Question听 What is the association of a state-mandated reduction of the number of hours when bars/taverns may sell or serve alcohol with prevention of violent crime near these outlets?

Findings听 This interrupted time series analysis of 13 bars/taverns in Baltimore, Maryland, found that reducing hours of alcohol sales from 6 am to 2 am to 9 am to 10 pm was associated with a 14% immediate decrease and 29% annual decrease in all violent crime compared with control areas. Furthermore, homicide and assault rates dropped by 48% and 31% annually, respectively.

Meaning听 These findings suggest that statutory restriction of hours of alcohol sales for bars/taverns may serve as a model for other cities looking to create safer neighborhoods.

Importance听 It is well established that alcohol outlets (ie, places that sell alcohol) attract crime, particularly during late-night hours.

Objective听 To evaluate the association of Maryland Senate Bill 571 (SB571), which reduced the hours of sale for bars/taverns in 1 Baltimore neighborhood from 6 am to 2 am to 9 am to 10 pm, with violent crime within that neighborhood.

Design, Setting, and Participants听 This controlled interrupted time series analysis compared the change in violent crime density within an 800-ft buffer around bars/taverns in the treatment neighborhood (ie, subject to SB571) and 3 control areas with a similar mean baseline crime rate, alcohol outlet density, and neighborhood disadvantage score in the City of Baltimore between May 1, 2018, and December 31, 2022. The interrupted time series using Poisson regression with overdispersion adjustment tested whether the violent crime density differed before vs after the policy change in the treatment neighborhood and whether this difference was localized to the treatment neighborhood.

Exposure听 Statutory reduction of bar/tavern selling hours from 20 to 13 hours per day in the treatment neighborhood.

Main Outcomes and Measures听 The primary outcome was all violent crime, including homicide, robbery, aggravated and common assault, and forcible rape. Secondary outcomes were homicides and assaults. All violent crime measures summed the monthly incidents within 800 ft of bars/taverns from 8 pm to 4 am. For each outcome, a level change estimated the immediate change (first month after implementation), and a slope change estimated the sustained change after implementation (percent reduction after the first month). These level and slope changes were then compared between the treatment and control neighborhoods.

Results听 The treatment neighborhood included 13 bars/taverns (mean [SD] population, 528.3 [291.6] residents), and the control neighborhoods included 52 bars/taverns (mean [SD] population per census block, 809.0 [416.0] residents). There was a 14% immediate level decrease in density of all violent crimes the month after implementation of SB571; further, compared with the control neighborhoods, the slope of all violent crime density decreased by 29% per year in the treatment neighborhood after SB571 implementation (annualized incidence rate ratio, 0.71; 95% CI, 0.52-0.97; P鈥�=鈥�.03). Similar results were seen for homicides and assaults. Several sensitivity analyses supported the robustness of these results.

Conclusions and Relevance听 This study鈥檚 findings suggest that alcohol policies that reduce hours of sale could be associated with a reduction in violent crimes. Given these findings, SB571 may serve as a model for other cities looking to create safer neighborhoods.