Alcohol Outlet Clusters and Population Disparities.
Alcohol outlet clusters are an important social determinant of health in cities, but little is known about the populations exposed to them. If outlets cluster in neighborhoods comprised of specific racial/ethnic or economic groups, then they may function as a root cause of urban health disparities....
| Publicado en: | Journal of Urban Health Vol. 97; no. 1; pp. 123 - 137 |
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| Autores principales: | , , , , |
| Formato: | journal article |
| Publicado: |
Springer Nature
Feb2020
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=141662957&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 141662957 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10993460 GMF jtl: Journal of Urban Health issn: 10993460 maglogo: N pubinfo: dt: Feb2020 vid: 97 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 141662957 10.1007/s11524-019-00372-2 ppf: 123 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P size: 3.8MB tig: atl: Alcohol Outlet Clusters and Population Disparities. aug: au: Trangenstein, Pamela J. Gray, Claire Rossheim, Matthew E. Sadler, Richard Jernigan, David H. affil: Alcohol Research Group, Public Health Institute, 6001 Shellmound St., Suite 450, 94608, Emeryville, CA, USA Department of Health Law, Policy, and Management, Boston University School of Public Health, 715 Albany St, 02118, Boston, MA, USA Public Health Studies, Johns Hopkins University, 3505 N. Charles Street, Room 2, 21218, Baltimore, MD, USA Department of Global and Community Health, George Mason University, 4400 University Drive, MS5B7, 22030, Fairfax, VA, USA College of Human Medicine Department of Family Medicine/Division of Public Health Flint, Michigan State University, 48502, Flint, MI, USA su: Baltimore (Md.) Maryland American Community Survey Urban health Health equity Alcohol sug: subj: American Community Survey Urban health Health equity Baltimore (Md.) Maryland Ethyl Alcohol Manufacturing Alcohol keyword: Alcohol outlets Alcohol policy Clustering Health disparities Violence Alcohol outlets Alcohol policy Clustering Health disparities Violence ab: Alcohol outlet clusters are an important social determinant of health in cities, but little is known about the populations exposed to them. If outlets cluster in neighborhoods comprised of specific racial/ethnic or economic groups, then they may function as a root cause of urban health disparities. This study used 2016 liquor license data (n = 1204) from Baltimore City, Maryland, and demographic data from the American Community Survey. We defined alcohol outlet clusters by combining SaTScan moving window methods and distances between outlets. We used multiple logistic regression to compare census block groups (CBGs) (n = 537) inside and outside of four types of outlet clusters: total, on-premise, off-premise, and LBD-7 (combined on-/off-premise). The most robust predictor of alcohol outlet cluster membership was a history of redlining, i.e., racially discriminatory lending policies. CBGs that were redlined had 7.32 times the odds of being in an off-premise cluster, 8.07 times the odds of being in an on-premise cluster, and 8.60 times the odds of being in a LBD-7 cluster. In addition, level of economic investment (marked by vacant properties) appears to be a key characteristic that separates CBGs in on- and off-premise outlet clusters. CBGs with racial/ethnic or socioeconomic advantage had higher odds of being in on-premise clusters and CBGs marked by disinvestment had higher odds of being in off-premise clusters. Off-premise clusters deserve closer examination from a policy perspective, to mitigate their potential role in creating and perpetuating social and health disparities. In addition to addressing redlining and disinvestment, the current negative effects of alcohol outlet clusters that have grown up in redlined and disinvested areas must be addressed if inequities in these neighborhoods are to be reversed. pubtype: Academic Journal doctype: journal article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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