(T&F) CDAR230104 Drug and Alcohol Review (March 2004), 23, 19 – 29 SPECIAL SECTION: PREVENTION Making licensed venues safer for patrons: what environmental factors should be the focus of interventions? ROSS HOMEL1, RUSSELL CARVOLTH2, MARGE HAURITZ3 GILLIAN MCILWAIN1 & ROSIE TEAGUE4 1 School of Criminology and Criminal Justice and Key Centre for Ethics, Law, Justice and Governance, Griffith University, Policy and Projects, Alcohol, Tobacco and Other Drug Services, Queensland Health, 3Mt Gravatt East and 4School of Applied Psychology, Griffith University, Australia 2 Abstract The Queensland Safety Action Projects operationalized a problem-focused responsive regulatory model in order to make nightclubs and other venues safer. A problem-focused approach requires a careful analysis of the total environment of licensed venues, including drinking and its controls but also the social and physical environments, patron mix and management practices. We present new analyses of observational data collected in 1994 and 1996 in the north Queensland cities of Cairns, Townsville and Mackay. Major reductions in aggression and violence were observed, as well as improvements in many aspects of the venue environment and management practices. We do not argue in this paper that the interventions caused the environmental and management changes, although we believe this to be true. Rather, our assumption is that whatever caused them, some of the environmental and management changes were critical to the reductions in aggression. Regression techniques were used to identify those factors that best explained the declines in aggression. For reduced physical violence four key predictors were identified: improved comfort, availability of public transport, less overt sexual activity and fewer highly drunk men. For reduced nonphysical aggression, four key predictors were: fewer Pacific Islander patrons, less male swearing, fewer intoxicated patrons requiring that management be called and more chairs with armrests. The analyses are consistent with the argument that the control of drinking is necessary but not sufficient to reduce aggression and violence. [Homel R, Carvolth R, Hauritz M, McIlwain G, Teague R. Making licensed venues safer for patrons: what environmental factors should be the focus of interventions? Drug Alcohol Rev 2004;23:19 – 29] Key words: alcohol, licensed venues, nightclubs, regulation violence, safety. Introduction The focus of this paper is the regulation of public drinking places, which provide the settings for between one quarter and three quarters of all alcohol consumption, depending on the country and the statistical measures used ([1], Table 3.2). More exactly, our focus is licensed venues, in particular nightclubs in city centre entertainment areas in the Australian state of Queensland. We aim to use a reanalysis of the evaluation data we collected as part of a series of carefully designed community-based interventions to answer the question: what were the key observable changes within licensed environments most closely related to the large declines in violence and aggression that were recorded between two waves of observations in 1994 and 1996. The point of addressing this question is to sharpen the focus of interventions designed to make licensed venues safer. The logic of the analyses is that only environmental and management factors that changed between 1994 and 1996 were likely to be causally related to the declines in aggression or violence Ross Homel PhD, Professor and Head, School of Criminology and Criminal Justice and Deputy Director, Key Centre for Ethics, Law, Justice and Governance, Griffith University, Australia; Russell Carvolth OAM, BA Hons, Manager, Policy and Projects, Alcohol, Tobacco and Other Drug Services, Queensland Health; Marge Hauritz PhD, Consultant, Mt Gravatt East; Gillian McIlwain BA (Hons), PhD student, School of Criminology and Criminal Justice, Griffith University; Rosie Teague BA (Hons), PhD student, School of Applied Psychology, Griffith University, Australia. Correspondence to Ross Homel, Professor and Head, School of Criminology and Criminal Justice and Deputy Director, Key Centre for Ethics, Law, Justice and Governance, Griffith University, Australia. E-mail: [email protected] Received 1 August 2003; accepted for publication 27 October 2003. ISSN 0959-5236 print/ISSN 1465-3362 online/04/010019–11 # Australian Professional Society on Alcohol and Other Drugs DOI: 10.1080/09595230410001645529 20 Ross Homel et al. (whatever other non-observed changes might also have had a causal impact), and that knowledge of such factors provides a better basis for prevention planning than a smorgasbord of risk factors derived from correlational analyses of cross-sectional data [2]. Whether it was the interventions or other processes extraneous to the project that caused the extensive environmental changes does not need to be adjudicated for the purposes of this paper: it is sufficient to establish that change in both the environment and in rates of violence occurred. Our starting point is not simply that alcohol is a commodity [1], it is that the settings in which it is consumed are also part of an intensely competitive market. Nightclubs and bars do not sell only liquor; they sell food, entertainment, excitement and perhaps drugs and they provide—at a cost—spaces for strenuous physical activity, for meeting others, for sexual liaisons and generally for behaving outrageously with relative impunity. In short, nightclubs are businesses, and their business is pleasure. Unfortunately, God being a Puritan, pleasure has its price. We know well that drinking is a sin and what the wages are, but the divine economy does not stop there. Popping pills and becoming thirsty, competing for women (or men), being offside with an aggressive bouncer, being chronically uncomfortable after standing for a long period, being crushed in a crowd, becoming deafened by loud music, or growing just simply hungry or tired can also have negative effects on individual health, standards of group behaviour and public order. It is not necessary to be drunk—no one in the place has to be drunk—to encounter danger on the dance floor or bullies at the bar. The point we are making is not simply a light-hearted observation on Nightclubs We Have Known. Licensed venues are multi-faceted places that make a great deal of money for the people that own them. Making them safer is therefore a challenge with many faces, doubly difficult if economic interests are at stake. Any approach to regulating licensed venues must therefore be based on a realistic analysis of the actual problem. Putting this another way, we have always been of the view that the preoccupation of some alcohol researchers with host responsibility, server training programmes and so on does not so much miss the point as reflect an incomplete understanding of the problem. The problem, as we saw it when we began this line of research a decade ago [3], is the ‘total environment’, which includes drinking and the other kinds of observable factors referred to above, but also includes what is not directly observable. What we originally had in mind concerning the ‘not directly observable’ was mainly the hidden deals that are so characteristic of this industry— in the worst cases, the agreements by police to back off certain premises if the price is right, but more commonly the implicit understanding that venues will be left alone by police and liquor licensing officials if there is no trouble serious enough to attract media or political attention. We would now add as part of the ‘not directly observable’ a range of community and political influences, and the effects of regulatory and market reform (including national competition policy) [4,5]. Regulation, if it is to be any use, therefore requires an understanding of the actual problem in all its aspects, and the formulation of effective tools for its solution. This paper focuses on the part of the problem that is directly observable: the social and physical environment of nightclubs. The less easily observed aspects, such as community influences, are discussed in detail elsewhere, in combination with analysis of effective countermeasures that incorporate community processes and formal regulation (see especially [6 – 8]). In the next section we describe briefly the Safety Action Projects in north Queensland and the processes of data collection, summarising the pre- and postintervention changes in aggression and violence that were observed in clubs, as well as the numerous changes that occurred in their physical and social environments and in management practices. These data have not been published previously, except in a limited circulation report [9]. These changes form the basis for a more detailed statistical investigation of environmental and management factors that appear to be linked intimately with the reductions in aggression and violence. We conclude with some reflections on critical factors for violence reduction, and on how we might move closer to the ideal of a problem-focused, responsive regulatory model. The North Queensland Safety Action projects The Safety Action approach was piloted at Surfers Paradise in an evaluated implementation during 9 months of 1994 [10,11]. The North Queensland projects were replications of the Surfers Paradise Safety Action model in Cairns, Townsville and Mackay between 1994 and 1996 [6]. Aggression and violence were targeted by addressing the three levels of regulation manipulated in the Safety Action model: supporting improvements in formal state regulation; providing a mechanism for community support of the formal regulation; and facilitating self- and peer-regulatory compliance. This ‘tripartism’ is a feature of a form of regulation that is responsive to industry context and structure, regulatory culture and history, and which also incorporates ‘tit-for-tat’ strategies that combine punishment and persuasion in an optimum mix, and ‘enforced self-regulation’, in which private sets of rules written by business (such as Codes of Practice) are ratified publicly and, when there is a failure of private Making licensed venues safer for patrons regulation, are enforced publicly [12]. The interventions focused on: representation to authorities regarding critical regulatory change and refinement; the building of community level monitoring and informal processes to improve the quality of operations of venues; the development of a network of co-operation and pressure for better practice among formerly isolated and mistrustful venue operators; and the enhancement of external safety through improved attention by authorities to such issues as observability, lighting and adequacy of public transport. Data collection A key evaluation strategy was unobtrusive observation of aggression and violence, drinking and serving practices and numerous characteristics of patrons and of the physical and social environments in licensed venues pre- and post-intervention. Only the features of the data collection methods that bear most directly on the interpretation of the environmental changes are reported here. These features have to do mainly with assessing the reliability of the data and whether the data from the 2 years can be compared validly. Activities in all the nightclubs and hotels in the central entertainment areas of Cairns, Townsville and Mackay were observed by teams of students during September 1994 (before the interventions) and October 1996 (after the interventions). Cafeterias and restaurants were excluded. All observation sessions were of about 2 hours’ duration and were unobtrusive. In 1994, 83 visits were made to 28 venues, while in 1996 116 visits were made to 47 venues. More venues were visited in 1996 than in 1994, especially in Cairns, because many new venues had been established in that period, and it was considered important to include all operating premises in the area. The growth in the number of venues reflected an influx of tourism investors and an upsurge in the number of tourist and entertainment premises generally across the three cities, particularly in Cairns. Some refurbishment and upgrading was also noted over this period. The original aim was to visit each establishment three times, once early in the evening (commencing between 10 p.m. and midnight), once in the mid-period (commencing between midnight and 2 a.m.) and once late (commencing after 2 a.m.). This was almost achieved in 1994, but the greater number of venues in 1996 meant that the mean number of visits per venue was only 2.5. Premises visited less than three times were mainly those that closed early (before 3 a.m., often earlier). Because aggression and violence tend to occur more frequently toward closing time, it is important that the distribution of visits across time periods be equivalent in 1994 and 1996. This was achieved thus: in 1994 the distribution was 44.6% early, 34.9% mid-period and 21 20.5% late, while in 1996 the figures were, respectively, 45.7%, 34.0% and 20.3% (w2(2) = 0.08). Nearly all visits in both years took place on Thursday, Friday and Saturday nights, with almost identical distributions in each year. A structured, systematic observation technique was employed, based on an observation schedule of 20 pages consisting of hundreds of items. A draft of the original observation schedule was prepared, based on the qualitative open coding scheme devised for a 1989 study [3] and on the study by Graham and colleagues [13]. This was then tested and refined in a series of pilot visits. Students recruited from local universities and colleges observed in mixed-sex groups of three or four to ensure their safety when leaving in the early hours of the morning. Those recruited tended to be ‘street smart’ and had a general familiarity with licensed venues. At least three students of Aboriginal or Islander descent were employed in each city, and these students were used in venues where non-Indigenous students would have felt particularly out of place. Students were told in a general way about the aims of the research, but care was taken in training in 1996 to avoid setting up an expectancy that violence levels would be lower than in 1994. Almost none of the observers in 1996 had performed the 1994 observations, and in any case it would have been very difficult for observers to have remembered what levels of violence obtained in 1994. The use of different observers in the 2 years reduced the likelihood of conscious or unconscious exaggerations in post-intervention ratings. Several training sessions were conducted to ensure that students were thoroughly familiar with the observation schedule. It was emphasized during training that observers were there for scientific purposes, and that although they should act as normal patrons their job was not to have a good time but to observe as comprehensively and as accurately as possible, and to especially record details of all incidents of aggression or physical violence of which they became aware. A limit of one alcoholic drink per hour was imposed for each observer. Observers’ responses to items in the observation schedule were calibrated for consistency within and across groups. Each observer completed the survey form in isolation as soon as possible after the visit, and then at a subsequent meeting inconsistencies between observers were checked and agreement established. Interrater agreement levels exceeded 85%, reflecting the fact that unreliable items were modified or eliminated in the original development of the instrument in Sydney in 1991, using large numbers of students [3]. Graham and her colleagues [13] noted especially that the decision whether a particular incident should be deemed aggression is one of the major problems of data collection. In their study, to obtain some consistency 22 Ross Homel et al. operational guidelines were adopted which stipulated that an incident would be classified as aggression if it involved ‘personal violation (verbal insult, unwanted physical contact), behaviour that was offensive according to the norms of the place, or a dispute in which the participants had personal investment’ (p. 281). The same guidelines were adopted for the present study (and in our previous research), which means that as in the Vancouver research there was some variation from establishment to establishment in the precise operationalization of what was physical or non-physical aggression. Observed changes Aggression and violence (Fig. 1). Very extensive changes across virtually every domain were observed in the north Queensland replications, matching or exceeding the changes observed in Surfers Paradise. Arguments declined by 28.2%, verbal abuse by 60.4% and challenges/threats by 40.5% at a time when all these forms of aggression were increasing in Surfers Paradise [14]. Trends in physical violence in the north and in Surfers are shown in Fig. 1 (assault rates declined by 81.2% between 1994 and 1996 in the north). The physical environment (Table 1). Apart from a general increase in the total number of venues, the basic physical infrastructure of venues did not change much between 1994 and 1996. Thus features such as seating design, degree of renovation, general appearance and upkeep, and ‘theme’ did not change. However, many specific elements of the physical environment, especially those most influenced by day-to-day management practices, did change, sometimes markedly, and mainly in the ‘right’ direction. Lighting improved, as did the spacing and comfort of tables and chairs, ventilation, the cleanliness of female toilets, and the availability of taxis and public transport. The biggest changes were to do with seating style, arrangements and comfort (improvements in style and spacing but some reductions in comfort), increases in crowding (with larger numbers of patrons), cleaner female toilets and better availability of taxis and public transport. Venue security. The total number of security personnel did not increase, and police were most conspicuous by their absence, at least in uniform. This is consistent with the observations of Homel, Tomsen & Thommeny [3] in their research in Sydney. The main changes were to do with bouncer interactions with patrons and the nature of their patrolling. Generally there was more friendly interaction, and a trend towards a more cheerful, relaxed and pleasant demeanour (from 48.3% to 62.1% of visits). Perhaps the most important change in security arrangements was a trend away from aimless roaming within venues to a more ‘problem focused’ approach that directed staff resources to possible points of friction, such as aisles and bars (from 13.6% to 31.9% of visits). There was also more stationary patrolling, reducing the risks of unnecessary confrontations with patrons while affording the opportunity to keep most of the establishment under surveillance. In keeping with the Codes of Practice, these strategies were combined with more rigorous ID checks at the door. The social environment (Table 2). Comfort levels moved toward a ‘medium’ rating, with fewer visits being rated at the extremes of ‘very comfortable’ or ‘uncomfortable’. A possible explanation for this trend is that venue Figure 1. Observed rates of assault; n = 183 due to missing values. Making licensed venues safer for patrons 23 Table 1. Statistically significant changes in the physical environment of venues in the three cities combined, 1994 and 1996 (p 5 0.05) Variable Seating comfort Adequate Too few Spaced comfortable tables and chairs Yes No Chairs with armrests Yes No Standing room only Yes No Female toilets Clean Dirty Availability of taxis Available Limited None Availability of public transport Available Limited None 1994 (n = 83) % or meana 1996 (n = 116) % or meana 67.6 32.4 52.2 47.8 60.2 39.8 74.1 25.9 37.5 62.5 55.3 44.7 33.3 66.7 56.2 34.8 50.7 49.3 66.7 33.3 48.6 17.6 33.8 71.2 16.2 12.6 1.4 7.2 91.3 21.7 34.0 44.3 pb Gamma or effect sizec 0.04 0.31 0.045 0.50 0.04 0.35 0.001 0.58 0.03 0.32 0.001 0.44 0.0001 0.85 a For some variables, missing values reduce the sample size. Percentages are reported for ordinal variables, and mean values (usually mean percentages) are presented for numerical variables. The transitions from percentages to means are shown at various points in the tables. b The test of statistical significance is Pearson’s w2 for ordinal data, and the Mann – Whitney test for numerical data. c Gamma is presented for ordinal variables, and the effect size (difference between means divided by the pooled standard deviation) for numerical variables. Both statistics measure the magnitude of the change in the variable. managers responded to the project by improving facilities, but these measures were overwhelmed to some extent by the increase in patronage. Despite the greater numbers, there appeared to be more ‘wandering about’ and ‘table-hopping’ by patrons, but without any increase in bumping or shoving. There were few changes in entertainment and recreation. Generally food was more available—an important change in the context of a move to responsible serving practices—but it was still only visible in two-thirds of visits in 1996. Most patrons appeared to be ‘regulars’ or were ‘out for a big night’, and there was an increase in these categories in 1996. Individual ‘cheerfulness’ and ‘friendliness’ were also rated as mainly medium or high in both years for men and women, although it seems that women especially were enjoying themselves more in 1996. The ‘decorum expectations of management’ increased markedly, with improvements particularly apparent in sexual activities and in negative interchanges between patrons. The most overt sexual behaviours (such as ‘heavy necking’ and ‘flagrant fondling’—by males or females) became much less common, but the more flirtatious ‘checking out’ or ‘chatting up’ activities by men (and to a lesser extent women) increased in frequency [terms such as ‘heavy necking’ or ‘flagrant fondling by females’ were coined by the students who developed the original observation schedule in the Sydney research. They have stood the test of time as reliable ways of assessing patron sexual activity in diverse settings, and are not meant to be pejorative or reflect value judgements]. Sexual competition also declined, reducing the intensity of one possible factor in aggressive and violent incidents [2]. Consistent with a less permissive environment was the trend to lower levels of rowdiness, swearing and ‘group territoriality’ among both men and women. Patron characteristics. There were few changes, despite increases in numbers and in crowding. ID checks reduced patrons of high school age, but for some reason Pacific Islanders also reduced in number (from 4.3% to 1.9% of patrons). There were declines in both small and large crowds, but an increase in patrons on their own. 24 Ross Homel et al. Table 2. Selected statistically significant changes in the social environment of venues in the three cities combined, 1994 and 1996 (p 5 0.05) Variable Overall comfort High (very comfortable) Medium (moderate comfort) Low (little comfort) None (uncomfortable) Bar crowding High Medium Low None Table-hopping Yes No Band as entertainment/recreation Yes No Heavy metal music present Yes No Food—small snacks Yes No Food—hot snacks Yes No Decorum expectations of management High Moderate Permissive Very permissive No sexual activity by males Yes No Checking out behaviour by males Yes No Heavy necking, touching by males Yes No No sexual activity by females Yes No Heavy necking, touching by females Yes No Flagrant fondling by females Yes No Individual ‘cheerfulness’ of females High Medium Low None Social ‘friendliness’ of females High Medium Low None 1994 (n = 83) % or meana 1996 (n = 116) % or meana 25.7 51.4 14.9 8.1 14.8 69.6 14.8 0.9 21.6 28.4 40.5 9.5 21.7 42.6 20.0 15.7 20.7 79.3 34.5 65.5 24.1 75.9 41.4 58.6 4.8 95.2 19.0 81.0 24.1 75.9 51.7 48.3 6.0 94.0 15.5 84.5 6.8 35.6 38.4 19.2 56.5 56.5 22.6 3.5 10.8 89.2 24.1 75.9 55.4 44.6 73.3 26.7 36.1 63.9 18.1 81.9 13.3 86.7 35.3 64.7 34.9 65.1 14.7 85.3 18.1 81.9 5.2 94.8 28.4 55.4 14.9 1.4 48.2 43.0 7.0 1.8 16.2 62.2 18.9 2.7 40.2 44.7 13.2 1.8 pb Gamma or effect sizec 0.009 0.03 0.01 0.09 0.04 0.34 0.01 0.38 0.004 0.64 0.00009 0.54 0.04 0.48 0.00004 0.53 0.02 0.45 0.009 0.38 0.004 0.44 0.0005 0.56 0.0008 0.52 0.003 0.60 0.03 0.36 0.007 0.39 (continued overleaf ) Making licensed venues safer for patrons Table 2. Variable Swearing females High Medium Low None Swearing males High Medium Low None 25 (continued ) 1994 (n = 83) % or meana 1996 (n = 116) % or meana 12.2 16.2 29.7 41.9 3.5 8.8 28.9 58.8 17.6 27.0 27.0 28.4 5.3 17.5 34.2 43.0 pb Gamma or effect sizec 0.02 0.38 0.008 0.35 a For some variables, missing values reduce the sample size. Percentages are reported for ordinal variables, and mean values (usually mean percentages) are presented for numerical variables. The transitions from percentages to means are shown at various points in the tables. b The test of statistical significance is Pearson’s w2 for ordinal data, and the Mann – Whitney test for numerical data. c Gamma is presented for ordinal variables, and the effect size (difference between means divided by the pooled standard deviation) for numerical variables. Both statistics measure the magnitude of the change in the variable. Bar staff. Bar staff became much friendlier (‘friendly’ rating: 44.6 – 67.2%; ‘hostile and rude’ rating: 6.8 – 0.9%), they were better matched with patrons in terms of gender ratios, and were more likely to be dressed in the house uniform (43.2 – 61.9%). Identification with explicit house policies and the Code of Practice, symbolized by the use of uniforms, may have assisted in the move to less permissive practices with respect to deviant patron behaviour, although the need to deal with such behaviour apparently reduced in 1996. However, the need to deal with aggressive behaviour apparently did not change, being observed in about 19% of visits in both years, and nor did the rated abilities of bar staff in this respect. Alcohol and drug consumption (Table 3). Neither male nor female drinking rates appeared to decline, and nor did female drunkenness decline significantly, but the incidence of male drunkenness—particularly at ‘high’ levels—reduced sharply. The percentage of visits with high levels of male drunkenness declined from 40.2% to 13.8%, while the percentage with low or no male drunkenness increased from 26.8% to 42.2%. These results imply that staff intervened in a firm way when serving men, in order to prevent intoxication. Because of this intervention, high drinking rates were less likely to lead to visible intoxication. Neither cover charges nor the cost of drinks appeared to change. Given the evidence for moderate increases in patronage between 1994 and 1996, this suggests that the introduction of the Code of Practices did not make the establishments any less profitable. Evidence of drug consumption was noted in about a quarter of all visits, with only a small reduction between 1994 and 1996. Host responsibility (Table 3). Methods for dealing with intoxicated people improved, with intervention by staff in at least some cases rising from 30.4% to 53.3%. Techniques that showed statistically significant changes included delaying service, offering alternatives, denying service and calling management. Publicity to patrons improved, with an increase in the use of underage drinking warnings, Patron Care signs and other forms of publicity. Promotion of consumption also declined: topping up or filling empty glasses was not observed at all in 1996; ‘happy hours’ nearly halved in frequency; promotion of specific drinks and the use of gimmicks halved. Interventions with intoxicated patrons included refusal of service and asking for age identification (both up from 1.8% to 20.0% of relevant incidents), but several other possible strategies, such as offering nonalcoholic drinks, food or alternative transport were not used at all in either year, suggesting that there was still considerable room for improvement. New analyses of the north Queensland Safety Action data Regression techniques were used to identify factors that best explained the declines in aggression and violence in north Queensland (Fig. 1). The visit was the unit of analysis (n = 199, 83 in 1994 and 116 in 1996). Results from the three sites were similar and were combined. The focus was on physical violence (observed in eight visits in 1994 and two in 1996; p = 0.012) and all forms of non-physical aggression (23 visits in 1994 and 22 in 26 Ross Homel et al. Table 3. Selected statistically significant changes in alcohol consumption and host responsibility in venues in the three cities combined, 1994 and 1996 (p 5 0.05) Variable Drunkenness: males High Medium Low None Types of drinks consumed: males % Beer % Light beer % Soft drinks % Water Publicity to clientele Under-age drinking warning Yes No Publicity to clientele House policy notice Yes No Promotion of consumption Top up/replace or fill empty glasses Yes No Promotion of consumption Gimmicks Yes No Staff intervention with highly intoxicated patrons In every case Sometimes No intervention No highly intoxicated patrons Nature of intervention Refusal of service Yes No Response to intoxicated and ordering Patrons Appropriate service Yes Sometimes No Service delay Yes Sometimes No Offer of an alternative Yes Sometimes No 1994 (n = 83) % or meana 1996 (n = 116) % or meana 40.2 32.9 18.3 8.5 13.8 44.0 31.0 11.2 mean = 54.9 1.0 0.5 0.4 mean = 47.4 4.8 3.0 2.9 28.9 71.1 51.7 48.3 32.5 67.5 7.2 92.8 27.7 72.3 pb Gamma or effect sizec 0.0004 0.38 0.05 0.0007 0.0009 0.0008 0.001 0.30 0.54 0.46 0.39 0.45 0.02 0.37 0.003 1.0 0.02 0.38 0.0001 0.27 0.002 0.86 0.01 0.43 0.0001 0.71 0.02 1.0 18.1 81.9 0 100 14.7 85.3 1.2 19.3 47.0 32.5 5.6 16.7 19.4 58.3 1.8 98.2 20.0 80.0 47.4 17.1 35.5 72.1 8.8 19.1 5.6 2.8 91.7 16.7 22.7 60.6 0.0 0.0 100.0 6.7 3.3 90.0 (continued overleaf ) Making licensed venues safer for patrons Table 3. Variable Service denied Yes Sometimes No Management called Yes Sometimes No 1994 (n = 83) % or meana 27 (continued ) 1996 (n = 116) % or meana 1.4 0.0 98.6 7.5 16.4 76.1 2.7 0.0 97.3 4.8 7.9 87.3 pb Gamma or effect sizec 0.0002 0.90 0.04 .65 a For some variables, missing values reduce the sample size. Percentages are reported for ordinal variables, and mean values (usually mean percentages) are presented for numerical variables. The transitions from percentages to means are shown at various points in the tables. b The test of statistical significance is Pearson’s w2 for ordinal data, and the Mann – Whitney test for numerical data. c Gamma is presented for ordinal variables, and the effect size (difference between means divided by the pooled standard deviation) for numerical variables. Both statistics measure the magnitude of the change in the variable. 1996; p = 0.048). Logistic regressions were used for the physical violence data and ordinary least squares for non-physical aggression (total incidents per visit of arguments, challenges or threats and verbal abuse). Repeated-measures techniques were not appropriate, as many venues changed radically through refurbishments or extensions in the 2-year period, a few closed down and many others opened up. The first step was to test, one by one, all environmental factors that changed over time for their capacity to make the year effect for violence or aggression nonsignificant. Thus each factor that showed a statistically significant change was fitted as a covariate, followed by year. The dependent variable was either violence (1 = one or more incidents; 0 = no incidents) or aggression (ranging from 0 to 6 incidents per visit). A large number of tests were conducted in this stage, especially because many variables had missing values and various recodings were tried to maintain a sample size close to 199 (including the creation of nominal scales with a missing values category). The second step involved putting the surprisingly small number of candidates from the first step together in a regression model (with year), in order to arrive at a minimal subset of factors that thoroughly explained (in a statistical sense) the declines in aggression and violence. For reduced physical violence, four key predictors at the first stage were identified. These were overall comfort (p = 0.050 for year, adjusted); availability of public transport (p = 0.058 for year, adjusted); ‘flagrant fondling by females’ (p = 0.065 for year, adjusted); and level of male drunkenness (p = 0.058 for year, adjusted). Interestingly, none of these factors was individually decisive. However, various combinations of these four variables clearly ‘washed out’ the year effect in the second stage. The model with all four variables is shown in Table 4, although virtually any subset of at least two variables would suffice to ‘explain’ the year effect. It is also necessary to keep in mind that with only 10 visits in which physical violence was recorded, fitting a model with six predictors entails a high degree of statistical instability, so that relatively little weight should be placed on specific p-values or regression coefficients. For reduced aggression, 25 key predictors at the first stage were identified, many more than for assaults, reflecting the more frequent occurrence of non-physical aggression. Forward stepwise regression was used to identify the subset most strongly related to aggression, and these were then fitted as covariates, with year added. Results are shown in Table 5. How should the ‘calling management with intoxicated and ordering patrons’ be interpreted? Other analyses suggest that the predictive power of this variable reflects having to deal with intoxicated patrons as opposed to having few drunks on the premises, but none of the measures of actual intoxication worked as well as calling management. In other words, the variable is a surrogate for the number of intoxicated patrons. The lack of chairs with armrests seems to be serving as an indicator of the importance of comfortable places to sit, so taps into the general dimension of comfort. The most critical thing to note is that year became clearly non-significant when the four patron and environmental factors were fitted first. As with assaults, two or more of these factors was sufficient to statistically explain the year effect. It is also important to note that, not surprisingly, aggression was a strong predictor of assaults (r = 0.53), and that if aggression is fitted as a covariate with assaults as dependent variable, the p-value for year drops to 0.071. This suggests that assaults could be reduced by directly focusing on the 28 Ross Homel et al. predictors in Table 4, or indirectly by focusing on the predictors in Table 5. Discussion Although very many features of the social and physical environments of licensed venues changed after the intervention, the regression analyses suggest that a relatively small number of factors operating across disparate domains might be critical to reductions in the rates of aggression and violence. These factors include the serving and consumption of alcohol, physical comfort, the degree of overall ‘permissiveness’ in the establishment, the availability of public transport, and aspects of ‘the ethnic mix’ of patrons. It is noteworthy that these factors are similar to those identified as correlates of aggression in previous studies over a 20year period in Canada and Australia [2,10,11,13]. This suggests that the findings are not restricted in their relevance to one place or time period. The regression analyses are consistent with our hypothesis that if one concentrated only on the control of drinking, reductions in aggression and violence would not be as great as could be achieved if a more holistic approach were adopted. Key aspects of drinking patterns seem to be high levels of male drunkenness and intoxicated patrons causing so much trouble that calling management is necessary. Thus the analysis helps to sharpen the focus of programmes designed to modify alcohol consumption: whatever controls are desired on overall levels of consumption, it is essential that the number of very drunk and troublesome males be kept to a minimum. The civilizing impact of physical comfort is consistent with the early qualitative research conducted in Sydney [3]. However, not all indicators of comfort moved in a consistent direction (see Tables 1 and 2), with evidence of deterioration in some respects. This perhaps reflected a conflict between increased patronage and venue comfort. Nevertheless, the importance of comfortable seating being available was clear, a conclusion that will come as no surprise to those who have spent many hours in clubs and hotels. Patron behaviour, in the form of overt expressions of sexual activity and high levels of swearing by men, seem to reflect a generally permissive environment. The link between permissiveness and violence makes a lot of intuitive sense, since if management have an ‘anything goes’ attitude it is not surprising that violence and aggression occur. It is noteworthy that venues improved greatly in these respects after the intervention, and that casual, non-offensive sexual activity increased substantially, together with overall levels of friendliness and cheerfulness, especially as expressed by women. Venues Table 4. Logistic regression model of critical environmental factors explaining the year effect for physical violence B Standard error df p 7 2.51 7 1.23 7 0.85 7 1.95 1.36 7 0.10 197.40 1.12 1.23 0.55 0.92 1.10 0.49 971.74 2 1 1 1 1 1 1 1 0.054 0.025 0.320 0.429 0.033 0.215 0.839 0.839 Variable Comfort Very, moderately comfortable (relative to missing value)a Little or no comfort (relative to missing value)a Male drunkenness (1 = high; 2 = medium; 3 = low; 4 = none) Flagrant female fondling (1 = yes; 2 = no) Public transport available (1 = yes; 2 = no) Year (1 = 1994; 2 = 1996) Constant a These variables were dummy coded. Table 5. Ordinary least squares regression model of critical environmental factors explaining the year effect for non-physical aggression Variable Percentage of Pacific Islander patrons (0 – 30%) Male swearing (1 = high; 2 = medium; 3 = low; 4 = none) Call management with intoxicated and ordering patrons (1 = yes; 2 = sometimes; 3 = no/missing) Chairs with armrests (1 = yes; 2 = no/missing) Year (1 = 1994; 2 = 1996) Constant B t Beta p 4.94 7 0.21 7 0.43 3.72 7 3.15 7 2.34 0.26 7 0.22 7 0.16 0.000 0.002 0.020 0.30 7 0.02 39.59 2.21 7 0.28 0.29 0.15 7 0.02 0.029 0.784 0.775 Making licensed venues safer for patrons seem to have become more civil and certainly more female-friendly, with consequent benefits for safety. Importantly, these processes do not simply reflect the effects of alcohol or drunkenness, as they had independent effects in explaining reductions in aggression. The availability of public transport also makes a great deal of sense, given the number of incidents we have witnessed in the streets and on taxi ranks involving patrons trying to find a way home in the early hours of the morning. In the north Queensland cities the ready availability of public transport leaped from 1.4% of visits in 1994 to 21.7% in 1996 although transport provided by venues themselves did not improve at all, highlighting the importance of involving local authorities and communities in these interventions. A puzzling outcome of the regression analyses was the finding that reducing the percentage of Pacific Islander patrons was important in explaining the reduction in non-physical aggression. This issue is more fully discussed by Homel & Clarke [10] in an analysis of data from Sydney licensed venues where exactly the same relationship was observed. The phenomenon does appear to be real and may reflect culturally approved behavioural strategies for dealing with conflict. This hypothesis requires more research. It would not be wise to use the results of these analyses as an infallible guide to regulatory practice. Incidents of aggression and violence are (fortunately) relatively rare, and the statistical models must therefore work within a circumscribed predictive space. Moreover, although the analysis of concomitant changes in indicators of environmental and behavioural processes is an improvement on analyses of data collected at a single time, such a strategy still falls short of experimental designs in probative value. Indeed, a sensible research strategy would be to now devise a series of experiments based on the findings of this paper, probing the power of improved comfort, reduced permissiveness and so on, to effect improvements in patron safety. Such experiments would require the active cooperation of licensees and perhaps of the regulatory authorities, but would be a useful tool for strengthening the ecological and systems approach that we and others advocate (e.g. [15]). The trick is to mobilize resources at the three levels of the responsive regulatory model while maintaining a sharp focus on the problem as it actually is, not as we imagine it to be. Acknowledgements The research in this report was supported by the Queensland Department of Health and the Queensland 29 Police Service: National Campaign Against Drug Abuse Law Enforcement Fund, and by the Criminology Research Council. References [1] Babor T, Caetano A, Casswell S et al. No ordinary commodity: alcohol and public policy. Oxford: Oxford University Press, 2003. [2] Graham K, Homel R. Creating safer bars. In: Plant M, Single E, Stockwell T, eds. Alcohol: minimizing the harm. London: Free Association Press, 1997:171 – 92. [3] Homel R, Tomsen S, Thommeny J. Public drinking and violence: not just an alcohol problem. J Drug Issues 1992;22:679 – 97. [4] Power M. The audit society: rituals of verification. Oxford: Oxford University Press, 1997. [5] Stockwell T, ed. Alcohol misuse and violence: an examination of the appropriateness and efficacy of liquor licensing laws across Australia. Report no. 5. Canberra: Commonwealth of Australia, 1994. [6] Hauritz M, Homel R, McIlwain G, Burrows T, Townsley M. Reducing violence in licensed venues through community safety action projects: the Queensland experience. Contemp Drug Problems 1998;25:511 – 51. [7] Homel R. Review of T. Stockwell, ed. An examination of the appropriateness and efficacy of liquor-licensing laws across Australia. Canberra: Australian Government Printing Service. Addiction 1996;91:1231 – 3. [8] Homel R, McIlwain G, Carvolth R. Creating safer drinking environments. In: Heather N, Peters TJ, Stockwell T, eds. International handbook of alcohol dependence and problems. Chichester: John Wiley & Sons, 2001:721 – 40. [9] Hauritz M, Homel R, Townsley M, Burrows T, McIlwain G. An evaluation of the Local Government Safety Action Projects in Cairns, Townsville and Mackay: a report to the Queensland Department of Health, the Queensland Police Service and the Criminology Research Council. Brisbane: Centre for Crime Policy and Public Safety, Griffith University, 1998. [10] Homel R, Clark J. The prediction and prevention of violence in pubs and clubs. Crime Prevention Studies 3. Monsey, NY: Criminal Justice Press, 1994:1 – 46. [11] Homel R, Hauritz M, Wortley R, McIlwain G, Carvolth R. Preventing alcohol-related crime through community action: the Surfers Paradise Safety Action project. In: Homel R, ed. Policing for Prevention: Reducing Crime, Public Intoxication, and Injury. Crime Prevention Studies 7. Monsey, NY: Criminal Justice Press, 1997:35 – 90. [12] Ayres I, Braithwaite J. Responsive regulation: transcending the deregulation debate. New York: Oxford University Press, 1992. [13] Graham K, LaRocque L, Yetman R, Ross TJ, Guistra E. Aggression and barroom environments. J Stud Alcohol 1980;41:277 – 92. [14] Lincoln R, Homel R. Alcohol and youthful rites of passage. In: Williams P, ed. Alcohol, young persons and violence. Canberra: Australian Institute of Criminology, 2001:47 – 60. [15] Holder HD. Alcohol and the Community: a Systems Approach. Cambridge: Cambridge University Press, 1998. S LT D 230104 T YP Manuscript No. ES E TT UE CDAR Drug and Alcohol Review Typeset by Elite Typesetting for Author IN G T EC H NI Q www.elitetypesetting.com Editor Master Publisher QUERIES: to be answered by AUTHOR AUTHOR: The following queries have arisen during the editing of your manuscript. Please answer the queries by marking the requisite corrections at the appropriate positions in the text. QUERY DETAILS QUERY NO. No queries QUERY ANSWERED
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