Research Abstracts
This page features research conducted by RAND Health research staff that has been published in a scholarly journal.Alcohol Environments: Disparities in Exposure and Adolescent Drinking in California
Truong KD, Sturm R. American Journal of Public Health, [Epub Dec 4 2008].
Read article (may require searching, registration or payment on American Journal of Public Health website)
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 14,595 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.
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