Longitudinal associations of neighborhood socioeconomic characteristics and alcohol availability on drinking: Results from the Multi-Ethnic Study of Atherosclerosis (MESA)
Longitudinal associations of neighborhood socioeconomic characteristics and alcohol availability on drinking: Results from the Multi-Ethnic Study of Atherosclerosis (MESA)
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DOI：
10.1016/j.socscimed.2015.09.030
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发表时间：
2015-11-01
影响因子：
5.4
通讯作者：
Roux, Ana V. Diez
中科院分区：
文献类型：
--
作者：
Brenner, Allison B.;Borrell, Luisa N.;Roux, Ana V. Diez
邻里的社会经济特征和酒精的可用性可能会影响酒精消费，但足够的纵向研究来支持这些假设并不存在。我们使用来自多种族动脉粥样硬化研究（梅萨）（N = 6163）的数据，以研究社区社会经济地位（SES）和酒精出口密度变化与混合效应模型中当前，每周和每日大量饮酒的相关性。我们还研究了这些关联是否受性别、种族/民族和收入的影响。在调整年龄、性别、种族/民族、个体SES、婚姻状况和自基线以来的时间后，社区SES的增加与当前饮酒概率的降低相关[社区SES每SD增加的概率比（PR）= 0.96，95%置信区间（Cl）（0.96.0.99）1。酒类商店密度的增加与每周饮酒量的增加相关[男性每周饮酒量/出口密度增加SD的比率= 1.07，95%CI（1.01.1.05），女性PR = 1.11，95%CI（1.01.1.21）]。目前的酒精使用和社区SES之间的关系，每周啤酒消费量和社区SES之间的关系普遍较强的收入较高的人。邻里社会经济背景和酒精的可用性可能是重要的了解模式的酒精使用随着时间的推移，并针对性的干预措施和政策，以减少有害的酒精使用。(C)2015爱思唯尔有限公司版权所有。
Neighborhood socioeconomic characteristics and alcohol availability may affect alcohol consumption, but adequate longitudinal research to support these hypotheses does not exist. We used data from the Multi-Ethnic Study of Atherosclerosis (MESA) (N = 6163) to examine associations of changes in neighborhood socioeconomic status (SES) and alcohol outlet density, with current, weekly, and heavy daily alcohol consumption in hybrid effects models. We also examined whether these associations were moderated by gender, race/ethnicity, and income. Increases in neighborhood SES were associated with decreases in the probability of current alcohol use after adjustment for age, gender, race/ethnicity, individual SES, marital status and time since baseline [probability ratio (PR) per SD increase in neighborhood SES = 0.96, 95% confidence interval (Cl) (0.96.0.99)1. Increases in liquor store densities were associated with increases in weekly alcohol consumption [ratio of weekly drinks per SD increase in outlet density = 1.07,95% Cl (1.01.1.05) for men, PR = 1.11, 95% Cl (1.01.1.21) for women]. Relationships between current alcohol use and neighborhood SES and between weekly beer consumption and neighborhood SES were generally stronger among those with higher incomes. Neighborhood socioeconomic context and the availability of alcohol may be important for understanding patterns of alcohol use over time, and for targeting interventions and policies to reduce harmful alcohol use. (C) 2015 Elsevier Ltd. All rights reserved.