Document Detail

Neighborhood disadvantage and adult alcohol outcomes: differential risk by race and gender.
MedLine Citation:
PMID:  23036203     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We examined whether relationships of neighborhood disadvantage with drinker status, heavy drinking, alcohol-related consequences, and dependence differed by race and/or gender. We hypothesized that neighborhood disadvantage would be negatively associated with drinker status but positively associated with heavy and problem drinking, with more pronounced relationships among African American and Hispanic men than other groups.
METHOD: Data consisted of nationally representative, randomly selected, cross-sectional samples of White, African American, and Hispanic adults (N = 13,864, of which 52% were female; with 7,493 drinkers, of which 48% were female) from the 2000 and 2005 National Alcohol Surveys merged with 2000 Census data. Analyses included logistic and linear regression using weights to adjust for sampling and nonresponse.
RESULTS: Hypotheses were partly supported. Bivariate relationships were in the expected direction. Multivariate main effect models showed that neighborhood disadvantage was significantly associated with increased abstinence and marginally associated with increased negative consequences experienced by drinkers, but race/ethnicity and gender modified these associations. Disadvantage was significantly associated with increased abstinence for all groups except African American and Hispanic men. Among drinkers, disadvantage was significantly negatively associated with heavy drinking by Whites but significantly positively associated with heavy drinking by African Americans. Disadvantage also was associated with elevated alcohol-related consequences for White women and African American men.
CONCLUSIONS: The findings have implications for the development of targeted interventions to reduce the unequal impacts of neighborhood disadvantage on alcohol outcomes. Future research should examine the contribution of multiple types of disadvantage to heavy drinking and alcohol problems.
Katherine J Karriker-Jaffe; Sarah E Zemore; Nina Mulia; Rhonda Jones-Webb; Jason Bond; Thomas K Greenfield
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of studies on alcohol and drugs     Volume:  73     ISSN:  1938-4114     ISO Abbreviation:  J Stud Alcohol Drugs     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-10-05     Completed Date:  2013-01-11     Revised Date:  2014-11-05    
Medline Journal Info:
Nlm Unique ID:  101295847     Medline TA:  J Stud Alcohol Drugs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  865-73     Citation Subset:  IM    
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MeSH Terms
African Americans / statistics & numerical data*
Alcohol Drinking / epidemiology*
Alcoholism / epidemiology*
Cross-Sectional Studies
European Continental Ancestry Group / statistics & numerical data*
Health Surveys
Hispanic Americans / statistics & numerical data*
Middle Aged
Residence Characteristics
Risk Factors
Sex Characteristics*
United States / epidemiology
Vulnerable Populations / statistics & numerical data*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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