Bluthenthal Ricky N, Cohen Deborah A, Farley Thomas A, Scribner Richard, Beighley Christopher, Schonlau Matthias, Robinson Paul L
Health Program and Drug Policy Research Center, RAND Corporation, 1776 Main Street, P.O. Box 2138, Santa Monica, CA 90407-2138, USA.
J Urban Health. 2008 Mar;85(2):191-205. doi: 10.1007/s11524-008-9255-1. Epub 2008 Jan 29.
The objective of this study was to examine the associations between alcohol availability types and community characteristics in randomly selected census tracts in Southern California and Southeastern Louisiana. Outlet shelf space and price by beverage type was collected from all off-sale alcohol outlets in 189 census tracts by trained research personnel. Three aspects of alcohol availability at the census tract level were considered--outlets per roadway mile, shelf space, and least price by beverage type. Using multivariate analyses, we examined the associations between census tract socioeconomic and demographic characteristics and alcohol availability types. Fifteen measures of alcohol availability were calculated-total shelf space and shelf space by beverage types (beer, malt liquor, and distilled spirits); outlets per roadway mile, per tract, and per capita; and least price by beverage type (including wine). In multivariate analyses controlling for state, male unemployment rate was inversely associated with total shelf space (p = 0.03) and distilled spirit shelf space (p = 0.05). Malt liquor shelf space was inversely associated with percent White (p = 0.02). Outlets per roadway mile was positively associated with household poverty (p < 0.0001), whereas percent African American was inversely associated with outlets per roadway mile (p = 0.03). Beverage-specific least prices were not associated with any socioeconomic or demographic community characteristics. Alcohol availability types, but not least price, were associated with some community characteristics. More research exploring how alcohol availability types vary by community and their relationship to alcohol-related harms should be conducted.
本研究的目的是检验南加州和路易斯安那州东南部随机选取的人口普查区中酒精饮料销售类型与社区特征之间的关联。经过培训的研究人员从189个人口普查区的所有非售酒场所收集了按饮料类型划分的货架空间和价格信息。在人口普查区层面,考虑了酒精饮料销售的三个方面——每英里道路的销售场所数量、货架空间以及按饮料类型划分的最低价格。我们运用多变量分析来研究人口普查区的社会经济和人口特征与酒精饮料销售类型之间的关联。计算了15项酒精饮料销售指标——总货架空间以及按饮料类型(啤酒、麦芽酒和蒸馏酒)划分的货架空间;每英里道路、每个普查区和人均的销售场所数量;以及按饮料类型(包括葡萄酒)划分的最低价格。在控制州因素的多变量分析中,男性失业率与总货架空间(p = 0.03)和蒸馏酒货架空间(p = 0.05)呈负相关。麦芽酒货架空间与白人比例呈负相关(p = 0.02)。每英里道路的销售场所数量与家庭贫困呈正相关(p < 0.0001),而非洲裔美国人比例与每英里道路的销售场所数量呈负相关(p = 0.03)。特定饮料的最低价格与任何社会经济或人口社区特征均无关联。酒精饮料销售类型而非最低价格与一些社区特征相关。应该开展更多研究,探讨酒精饮料销售类型如何因社区而异以及它们与酒精相关危害之间的关系。