Alcohol Retail Density and Demographic Predictors of Health Disparities: A Geographic Analysis
- 1 October 2010
- journal article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 100 (10), 1967-1971
- https://doi.org/10.2105/ajph.2009.170464
Abstract
Objectives. We examined whether the geographic density of alcohol retailers was greater in geographic areas with higher levels of demographic characteristics that predict health disparities. Methods. We obtained the locations of all alcohol retailers in the continental United States and created a map depicting alcohol retail outlet density at the US Census tract level. US Census data provided tract-level measures of poverty, education, crowding, and race/ethnicity. We used multiple linear regression to assess relationships between these variables and retail alcohol density. Results. In urban areas, retail alcohol density had significant nonlinear relationships with Black race, Latino ethnicity, poverty, and education, with slopes increasing substantially throughout the highest quartile for each predictor. In high-proportion Latino communities, retail alcohol density was twice as high as the median density. Retail alcohol density had little or no relationship with the demographic factors of interest in suburban, large town, or rural census tracts. Conclusions. Greater density of alcohol retailers was associated with higher levels of poverty and with higher proportions of Blacks and Latinos in urban census tracts. These disparities could contribute to higher morbidity in these geographic areas.Keywords
This publication has 18 references indexed in Scilit:
- An Ecological Assessment of the Population and Environmental Correlates of Childhood Accident, Assault, and Child Abuse InjuriesAlcohol: Clinical and Experimental Research, 2008
- Alcohol outlet density, perceived availability and adolescent alcohol use: a multilevel structural equation modelJournal of Epidemiology and Community Health, 2008
- Alcohol Availability and Neighborhood Characteristics in Los Angeles, California and Southern LouisianaJournal of Urban Health, 2008
- The spatial ecology of alcohol problems: niche theory and assortative drinkingAddiction, 2007
- Exploring the Spatial Dynamics of Alcohol Outlets and Child Protective Services Referrals, Substantiations, and Foster Care EntriesChild Maltreatment, 2007
- Ecological models of alcohol outlets and violent assaults: crime potentials and geospatial analysisAddiction, 2006
- Outlets, drinking and driving: a multilevel analysis of availability.Journal of Studies on Alcohol, 2002
- Health risk and inequitable distribution of liquor stores in African American neighborhoodSocial Science & Medicine, 2000
- Evidence of a Structural Effect for Alcohol Outlet Density: A Multilevel AnalysisAlcohol: Clinical and Experimental Research, 2000
- Alcohol Availability and Alcohol‐Related Problems in 213 California CitiesAlcohol: Clinical and Experimental Research, 1983