Commentary on <scp>H</scp>alonen <i>et al</i>. (2013): Exposure to alcohol outlets and alcohol consumption‐back to square one?

Scribner, Richard

doi:10.1111/add.12038

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…Finally, alcohol abuse also tends to be associated with disadvantaged neighborhoods. Overconcentration of alcohol outlets at the neighborhood level historically has been linked to alcohol abuse ( 39 – 41 ). In addition, alcohol outlets tend to be disproportionately located in poor and minority neighborhoods despite the fact that higher SES and white race is associated with higher levels of alcohol use ( 42 ).…”

Section: Discussionmentioning

confidence: 99%

Increased Risk of Hepatocellular Carcinoma Associated With Neighborhood Concentrated Disadvantage

et al. 2018

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Purpose: Over the past three decades, Hepatocellular Carcinoma (HCC) is one of few cancers for which incidence has increased in the United States (US). It is likely social determinants at the population level are driving this increase. We designed a population-based study to explore whether social determinants at the neighborhood level are geographically associated with HCC incidence in Louisiana by examining the association of HCC incidence with neighborhood concentrated disadvantage.Methods: Primary HCC cases diagnosed from 2008 to 2012 identified from the Louisiana Tumor Registry were geocoded to census tract of residence at the time of diagnosis. Neighborhood concentrated disadvantage index (CDI) for each census tract was calculated according to the PhenX Toolkit data protocol based on population and socioeconomic measures from the US Census. The incidence of HCC was modeled using multilevel binomial regression with individuals nested within neighborhoods.Results: The study included 1,418 HCC cases. Incidence of HCC was greater among males than females and among black than white. In multilevel models controlling for age, race, and sex, neighborhood CDI was positively associated with the incidence of HCC. A one standard deviation increase in CDI was associated with a 22% increase in HCC risk [Risk Ratio (RR) = 1.22; 95% CI (1.15, 1.31)]. Adjusting for contextual effects of an individual's neighborhood reduced the disparity in HCC incidence.Conclusion: Neighborhood concentrated disadvantage, a robust measure of an adverse social environment, was found to be a geographically associated with HCC incidence. Differential exposure to neighborhoods characterized by concentrated disadvantage partially explained the racial disparity in HCC for Louisiana. Our results suggest that increasing rates of HCC, and existing racial disparities for the disease, are partially explained by measures of an adverse social environment.

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Section: Discussionmentioning

confidence: 99%

Increased Risk of Hepatocellular Carcinoma Associated With Neighborhood Concentrated Disadvantage

et al. 2018

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“…A seemingly simple question has perplexed alcohol researchers over recent decades-does having more retail alcohol outlets in a neighbourhood increase alcohol consumption for people who live and spend time there [1]? The question has firm theoretical and empirical foundations.…”

Section: Introductionmentioning

confidence: 99%

Individuals' travel to alcohol outlets: The fallacy of the local bar

Mehranbod,

Gobaud,

Bushover

et al. 2024

Drug and Alcohol Review

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IntroductionStudies relating alcohol outlet density around homes to alcohol consumption produce mixed results. One possible explanation is that people travel to outlets away from their homes. This study aims to characterise individuals' trips to outlets, describe these trip locations relative to other activities and estimate associations between alcohol outlet density and trips to outlets.MethodsThis cross‐sectional study used 2014–2018 household travel data from the Victoria Integrated Survey of Travel and Activity. We estimated the average change in the cumulative travel characteristics associated with each additional trip to bars and liquor stores, accounting for complex trips to multiple destinations. Logistic regression models estimated odds that individuals travelled to outlets in relation to outlet density in their home local government area (LGA).ResultsAmong 23,512 respondents, 378 (1.6%) travelled to any bar and 79 (0.3%) any liquor store the survey day. Bar trips added 8.2 km (95% confidence interval [CI] 4.6, 11.8) and 18.1 min (95% CI 13.6, 22.6) to cumulative travel; 41% of attended bars were co‐located in participants' home LGA. Greater bar and liquor store density within the home LGA were associated with overall trips to these outlet types.Discussion and ConclusionsIndividuals travel beyond their residential area to bars, but travel to liquor stores closer to home. Bar and liquor store density within individuals' home LGA were associated with trips to outlets. Trips to local bars in near home comprised a minority of trips to bars in this sample. Studies of retail alcohol access should account for trips to bars away from home.

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Structural racism in the built environment: Segregation and the overconcentration of alcohol outlets

et al. 2020

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Commentary on Halonen et al. (2013): Exposure to alcohol outlets and alcohol consumption‐back to square one?

Cited by 4 publications

References 16 publications

Increased Risk of Hepatocellular Carcinoma Associated With Neighborhood Concentrated Disadvantage

Increased Risk of Hepatocellular Carcinoma Associated With Neighborhood Concentrated Disadvantage

Individuals' travel to alcohol outlets: The fallacy of the local bar

Structural racism in the built environment: Segregation and the overconcentration of alcohol outlets

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