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Alcohol environments and disparities in exposure associated with adolescent drinking in California

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  • Truong, K.D.
  • Sturm, R.

Abstract

Objectives. We investigated sociodemographic disparities in alcohol environments and their relationship with adolescent drinking. Methods. We geocoded and mapped alcohol license data with ArcMap to construct circular buffers centered at 14595 households with children that participated in the California Health Interview Survey. We calculated commercial sources of alcohol in each buffer. Multivariate logistic regression differentiated the effects of alcohol sales on adolescents' drinking from their individual, family, and neighborhood characteristics. Results. Alcohol availability, measured by mean and median number of licenses,was significantly higher around residences of minority and lower-income families. Binge drinking and driving after drinking among adolescents aged 12 to 17 years were significantly associated with the presence of alcohol retailers within 0.5 miles of home. Simulation of changes in the alcohol environment showed that if alcohol sales were reduced from the mean number of alcohol outlets around the lowest-income quartile of households to that of the highest quartile, prevalence of binge drinking would fall from 6.4% to 5.6% and driving after drinking from 7.9% to 5.9%. Conclusions. Alcohol outlets are concentrated in disadvantaged neighborhoods and can contribute to adolescent drinking. To reduce underage drinking, environmental interventions need to curb opportunities for youth to obtain alcohol from commercial sources by tightening licensure, enforcing minimum-age drinking laws, or other measures.

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  • Truong, K.D. & Sturm, R., 2009. "Alcohol environments and disparities in exposure associated with adolescent drinking in California," American Journal of Public Health, American Public Health Association, vol. 99(2), pages 264-270.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.122077_1
    DOI: 10.2105/AJPH.2007.122077
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    Cited by:

    1. Mentzakis, Emmanouil & Suhrcke, Marc & Roberts, Bayard & Murphy, Adrianna & McKee, Martin, 2013. "Estimating the causal effect of alcohol consumption on well-being for a cross-section of 9 former Soviet Union countries," Social Science & Medicine, Elsevier, vol. 89(C), pages 1-7.
    2. Brenner, Allison B. & Borrell, Luisa N. & Barrientos-Gutierrez, Tonatiuh & Diez Roux, Ana V., 2015. "Longitudinal associations of neighborhood socioeconomic characteristics and alcohol availability on drinking: Results from the Multi-Ethnic Study of Atherosclerosis (MESA)," Social Science & Medicine, Elsevier, vol. 145(C), pages 17-25.
    3. Henri Salokangas, 2016. "The long-term effects of alcohol availability on mortality: Evidence from an alcohol reform," Discussion Papers 115, Aboa Centre for Economics.

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