Louisiana State University, School of Social Work, USA.
Louisiana State University Health Sciences Center, School of Public Health, USA.
Health Place. 2020 Jul;64:102385. doi: 10.1016/j.healthplace.2020.102385. Epub 2020 Aug 2.
Structural racism, evidenced in practices like residential racial segregation, has been linked to health inequities. We examined the relationship between an adverse environmental factor (alcohol outlet overconcentration), segregated neighborhoods, and county alcohol policy in Louisiana and Alabama to investigate this link. Multilevel analysis revealed high outlet density associated with segregated counties and predominantly black census tracts in counties with restrictive alcohol policy. This inverse association between policies designed to limit alcohol availability and overconcentration of outlets in black neighborhoods warrants consideration by policymakers given links between outlet density and health inequities. Consideration of these findings in historical context suggests these policies may function as a contemporary actualization of the historical use of alcohol policy to subjugate black people in the South, now over-concentrating instead of prohibiting access.
结构性种族主义在实践中表现为居住种族隔离等现象，与健康不平等有关。我们研究了路易斯安那州和阿拉巴马州环境不良因素（酒类销售点过度集中）、隔离社区以及县酒精政策之间的关系，以探讨这种联系。多水平分析显示，在限制酒精供应政策的县中，酒类销售点密度高与隔离社区和以黑人为主要人口普查区有关。限制酒精供应的政策与酒类销售点集中在黑人社区之间的反比关系，这值得政策制定者考虑，因为销售点密度与健康不平等之间存在关联。考虑到这些发现的历史背景，这些政策可能体现了历史上利用酒精政策来压制南方黑人的做法，现在不是禁止进入，而是过度集中。
