Council under the European Union’s Seventh Framework Programme (FP7/2007-2013/ERC Starting Grant HeartHealthyHoods Agreement No. 336893). This study is also funded by Delegación del Gobierno para el Plan Nacional sobre Drogas (DGPNSD) (2016I047 and 2016I029). The funding sources have no involvement in the study design; in the collection, analysis or interpretation of data; in the writing of this work; or in the decision to submit the manuscript for publication.
• dc.format.mimetype application/pdf
• dc.identifier.citation Sureda X, Espelt A, Villalbí JR, Cebrecos A, Baranda L, Pearce J, et al. Development and evaluation of the OHCITIES instrument: assessing alcohol urban environments in the Heart Healthy Hoods project. BMJ Open. 2017 Oct;7(10):e017362. DOI: 10.1136/bmjopen-2017-017362
• dc.identifier.doi http://dx.doi.org/10.1136/bmjopen-2017-017362
• dc.identifier.issn 2044-6055
• dc.identifier.uri http://hdl.handle.net/10230/68249
• dc.language.iso eng
• dc.publisher BMJ Publishing Group
• dc.relation.projectID info:eu-repo/grantAgreement/EC/FP7/336893
• dc.rights This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/
• dc.subject.other Consum d'alcohol
• dc.subject.other Alcohol
• dc.subject.other Urbanisme -- Aspectes socials
• dc.title Development and evaluation of the OHCITIES instrument: assessing alcohol urban environments in the Heart Healthy Hoods project
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion