Alcohol Availability and Neighborhood Poverty and Their Relationship to Binge Drinking and Related Problems Among Drinkers in Committed Relationships

Abstract

The authors examined the relationship of alcohol outlet density (AOD) and neighborhood poverty with binge drinking and alcohol-related problems among drinkers in married and cohabitating relationships and assessed whether these associations differed across sex. A U.S. national population couples survey was linked to U.S. Census data on AOD and neighborhood poverty. The 1,784 current drinkers in the survey reported on their binge drinking, alcohol-related problems, and other covariates. AOD was defined as the number of alcohol outlets per 10,000 persons and was obtained at the zip code level. Neighborhood poverty was defined as having a low (<20%) or high (≥20%) proportion of residents living in poverty at the census tract level. We used logistic regression for survey data to estimate odds ratios and 95% confidence intervals and tested for differences of associations by sex. Associations of neighborhood poverty with binge drinking were stronger for male than for female drinkers. The association of neighborhood poverty with alcohol-related problems was also stronger for men than for women. We observed no relationships between AOD and binge drinking or alcohol-related problems in this couples survey. Efforts to reduce binge drinking or alcohol-related problems among partners in committed relationships may have the greatest impact if targeted to male drinkers living in high-poverty neighborhoods. Binge drinking and alcohol-related problems, as well as residence in an impoverished neighborhood are risk factors for intimate partner violence (IPV) and other relationship conflicts.

Keywords

alcohol outlet density neighborhood poverty married/cohabitating drinkers binge drinking alcohol-related problems

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References

Adams Business Media. (1999). On-and off-premise retail outlets-1997. In Adams liquor handbook 1999 (pp. 308-309). New York, NY: Author.

Binder

D. A.

(1983). On the variances of asymptotically normal estimators from complex surveys. International Statistical Review/Revue Internationale de Statistique, 51, 279-292.

Caetano

Schafer

Cunradi

C. B.

(2001). Alcohol-related intimate partner violence among White, Black, and Hispanic couples in the United States. Alcohol Research & Health, 25, 58-65.

Cochran

W. G.

(1977). Simple random sampling. In Sampling techniques (3rd ed., pp. 18-44). New York, NY: John Wiley.

Cohen

D. A.

Ghosh-Dastidar

Scribner

Miu

Scott

Robinson

. . . Brown-Taylor

(2006). Alcohol outlets, gonorrhea, and the Los Angeles civil unrest: A longitudinal analysis. Social Science and Medicine, 62, 3062-3071.

Cunradi

C. B.

(2010). Neighborhoods, alcohol outlets, and intimate partner violence: Addressing research gaps in explanatory mechanisms. International Journal of Environmental Research and Public Health, 7, 799-813.

Cunradi

C. B.

Caetano

Clark

Schafer

(2000). Neighborhood poverty as a predictor of intimate partner violence among White, Black, and Hispanic couples in the United States: A multilevel analysis. Annals of Epidemiology, 10, 297-308.

Cunradi

C. B.

Caetano

Clark

C. L.

Schafer

(1999). Alcohol-related problems and intimate partner violence among White, Black and Hispanic couples in the United States. Alcoholism: Clinical and Experimental Research, 23, 1492-1501.

Distilled Spirits Council of the United States. (1996). Summary of state laws & regulations relating to distilled spirits. Washington, DC: Author.

10.

Ecob

Macintyre

(2000). Small area variations in health related behaviour: Do these depend on the behaviour itself, its measurement, or on personal characteristics? Health & Place, 6, 261-274.

11.

Ennett

S. T.

Flewelling

R. L.

Lindrooth

R. C.

Norton

E. C.

(1997). School and neighborhood characteristics associated with school rates of alcohol, cigarette, and marijuana use. Journal of Health and Social Behavior, 38, 55-71.

12.

Field

C. A.

Caetano

(2004). Ethnic differences in intimate partner violence in the U.S. general population: The role of alcohol use and socioeconomic status. Trauma Violence & Abuse, 5, 303-317.

13.

Galea

Ahern

Tracy

Vlahov

(2007). Neighborhood income and income distribution and the use of cigarettes, alcohol, and marijuana. American Journal of Preventive Medicine, 32, S195-S202.

14.

GeoLytics. (1998). CensusCD + Maps (2.0). East Brunswick, NJ: Author.

15.

Greenfield

T. K.

Room

(1997). Situational norms for drinking and drunkenness: Trends in the U.S. adult population, 1979-1990. Addiction, 92, 33-47.

16.

Gruenewald

P. J.

Freisthler

Remer

Lascala

E. A.

Treno

(2006). Ecological models of alcohol outlets and violent assaults: Crime potentials and geospatial analysis. Addiction, 101, 666-677.

17.

Gruenewald

P. J.

Johnson

F. W.

Treno

A. J.

(2002). Outlets, drinking, and driving: A multilevel analysis of availability. Journal of Studies on Alcohol, 63, 460-468.

18.

Gruenewald

P. J.

Ponicki

W. R.

Holder

H. D.

(1993). The relationship of outlet densities to alcohol consumption: A time series cross-sectional analysis. Alcoholism: Clinical and Experimental Research, 17, 38-47.

19.

Gruenewald

P. J.

Remer

(2006). Changes in outlet densities affect violence rates. Alcoholism: Clinical and Experimental Research, 30, 1184-1193.

20.

Herd

(1997). Racial differences in women’s drinking norms and drinking patterns: A national study. Journal of Substance Abuse, 9, 137-149.

21.

Hill

T. D.

Angel

R. J.

(2005). Neighborhood disorder, psychological distress, and heavy drinking. Social Science & Medicine, 61, 965-975.

22.

Jones-Webb

Snowden

Herd

Short

Hannan

(1997). Alcohol-related problems among Black, Hispanic, and White men: The contribution of neighborhood poverty. Journal of Studies on Alcohol, 58, 539-545.

23.

Karriker-Jaffe

K. J.

(2011). Areas of disadvantage: A systematic review of effects of area-level socioeconomic status on substance use outcomes. Drug and Alcohol Review, 30, 84-95.

24.

Karvonen

Rimpelä

A. H.

(1997). Urban small area variation in adolescents’ health behaviour. Social Science & Medicine, 45, 1089-1098.

25.

Koepsell

T. D.

Weiss

N. S.

(2003). Confounding and its control. In Epidemiologic methods (1st ed., pp. 247-280). New York, NY: Oxford University Press.

26.

Krieger

Chen

J. T.

Waterman

P. D.

Soobader

M. J.

Subramanian

S. V.

Carson

(2002). Geocoding and monitoring of US socioeconomic inequalities in mortality and cancer incidence: Does the choice of area-based measure and geographic level matter?: The public health disparities geocoding project. American Journal of Epidemiology, 156, 471-482.

27.

Krieger

Chen

J. T.

Waterman

P. D.

Soobader

M. J.

Subramanian

S. V.

Carson

(2003a). Choosing area based socioeconomic measures to monitor social inequalities in low birth weight and childhood lead poisoning: The public health disparities geocoding project (US). Journal of Epidemiology and Community Health, 57, 186-199.

28.

Krieger

Waterman

P. D.

Chen

J. T.

Soobader

M. J.

Subramanian

S. V.

(2003b). Monitoring socioeconomic inequalities in sexually transmitted infections, tuberculosis, and violence: Geocoding and choice of area-based socioeconomic measures—The public health disparities geocoding project (US). Public Health Reports, 118, 240-260.

29.

LaVeist

T. A.

Wallace

J. M.

Jr. (2000). Health risk and inequitable distribution of liquor stores in African American neighborhood. Social Science and Medicine, 51, 613-617.

30.

Leonard

K. E.

Eiden

R. D.

(2007). Marital and family processes in the context of alcohol use and alcohol disorders. Annual Review Clinical Psychology, 3, 285-310.

31.

Leventhal

Brooks-Gunn

(2003). Moving to opportunity: An experimental study of neighborhood effects on mental health. American Journal of Public Health, 93, 1576-1582.

32.

Maldonado

Greenland

(1993). Simulation study of confounder-selection strategies. American Journal of Epidemiology, 138, 923-936.

33.

McKinney

C. M.

Caetano

Harris

T. R.

Ebama

M. S.

(2009). Alcohol availability and intimate partner violence among US couples. Alcoholism: Clinical and Experimental Research, 33, 169-176.

34.

Morland

Wing

Diez Roux

Poole

(2002). Neighborhood characteristics associated with the location of food stores and food service places. American Journal of Preventive Medicine, 22, 23-29.

35.

National Institute on Alcohol Abuse and Alcoholism. (2004, Winter). NIAAA council approves definition of binge drinking. NIAAA Newsletter (No. 3, p. 3). Bethesda, MD: Author.

36.

National Institute on Alcohol Abuse and Alcoholism. (2006). Tables 1-5. Percent distribution of frequency of drinking 5 or more drinks for men or 4 or more drinks for women in a single day in the past year among current drinkers, by sex and age group, according to selected respondent characteristics, United States, 2001-2002. In Alcohol use and alcohol use disorders in the United States: Main findings from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NIH Pub. No. 05-5737, pp. 79-88). Bethesda, MD: Author. Retrieved from http://pubs.niaaa.nih.gov/publications/NESARC_DRM/tables/table1-5.htm

37.

Peterson

J. B.

Rothfleisch

Zelazo

P. D.

Pihl

R. O.

(1990). Acute alcohol intoxication and cognitive functioning. Journal of Studies on Alcohol, 51, 114-122.

38.

Pollack

C. E.

Cubbin

Ahn

Winkleby

(2005). Neighbourhood deprivation and alcohol consumption: Does the availability of alcohol play a role? International Journal of Epidemiology, 34, 772-780.

39.

Rao

J. N. K.

(2003). Small area estimation. Hoboken, NJ: John Wiley.

40.

Rehm

Room

Graham

Monteiro

Gmel

Sempos

C. T.

(2003). The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease: An overview. Addiction, 98, 1209-1228.

41.

Rossow

Romelsjo

(2006). The extent of the prevention paradox in alcohol problems as a function of population drinking patterns. Addiction, 101, 84-90.

42.

Rothman

K. J.

(2002). Using regression models in epidemiologic analysis. In Epidemiology: An introduction (pp. 181-197). New York, NY: Oxford University Press.

43.

Sampson

R. J.

Morenoff

J. D.

Gannon-Rowley

(2002). Assessing “neighborhood effects”: Social processes and new directions in research. Annual Review of Sociology, 28, 443-478.

44.

Sampson

R. J.

Raudenbush

S. W.

Earls

(1997). Neighborhoods and violent crime: A multilevel study of collective efficacy. Science, 277, 918-924.

45.

Sayette

M. A.

Wilson

G. T.

Elias

M. J.

(1993). Alcohol and aggression: A social information processing analysis. Journal of Studies on Alcohol, 54, 399-407.

46.

Scribner

R. A.

Cohen

D. A.

Fisher

(2000). Evidence of a structural effect for alcohol outlet density: A multilevel analysis. Alcoholism: Clinical and Experimental Research, 24, 188-195.

47.

Scribner

R. A.

Cohen

Kaplan

Allen

S. H.

(1999). Alcohol availability and homicide in New Orleans: Conceptual considerations for small area analysis of the effect of alcohol outlet density. Journal of Studies on Alcohol, 60, 310-316.

48.

Simons

Johnson

Beaman

Conger

Whitbeck

(1996). Parents and peer group as mediators of the effect of community structure on adolescent problem behavior. American Journal of Community Psychology, 24, 145-171.

49.

Speer

P. W.

Gorman

D. M.

Labouvie

E. W.

Ontkush

M. J.

(1998). Violent crime and alcohol availability: Relationships in an urban community. Journal of Public Health Policy, 19, 303-318.

50.

Spurling

M. C.

Vinson

D. C.

(2005). Alcohol-related injuries: Evidence for the prevention paradox. Annals of Family Medicine, 3, 47-52.

51.

Straus

M. A.

(1990). Measuring intrafamily conflict and violence: The Conflict Tactics (CT) scales. In Straus

M. A.

Gelles

R. J.

(Eds.), Physical violence in American families: Risk factors and adaptations to violence in 8,145 families (pp. 29-47). New Brunswick, NJ: Transaction Publishing.

52.

Thoits

P. A.

(1995). Stress, coping, and social support processes: Where are we? What next? Journal of Health and Social Behavior, 35, 53-79.

53.

Treno

A. J.

Johnson

F. W.

Remer

L. G.

Gruenewald

P. J.

(2007). The impact of outlet densities on alcohol-related crashes: A spatial panel approach. Accident Analysis and Prevention, 39, 894-901.

54.

U.S. Census Bureau. (1991). Poverty in the United States: 1990: Current population reports (Series P-60, No. 175). Washington, DC: Author. Retrieved from http://www2.census.gov/prod2/popscan/p60-175.pdf

55.

U.S. Census Bureau. (1995). Poverty areas. Retrieved from http://www.census.gov/population/socdemo/statbriefs/povarea.html

56.

U.S. Census Bureau. (2001). Development of NAICS. Retrieved from http://www.census.gov/epcd/www/naicsdev.htm

57.

U.S. Department of Commerce Economics and Statistics Administration. (1997). Econ 97Z report series economic census. Washington, DC: U.S. Department of Commerce, Economics and Statistics Administration.

58.

U.S. Department of Justice. (2008). Criminal victimization in the United States, 2006 statistical tables: National Crime Victimization Survey. Washington, DC: Author.

59.

Williams

R. L.

(2000). A note on robust variance estimation for cluster-correlated data. Biometrics, 56, 645-646.

60.

Zhu

Gorman

D. M.

Horel

(2004). Alcohol outlet density and violence: A geospatial analysis. Alcohol and Alcoholism, 39, 369-375.