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Availability, Promotion, and Signs of Alcohol Consumption: A Mixed Methods Study of Perceived Exposure and Objective Measures

Author

Listed:
  • Andrea Pastor

    (Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain)

  • Irene Molina de la Fuente

    (Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain
    Malaria and NDTs Laboratory, National Centre of Tropical Medicine, Institute of Health Carlos III, 28029 Madrid, Spain)

  • María Sandín Vázquez

    (Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain
    Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, City University of New York, New York, NY 10017, USA)

  • Paloma Conde

    (Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain)

  • Marina Bosque-Prous

    (Faculty of Health Sciences, Universitat Oberta de Catalunya, Rambla del Poblenou, 156 08018 Barcelona, Spain)

  • Manuel Franco

    (Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain
    Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, City University of New York, New York, NY 10017, USA
    Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA)

  • Niamh Shortt

    (Centre for Research on Environment, Society and Health, School of GeoSciences, University of Edinburgh, EH9 3JW Edinburgh, Scotland)

  • Xisca Sureda

    (Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain
    Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, City University of New York, New York, NY 10017, USA
    Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge-IDIBELL, l’Hospitalet de Llobregat SAvinguda de la Granvia de l’Hospitalet, 199, L’Hospitalet de Llobregat, 08908 Barcelona, Spain
    Consortium for Biomedical Research in Respiratory Diseases (CIBER en Enfermedades Respiratorias, CIBERES), 28029 Madrid, Spain)

Abstract

This study describes the alcohol environment comparing residents’ perceptions and objective measures in two different income-level districts. Measures were gathered between 2017 and 2018 in two districts with different income levels in Madrid, Spain. We obtained perceived measures using Photovoice. We procured objective measures through social systematic observation. Data were integrated using triangulation. Perceived and objective measures of the alcohol environment were characterized and compared in terms of alcohol availability, alcohol promotion, and signs of alcohol consumption. The integration was classified as agreement, partial agreement, or dissonance. The results related to alcohol availability and signs of its consumption showed high agreement. Availability was high in both areas, which was recognized by residents. Residents of the high-income district (HID) discussed fewer signs of alcohol consumption, whilst those in the low-income district (LID) reported extensive signs of consumption. Such observations agreed with the objective measures. There were dissonances between the approaches for alcohol promotion. Although the alcohol promotion was higher in HID according to the objective measures, it was deeply discussed by LID residents. Both methodologies helped us deepen the understanding of the alcohol environment. These results may help design more effective interventions to prevent hazardous drinking.

Suggested Citation

  • Andrea Pastor & Irene Molina de la Fuente & María Sandín Vázquez & Paloma Conde & Marina Bosque-Prous & Manuel Franco & Niamh Shortt & Xisca Sureda, 2020. "Availability, Promotion, and Signs of Alcohol Consumption: A Mixed Methods Study of Perceived Exposure and Objective Measures," IJERPH, MDPI, vol. 17(21), pages 1-17, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:8153-:d:439982
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    References listed on IDEAS

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    1. Mojtaba Vaismoradi & Hannele Turunen & Terese Bondas, 2013. "Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study," Nursing & Health Sciences, John Wiley & Sons, vol. 15(3), pages 398-405, September.
    2. Jean-Claude Moubarac & Margaret Cargo & Olivier Receveur & Mark Daniel, 2012. "Describing the Situational Contexts of Sweetened Product Consumption in a Middle Eastern Canadian Community: Application of a Mixed Method Design," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-10, September.
    3. Pedro Gullón & Julia Díez & Paloma Conde & Carmen Ramos & Valentín Márquez & Hannah Badland & Francisco Escobar & Manuel Franco, 2019. "Using Photovoice to Examine Physical Activity in the Urban Context and Generate Policy Recommendations: The Heart Healthy Hoods Study," IJERPH, MDPI, vol. 16(5), pages 1-16, March.
    4. Li, Jessica & Lovatt, Melanie & Eadie, Douglas & Dobbie, Fiona & Meier, Petra & Holmes, John & Hastings, Gerard & MacKintosh, Anne Marie, 2017. "Public attitudes towards alcohol control policies in Scotland and England: Results from a mixed-methods study," Social Science & Medicine, Elsevier, vol. 177(C), pages 177-189.
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    Cited by:

    1. Andrea Pastor & Xisca Sureda & Roberto Valiente & Hannah Badland & Macarena García-Dorado & Francisco Escobar, 2022. "Using Geovisualization Tools to Examine Attitudes towards Alcohol Exposure in Urban Environments: A Pilot Study in Madrid, Spain," IJERPH, MDPI, vol. 19(15), pages 1-15, July.

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