Neighborhood Ecological Models of Alcohol Outlet Density and Male–on–Female Domestic Violence: Accounting for Adjacent Place and Neighborhood Characteristics

Abstract

Alcohol availability is a consistent predictor of domestic violence, including intimate partner violence. Less is known about the effects of alcohol availability in neighboring units of analysis on domestic violence. This study examined whether alcohol outlet density in Milwaukee, Wisconsin is associated with Male-on-Female domestic violence (MFDV). Using block groups as the unit of analysis (N = 571), spatial regression models were estimated to model the relationship between the density of total, on-premise, and off-premise alcohol outlets on MFDV, while accounting for the spatial spillover effect (i.e., alcohol availability and neighborhood characteristics in focal and surrounding block groups). At the focal level, off-premise alcohol outlets are associated with MFDV, net of concentrated disadvantage, lack of health insurance, MFDV lag and total population. Additionally, off-premise alcohol outlet density in surrounding units of analysis is a significant predictor of MFDV. However, total and on-premise densities did not demonstrate a relationship with MFDV.