The Impact of Alcohol Outlet Density on the Geographic Clustering of Underage Drinking Behaviors within Census Tracts

Background:  The regulation of alcohol outlet density has been considered as a potential means of reducing alcohol consumption and related harms among underage youth. Whereas prior studies have examined whether alcohol outlet density was associated with an individual’s alcohol consumption and relate...

Full description

Saved in:
Bibliographic Details
Published in:Alcoholism, clinical and experimental research clinical and experimental research, 2011-08, Vol.35 (8), p.1541-1549
Main Authors: Reboussin, Beth A., Song, Eun-Young, Wolfson, Mark
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adult
Adult and adolescent clinical studies
Age Factors
Alcohol
Alcohol Drinking - epidemiology
Alcohol Drinking - legislation & jurisprudence
Alcohol Drinking - psychology
Alcohol Outlet Density
Alcoholism
Alcoholism and acute alcohol poisoning
Alternating Logistic Regression
Biological and medical sciences
Censuses
Central Nervous System Depressants - adverse effects
Cluster Analysis
Commerce
Cross-Sectional Studies
Databases, Factual
Enterprise zones
Ethanol - adverse effects
Female
Geographic Clustering
Geography
Humans
Male
Medical sciences
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Restaurants - statistics & numerical data
Risk-Taking
Toxicology
Underage Drinking
United States
Young Adult
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background:  The regulation of alcohol outlet density has been considered as a potential means of reducing alcohol consumption and related harms among underage youth. Whereas prior studies have examined whether alcohol outlet density was associated with an individual’s alcohol consumption and related harms, this study examines whether it is related to the co‐occurrence, or clustering, of these behaviors within geographic areas, specifically census tracts. Methods:  The Enforcing Underage Drinking Laws Randomized Community Trial provided cross‐sectional telephone survey data in 2006 and 2007 from 10,754 youth aged 14 to 20 from 5 states residing in 1,556 census tracts. The alternating logistic regression approach was used to estimate pairwise odds ratios between responses from youth residing in the same census tract and to model them as a function of alcohol outlet density. Results:  Riding with a drinking driver, making an alcohol purchase attempt, and making a successful alcohol purchase attempt clustered significantly within census tracts with the highest off‐premise alcohol outlet density while frequent drinking clustered within census tracts with the greatest on‐premise density. Driving after drinking and experiencing nonviolent alcohol‐related consequences clustered marginally within census tracts with the greatest on‐premise and off‐premise alcohol outlet density, respectively. Conclusions:  Although youth primarily receive alcohol from social sources, commercial alcohol access is geographically concentrated within census tracts with the greatest off‐premise outlet density. A potentially greater concern is the clustering of more frequent drinking and drinking and driving within census tracts with the greatest on‐premise outlet density which may necessitate alternative census tract level initiatives to reduce these potentially harmful behaviors.
ISSN:0145-6008
1530-0277
DOI:10.1111/j.1530-0277.2011.01491.x