This presentation shows the project conducted in Barcelona by the Public Health Agency (Agència Salut Pública de Barcelona, ASPB) related to accessibility, visibility of consumption and promotion of alcohol among youths in the urban environment

1. AVAILABILITY, ACCESSIBILITY, VISIBILITY OF
CONSUMPTION, PROMOTION AND ADVERTISING
OF ALCOHOL IN THE URBAN ENVIRONMENT AND
ITS RELATION TO THE CONSUMPTION OF
ALCOHOL IN ADOLESCENTS
Funding: Plan Nacional sobre Drogas (2016I029)

2. Our team
Albert Espelt Ester Teixidó-Compañó Marina Bosque-Prous Susanna PuigcorbéJoan R Villalbí
PND Barcelona’s project team
Prevention and Treatment department of ASPB
M. Teresa Brugal (head of department)

3. OBJECTIVES
Main objective:
To study the association between the characteristics of the
urban environment (physical and social) and the alcohol
consumption in adolescents in Barcelona.

4. METHODS
Specific objective 1: Characterize the availability of alcohol, its visibility and the promotion of
consumption of alcohol in Barcelona.
Alcohol outlets
In-premises / off-premises
Advertising and and sponsorship elements
Peddling
Signs of alcohol consumption

5. METHODS
Specific objective 1: Characterize the availability of alcohol, its visibility and the promotion of
consumption of alcohol in Barcelona.
Socioeconomic variables
5.7 - 8.8
4.7 - 5.7
3.8 - 4.7
1.6 - 3.8
Desempleo de larga duración
39.01 - 65.28
18.99 - 39.01
-1.99 - 18.99
-151.74 - -1.99
Renta familiar disponible
85.7 - 95.8
75.6 - 85.7
62.6 - 75.6
47.2 - 62.6
Nivel de estudios
Viviendas sin calefacción Hogares con 6 o más personas Espacios verdes

6. METHODS
Specific objective 1: Characterize the availability of alcohol, its visibility and the promotion of
consumption of alcohol in Barcelona.
Urban alcohol related variables = Socioeconomic variables

7. METHODS
Specific objective 2: To analyze the association between availability, accessibility, visibility of
consumption, alcohol promotion and advertizing in the urban environment and alcohol
consumption in adolescents in Barcelona.
.
Binge drinking
Drunkenness
Age of drinking onset

8. METHODS
Specific objective 2: To analyze the association between availability, accessibility, visibility of
consumption, alcohol promotion and advertising in the urban environment and alcohol
consumption in adolescents in Barcelona.
.
Sociodemographic variables
Academic variables
Health variables

9. METHODS
Specific objective 2: To analyze the association between availability, accessibility, visibility of
consumption, alcohol promotion and advertizing in the urban environment and alcohol
consumption in adolescents in Barcelona.
.
Individual alcohol consumption variables
Urban Alcohol related variables

10. METHODS
Specific objective 3: To explore the adolescents perceptions about the influence of the availability,
accessibility and promotion in the urban environment of alcohol in the normalization and
alcohol consumption in adolescents using the concept-mapping methodology.
Generación
de ideas
SESIÓN 1  TRABAJO EN GRUPO: 8-20 personas/grupo
(lluvia de ideas)
1) Grabación en audio
2) Listado de ideas de cada grupo
3) Síntesis ideas y eliminación duplicados
LISTADO FINAL
 Información participantes
(encuesta)

11. METHODS
Specific objective 3: To explore the adolescents perceptions about the influence of the availability,
accessibility and promotion in the urban environment of alcohol in the normalization and
alcohol consumption in adolescents using the concept-mapping methodology.
“Which environmental factors do you think promote
alcohol consumption?”

12. METHODS
Specific objective 3: To explore the adolescents perceptions about the influence of the availability,
accessibility and promotion in the urban environment of alcohol in the normalization and
alcohol consumption in adolescents using the concept-mapping methodology.
Estructuración
de enunciados
SESIÓN 2
 TRABAJO INDIVIDUAL
AGRUPACIÓN IDEAS VALORACIÓN IDEAS
Escala de likert 1-5
1) Frecuencia del ítem
2) Importancia en el craving
1) Agrupar según criterio propio
2) Nombrar los grupos

13. METHODS
Specific objective 3: To explore the adolescents perceptions about the influence of the availability,
accessibility and promotion in the urban environment of alcohol in the normalization and
alcohol consumption in adolescents using the concept-mapping methodology.
Análisis de los
enunciados
Interpretación
de los mapas
• Análisis de escalamiento multidimensional (mapas de puntos)
• Análisis de clusters jerárquico (mapas de clusters)
• Obtención de mapas con valoraciones
• Obtención de gráficos de correlaciones (pattern matching)
• Obtención de gráficos de priorización
EQUIPO INVESTIGADOR + PARTICIPANTES EN EL ESTUDIO

14. FIRST RESULTS PILOT STUDY
In the 20 zones analysed, we found:
 306 outlets that sell alcoholic drinks (mean 15.3 per section)
o 66.7% in-premises (bars, restaurants…)
o 26.4% off-premises (supermarkets…)
 Unequal distribution: almost 50% of outlets are found in the
city centre
Availability and accessibility of alcohol

15. FIRST RESULTS PILOT STUDY
Number of outlets that sell alcoholic beverages in the analysed
census sections, by neighbourhood. Barcelona, 2015
0
20
40
60
Numberofoutlets
In-premise Off-premise Other

16. FIRST RESULTS PILOT STUDY
 72 elements of promotional and advertisement of alcohol in public spaces
(specially sponsorship)
 Advertisements and alcohol promotion are focused on Ciutat Vella and
Eixample
 We found 5 people peddling or promotion alcohol outlets. All in Ciutat
Vella.
 Many promotional items related to in-premises outlets (61% of outlets)
91% of off-premises outlets have elements to promote alcohol selling and
consumption
Advertising and promotion of alcohol

17. FIRST RESULTS PILOT STUDY
Advertising and alcohol promotion elements found in public
spaces, by district. Barcelona, 2015
0
20
40
60
80
Ciutat Vella Eixample Sants-
Montjuïc
Les Corts Sarrià- Sant
Gervasi
Gràcia Horta-
Guinardó
Nou Barris Sant Andreu Sant Martí
Numberofelements
Advertisement/Sponsorship in public spaces Terrasses with logos
Other elements in in-premise outlets Elements in off-premise outlets

18. FIRST RESULTS PILOT STUDY
Advertisingandpromotionofalcohol

19. FIRST RESULTS PILOT STUDY
 In each time period, 39-52 signs of consumption in public
spaces were found (most of them were cans of beer)
 We found more signs of consumption at night time and in
Ciutat Vella
Consumption in public spaces

20. PILOT STUDY: CONCLUSIONS
 The urban environment in Barcelona contains many elements
that promote alcohol use, which are concentrated in the city
centre
 Data of the whole city are needed, and our project will allow
us to collect them
 Once these data are available, we will be able to study the
association between the urban environment and alcohol
consumption in adolescents.

21. AVAILABILITY, ACCESSIBILITY, VISIBILITY OF
CONSUMPTION, PROMOTION AND ADVERTISING
OF ALCOHOL IN THE URBAN ENVIRONMENT AND
ITS RELATION TO THE CONSUMPTION OF
ALCOHOL IN ADOLESCENTS