Firearm violence is a leading cause of morbidity and mortality among young men in the US. While an association of alcohol availability with violence is well established, the mechanisms through which it operates are unclear, and the role of alcohol availability in firearm violence specifically is less often studied. In this study we examined the effects of off-premises alcohol outlet characteristics on firearm violence in their immediate environs in Milwaukee, Wisconsin. Firearm violence was 1.5–3 times higher in areas near off-premises retail alcohol outlets, with levels on the higher end of the range when outlets possessed certain characteristics, specifically graffiti, greater foot traffic, loitering, or younger clientele. Examining alcohol outlet characteristics provides insight into mechanisms driving the alcohol-violence association and may aid in harm reduction.
AlpertH. R.SlaterM. E.YoonY. H.ChenC. M.WinstanleyN.EsserM. B. (2022). Alcohol consumption and 15 causes of fatal injuries: A systematic review and meta-analysis. American Journal of Preventive Medicine, 63(2), 286–300. https://doi.org/10.1016/j.amepre.2022.03.025
2.
AndersonE. (2003). A place on the corner. University of Chicago Press.
3.
AndresenM. A. (2007). Location quotients, ambient populations, and the spatial analysis of crime in Vancouver, Canada. Environment & Planning A: Economy and Space, 39(10), 2423–2444. https://doi.org/10.1068/a38187
4.
AndresenM. A. (2014). The science of crime measurement: Issues for spatially-referenced crime data. Routledge.
5.
BaborT. F.CasswellS.GrahamK.HuckleT.LivingstonM.ÖsterbergE.RehmJ.RoomR.RossowI.SornpaisarnB. (2022). Alcohol: No ordinary commodity: Research and public policy. Oxford University Press.
6.
BlockR. L.BlockC. R. (1995). Space, place and crime: Hot spot areas and hot places of liquor-related crime. Crime and Place, 4(2), 145–184.
7.
BragaA. A. (2022). Gun violence is a public health crisis that needs more applied criminologists. Criminology & Public Policy, 21(4), 811–837. https://doi.org/10.1111/1745-9133.12608
8.
BranasC. C. (2014). Alcohol & firearms: Research, gaps in knowledge, and possible interventions. In Institute of medicine's forum on global violence prevention. (December).
9.
BranasC. C.ElliottM. R.RichmondT. S.CulhaneD. P.WiebeD. J. (2009). Alcohol consumption, alcohol outlets, and the risk of being assaulted with a gun. Alcoholism: Clinical and Experimental Research, 33(5), 906–915. https://doi.org/10.1111/j.1530-0277.2009.00912.x
BranasC. C.RichmondT. S.Ten HaveT. R.WiebeD. J. (2011). Acute alcohol consumption, alcohol outlets, and gun suicide. Substance Use & Misuse, 46(13), 1592–1603. https://doi.org/10.3109/10826084.2011.604371
12.
BrantinghamP. L.BrantinghamP. J. (1998). Mapping crime for analytic purposes: Location quotients, counts, and rates. Crime Mapping and Crime Prevention (8, pp. 263–288).
BuggsS. A.Kravitz-WirtzN. D.LundJ. J. (2022). Social and structural determinants of community firearm violence and community trauma. The Annals of the American Academy of Political and Social Science, 704(1), 224–241. https://doi.org/10.1177/00027162231173324
15.
CarterP. M.WaltonM. A.GoldstickJ.Epstein-NgoQ. M.ZimmermanM. A.MercadoM. C.WilliamsA. G.CunninghamR. M. (2017). Violent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysis. Preventive Medicine, 102, 112–119. https://doi.org/10.1016/j.ypmed.2017.07.011
ChanY.WalmsleyR. P. (1997). Learning and understanding the Kruskal-Wallis one-way analysis-of-variance-by-ranks test for differences among three or more independent groups. Physical Therapy, 77(12), 1755–1761. https://doi.org/10.1093/ptj/77.12.1755
19.
City of Milwaukee Data Portal. (n. d). Milwaukee open data. City of Milwaukee Data Portal. https://data.milwaukee.gov/
20.
CohenL. E.FelsonM. (1979). Social change and crime rate trends: A routine activity approach. American Sociological Review, 44, 588–608.
21.
CouperI.JaquesK.ReidA.HarrisP. (2023). Placemaking and infrastructure through the lens of levelling up for health equity: A scoping review. Health & Place, 80, 102975. https://doi.org/10.1016/j.healthplace.2023.102975
22.
DalveK.GauseE.MillsB.FloydA. S.RivaraF. P.Rowhani-RahbarA. (2021). Neighborhood disadvantage and firearm injury: Does shooting location matter?Injury Epidemiology, 8, 1–9. https://doi.org/10.1186/s40621-021-00304-2
DongB.BranasC. C.RichmondT. S.MorrisonC. N.WiebeD. J. (2017). Youth's daily activities and situational triggers of gunshot assault in urban environments. Journal of Adolescent Health, 61(6), 779–785. https://doi.org/10.1016/j.jadohealth.2017.06.018
EricksonD. J.SmolenskiD. J.ToomeyT. L.CarlinB. P.WagenaarA. C. (2013). Do alcohol compliance checks decrease underage sales at neighboring establishments?Journal of Studies on Alcohol and Drugs, 74(6), 852–858. https://doi.org/10.15288/jsad.2013.74.852
27.
EscañoG. J.PridemoreW. A. (2024). Population-level alcohol consumption and homicide rates in Latin America: A fixed effects panel analysis, 1961–2019. British Journal of Criminology, 64(3), 656–674. https://doi.org/10.1093/bjc/azad056
GiesbrechtN.HuguetN.OgdenL.KaplanM. S.McFarlandB. H.CaetanoR.ConnerK. R.NolteK. B. (2015). Acute alcohol use among suicide decedents in 14 US states: Impacts of off premise and on premise alcohol outlet density. Addiction, 110(2), 300–307. https://doi.org/10.1111/add.12762
30.
GoodmanR. A.MercyJ. A.LoyaF.RosenbergM. L.SmithJ. C.AllenN. H.VargasL.KoltsR. (1986). Alcohol use and interpersonal violence: Alcohol detected in homicide victims. American Journal of Public Health, 76, 144–149. https://ajph.aphapublications.org/doi/abs/10.2105/AJPH.76.2.144.
GrahamK.BernardsS.OsgoodD. W.HomelR.PurcellJ. (2005). Guardians and handlers: The role of bar staff in preventing and managing aggression. Addiction, 100, 755–766. https://doi.org/10.1111/j.1360-0443.2005.01075.x
33.
GrahamK.BernardsS.OsgoodD. W.WellsS. (2006). Bad nights or bad bars? Multi-Level analysis of environmental predictors of aggression in late-night large-capacity bars and clubs. Addiction, 101, 1569–1580. https://doi.org/10.1111/j.1360-0443.2006.01608.x
34.
GrahamK.HomelR. (2012). Raising the bar. Routledge.
35.
GrahamK.La RocqueL.YetmanR.RossT. J.GuistraE. (1980). Aggression and barroom environments. Journal of Studies on Alcohol, 41, 277–292. https://doi.org/10.15288/jsa.1980.41.277
36.
GrahamK.LivingstonM. (2011). The relationship between alcohol and violence–population, contextual and individual research approaches. Drug and Alcohol Review, 30(5), 453. https://doi.org/10.1111%2Fj.1465-3362.2011.00340.x
GroffE.McCordE. S. (2012). The role of neighborhood parks as crime generators. Security Journal, 25, 1–24. https://doi.org/10.1057/sj.2011.1
39.
GrubesicT. H.PridemoreW. A. (2011). Alcohol outlets and clusters of violence. International Journal of Health Geographics, 10, 30. https://doi.org/10.1186/1476-072X-10-30
40.
GruenewaldP. J.FreisthlerB.RemerL.LaScalaE. A.TrenoA. (2006). Ecological models of alcohol outlets and violent assaults: Crime potentials and geospatial analysis. Addiction, 101, 666–677. https://doi.org/10.1111/j.1360-0443.2006.01405.x
41.
HerdD. (2011). Voices from the field: The social construction of alcohol problems in inner-city communities. Contemporary Drug Problems, 38(1), 7–39. https://doi.org/10.1177/009145091103800102
42.
HintzM. (2011). A spirited history of Milwaukee brews & booze. Arcadia Publishing.
43.
HockinS.RogersM. L.PridemoreW. A. (2018). Population-level alcohol consumption and national homicide rates. European Journal of Criminology, 15(2), 235–252. https://doi.org/10.1177/1477370817731042
44.
HohlB. C.KondoM. C.KajeepetaS.MacDonaldJ. M.TheallK. P.ZimmermanM. A.BranasC. C. (2019). Creating safe and healthy neighborhoods with place-based violence interventions. Health Affairs, 38(10), 1687–1694. https://doi.org/10.1377/hlthaff.2019.00707
45.
HorsefieldO. J.LightowlersC.GreenM. A. (2023). The spatial effect of alcohol availability on violence: A geographically weighted regression analysis. Applied Geography, 150, 102824. https://doi.org/10.1016/j.apgeog.2022.102824
46.
IsardW. (1966). Methods of regional analysis. Рипол Классик.
47.
JenningsJ. M.MilamA. J.GreinerA.Furr-HoldenC. D. M.CurrieroF. C.ThorntonR. J. (2014). Neighborhood alcohol outlets and the association with violent crime in one mid-Atlantic City: The implications for zoning policy. Journal of Urban Health, 91, 62–71. https://doi.org/10.1007/s11524-013-9821-z
48.
JohnsonT. H.SnowdenA. J. (2024). Neighborhood ecological models of alcohol outlet density and male–on–female domestic violence: Accounting for adjacent place and neighborhood characteristics. Journal of Drug Issues, 54(2), 185–201. https://doi.org/10.1177/00220426231159016
49.
JonesR. W.PridemoreW. A. (2019). Toward an integrated multilevel theory of crime at place: Routine activities, social disorganization, and the law of crime concentration. Journal of Quantitative Criminology, 35, 543–572. https://doi.org/10.1007/s10940-018-9397-6
50.
KruskalW. H.WallisW. A. (1952). Use of ranks in one-criterion variance analysis. Journal of the American Statistical Association, 47(260), 583–621. https://doi.org/10.1080/01621459.1952.10483441
51.
KuoM.WechslerH.GreenbergP.LeeH. (2003). The marketing of alcohol to college students: The role of low prices and special promotions. American Journal of Preventive Medicine, 25, 204–211. https://doi.org/10.1016/S0749-3797(03)00200-9
52.
LehtiM.SirénR. (2020). The impact of alcohol consumption on homicide: A time-series analysis of three nordic countries. European Journal of Criminology, 17(3), 352–369. https://doi.org/10.1177/1477370818802524
53.
LiptonR.GruenewaldP. (2002). The spatial dynamics of violence and alcohol outlets. Journal of Studies on Alcohol, 63(2), 187–195. https://doi.org/10.15288/jsa.2002.63.187
54.
LockeD. H.HallB.GroveJ. M.PickettS. T.OgdenL. A.AokiC.BooneC. G.O’Neil-DunneJ. P. (2021). Residential housing segregation and urban tree canopy in 37 US Cities. Npj Urban Sustainability, 1(1), 15. https://doi.org/10.1038/s42949-021-00022-0
55.
MacintyreS.HomelR. (1997). Danger on the dance floor: A study of the interior design, crowding and aggression in nightclubs. Crime Prevention Studies, 7, 91–113.
56.
MadensenT. D.EckJ. E. (2008). Violence in bars: Exploring the impact of place manager decision-making. Crime Prevention and Community Control, 10, 111–125. https://doi.org/10.1057/cpcs.2008.2
57.
MageeL. A. (2020). Community-level social processes and firearm shooting events: A multilevel analysis. Journal of Urban Health, 97(2), 296–305. https://doi.org/10.1007/s11524-020-00424-y
58.
McCordE. S.HouserK. A. (2017). Neighborhood parks, evidence of guardianship, and crime in two diverse US cities. Security Journal, 30, 807–824. https://doi.org/10.1057/sj.2015.11
MorrisonC.SmithK.GruenewaldP. J.PonickiW. R.LeeJ. P.CameronP. (2016). Relating off‐premises alcohol outlet density to intentional and unintentional injuries. Addiction, 111(1), 56–64. https://doi.org/10.1111/add.13098
63.
NaimiT. S.XuanZ.CooperS. E.ColemanS. M.HadlandS. E.SwahnM. H.HeerenT. C. (2016). Alcohol involvement in homicide victimization in the United States. Alcoholism: Clinical and Experimental Research, 40(12), 2614–2621. https://doi.org/10.1111/acer.13230
64.
PatelJ.Leach-KemonK.CurryG.NaghaviM.SridharD. (2022). Firearm injury—a preventable public health issue. The Lancet Public Health, 7(11), e976–e982. https://doi.org/10.1016/S2468-2667(22)00233-X
65.
PridemoreW. A. (2016). Hazardous drinking and violent mortality among males: Evidence from a population-based case-control study. Social Problems, 63(4), 573–589. https://doi.org/10.1093/socpro/spw018
66.
PridemoreW. A.ChamlinM. B. (2006). A time series analysis of the effects of heavy drinking on homicide and suicide rates in Russia, 1956-2002. Addiction, 101, 1719–1729. https://doi.org/10.1111/j.1360-0443.2006.01631.x
67.
PridemoreW. A.GrubesicT. H. (2012a). Community organization moderates the effect of alcohol outlet density on violence. British Journal of Sociology, 63(4), 680–703. https://doi.org/10.1111/j.1468-4446.2012.01432.x
68.
PridemoreW. A.GrubesicT. H. (2012b). A spatial analysis of the moderating effects of land use on the association between alcohol outlet density and violence in urban areas. Drug and Alcohol Review, 31, 385–393. https://doi.org/10.1111/j.1465-3362.2011.00329.x
69.
QuigleyB. M.LeonardK. E.CollinsR. L. (2003). Characteristics of violent bars and bar patrons. Journal of Studies on Alcohol, 64, 765–772. https://doi.org/10.15288/jsa.2003.64.765
70.
RaudenbushS. W.SampsonR. J. (1999). Ecometrics: Toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociological Methodology, 29, 1–41. https://doi.org/10.1111/0081-1750.00059
71.
RossowI.NorstromT. (2012). The impact of small changes in bar closing hours on violence: The Norwegian experience from 18 cities. Addiction, 107, 530–537. https://doi.org/10.1111/j.1360-0443.2011.03643.x
72.
SadlerR. C.WojciechowskiT. W.TrangensteinP.HarrisA.BuchalskiZ.Furr-HoldenD. (2023). Linking historical discriminatory housing patterns to the contemporary alcohol environment. Applied Spatial Analysis and Policy, 16(2), 561–581. https://doi.org/10.1007/s12061-022-09493-9
73.
SampsonR. J. (1986). Crime in cities: The effects of formal and informal social control. Crime & Justice: A Review of Research, 8, 271–311.
74.
SampsonR. J.RaudenbushS. W. (1999). Systematic social observation of public spaces: A new look at disorder in urban neighborhoods. American Journal of Sociology, 105, 603–651.
75.
SampsonR. J.RaudenbushS. W.EarlsF. (1997). Neighborhoods and violent crime: A multilevel study of collective efficacy. Science, 277(5328), 918–924. https://doi.org/10.1126/science.277.5328.918
76.
ScantlingD. R.HolenaD. N.KaufmanE. J.HynesA. M.HatchimonjiJ.ByrneJ. P.WiebeD.SeamonM. J. (2022). Modifiable factors related to firearm homicides: A broader view of our lane. Annals of Surgery, 278(2), e331–e340. https://doi.org/10.1097/sla.0000000000005535
77.
ScottJ.DanosD.CollinsR.SimonsenN.LeonardiC.ScribnerR.HerdD. (2020). Structural racism in the built environment: Segregation and the overconcentration of alcohol outlets. Health & Place, 64, 102385. https://doi.org/10.1016/j.healthplace.2020.102385
78.
ScottK. D.SchaferJ.GreenfieldT. K. (1999). The role of alcohol in physical assault perpetration and victimization. Journal of Studies on Alcohol and Drugs, 60, 528–536. https://doi.org/10.15288/jsa.1999.60.528
79.
SnowdenA. J. (2016). Neighborhood characteristics contribute to urban alcohol availability: Accounting for race/ethnicity and social disorganization. Journal of Ethnicity in Substance Abuse, 15(4), 346–366. https://doi.org/10.1080/15332640.2015.1073644
80.
SnowdenA. J. (2018). Alcohol availability and violence: A closer look at space and time. International Regional Science Review, 41(6), 657–678. https://doi.org/10.1177/0160017617745666
81.
SnowdenA. J. (2019). Exploring violence: The role of neighborhood characteristics, alcohol outlets, and other micro-places. Social Science Research, 82, 181–194. https://doi.org/10.1016/j.ssresearch.2019.04.018
SnowdenA. J.FreiburgerT. L. (2015). Alcohol outlets, social disorganization, and robberies: Accounting for neighborhood characteristics and alcohol outlet types. Social Science Research, 51, 145–162. https://doi.org/10.1016/j.ssresearch.2015.01.011
84.
SnowdenA. J.HockinS.PridemoreW. A. (2020). The neighborhood-level association between alcohol outlet density and female criminal victimization rates. Journal of Interpersonal Violence, 35(15-16), 2639–2662. https://doi.org/10.1177/0886260517719080
85.
SnowdenA. J.PridemoreW. A. (2013). Alcohol and violence in a nonmetropolitan college town: Alcohol outlet density, outlet type, and assault. Journal of Drug Issues, 43(3), 357–373. https://doi.org/10.1177/0022042613475788
86.
SnowdenA. J.PridemoreW. A. (2014). Off-premise alcohol outlet characteristics and violence. The American Journal of Drug and Alcohol Abuse, 40(4), 327–335. https://doi.org/10.3109/00952990.2014.918622
87.
SontateK. V.Rahim KamaluddinM.Naina MohamedI.MohamedR. M. P.ShaikhM. F.KamalH.KumarJ. (2021). Alcohol, aggression, and violence: From public health to neuroscience. Frontiers in Psychology, 12, 699726. https://doi.org/10.3389/fpsyg.2021.699726
88.
SpiekermannU. (2006). Marketing Milwaukee: Schlitz and the making of a national beer brand, 1880-1940. History, 90(2), 07.
89.
StarkR. (1987). Deviant places: A theory of the ecology of crime. Criminology, 25(4), 893–910.
90.
StockwellT.ChikritzhsT. (2009). Do relaxed trading hours for bars and clubs mean more relaxed drinking? A review of international research on the impacts of changes to permitted hours of drinking. Crime Prevention and Community Safety, 11, 153–170. https://doi.org/10.1057/cpcs.2009.11
91.
StockwellT.LangE.RydonP. (1993). High risk drinking settings: The association of serving and promotional practices with harmful drinking. Addiction, 88, 1519–1526. https://doi.org/10.1111/j.1360-0443.1993.tb03137.x
92.
TaylorR. B.HabermanC. P.GroffE. R. (2019). Urban park crime: Neighborhood context and park features. Journal of Criminal Justice, 64, 101622. https://doi.org/10.1016/j.jcrimjus.2019.101622
93.
TrangensteinP. J.EckR. H.LuY.WebsterD.JenningsJ. M.LatkinC.MilamA.Furr-HoldenD.JerniganD. H. (2020). The violence prevention potential of reducing alcohol outlet access in Baltimore, Maryland. Journal of Studies on Alcohol and Drugs, 81(1), 24–33. https://doi.org/10.15288/jsad.2020.81.24
94.
TrangensteinP. J.GrayC.RossheimM. E.SadlerR.JerniganD. H. (2020). Alcohol outlet clusters and population disparities. Journal of Urban Health, 97, 123–136. https://doi.org/10.1007/s11524-019-00372-2
WeissD. B.TestaA.Rennó SantosM. (2018). Hazardous alcohol drinking and cross-national homicide rates: The role of demographic, political, and cultural context. Journal of Drug Issues, 48(2), 246–268. https://doi.org/10.1177/0022042617750579
98.
WillnerP.RoweG. (2001). Alcohol servers’ estimates of young people’s ages. Drugs: Education, Prevention & Policy, 8, 375–383. https://doi.org/10.1080/09687630010019299
99.
WolfsonM.ToomeyT. L.MurrayD. M.ForsterJ. L.ShortB. J.WagenaarA. C. (1996). Alcohol outlet policies and practices concerning sale to underage people. Addiction, 91, 589–602. https://doi.org/10.1046/j.1360-0443.1996.91458913.x
100.
ZenkS. N.SchulzA. J.MentzG.HouseJ. S.GravleeC. C.MirandaP. Y.MillerP.KannanS. (2007). Inter-rater and test–retest reliability: Methods and results for the neighborhood observational checklist. Health & Place, 13(2), 452–465. https://doi.org/10.1016/j.healthplace.2006.05.003
