Document Detail


The impact of alcohol outlet density on the geographic clustering of underage drinking behaviors within census tracts.
MedLine Citation:
PMID:  21463343     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The regulation of alcohol outlet density has been considered as a potential means of reducing alcohol consumption and related harms among underage youth. Whereas prior studies have examined whether alcohol outlet density was associated with an individual's alcohol consumption and related harms, this study examines whether it is related to the co-occurrence, or clustering, of these behaviors within geographic areas, specifically census tracts.
METHODS: The Enforcing Underage Drinking Laws Randomized Community Trial provided cross-sectional telephone survey data in 2006 and 2007 from 10,754 youth aged 14 to 20 from 5 states residing in 1,556 census tracts. The alternating logistic regression approach was used to estimate pairwise odds ratios between responses from youth residing in the same census tract and to model them as a function of alcohol outlet density.
RESULTS: Riding with a drinking driver, making an alcohol purchase attempt, and making a successful alcohol purchase attempt clustered significantly within census tracts with the highest off-premise alcohol outlet density while frequent drinking clustered within census tracts with the greatest on-premise density. Driving after drinking and experiencing nonviolent alcohol-related consequences clustered marginally within census tracts with the greatest on-premise and off-premise alcohol outlet density, respectively.
CONCLUSIONS: Although youth primarily receive alcohol from social sources, commercial alcohol access is geographically concentrated within census tracts with the greatest off-premise outlet density. A potentially greater concern is the clustering of more frequent drinking and drinking and driving within census tracts with the greatest on-premise outlet density which may necessitate alternative census tract level initiatives to reduce these potentially harmful behaviors.
Authors:
Beth A Reboussin; Eun-Young Song; Mark Wolfson
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-04-04
Journal Detail:
Title:  Alcoholism, clinical and experimental research     Volume:  35     ISSN:  1530-0277     ISO Abbreviation:  Alcohol. Clin. Exp. Res.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-25     Completed Date:  2012-01-23     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  7707242     Medline TA:  Alcohol Clin Exp Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  1541-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 by the Research Society on Alcoholism.
Affiliation:
Department of Biostatistical Sciences, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA. brebouss@wfubmc.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Alcohol Drinking / epidemiology*,  legislation & jurisprudence,  psychology
Censuses*
Central Nervous System Depressants / adverse effects
Cluster Analysis
Commerce
Cross-Sectional Studies
Databases, Factual
Ethanol / adverse effects
Female
Geography
Humans
Male
Restaurants / statistics & numerical data
Risk-Taking
United States
Young Adult
Grant Support
ID/Acronym/Agency:
AA016806/AA/NIAAA NIH HHS; R01 AA016806/AA/NIAAA NIH HHS; R01 AA016806-01A1/AA/NIAAA NIH HHS; R01 AA016806-02/AA/NIAAA NIH HHS; R01 AA016806-03/AA/NIAAA NIH HHS
Chemical
Reg. No./Substance:
0/Central Nervous System Depressants; 64-17-5/Ethanol
Comments/Corrections

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