The built environment and alcohol consumption in urban neighborhoods

被引:66
作者
Bernstein, Kyle T.
Galea, Sandro
Ahern, Jennifer
Tracy, Melissa
Vlahov, David
机构
[1] NYU, Sch Med, Dept Emergency Med, New York, NY 10013 USA
[2] Univ Michigan, Dept Epidemiol, Ann Arbor, MI 48104 USA
[3] New York Acad Med, Ctr Urban Epidemiol Studies, New York, NY 10029 USA
[4] Univ Mailman, Sch Publ Hlth, Dept Epidemiol, New York, NY 10032 USA
[5] Univ Calif Berkeley, Div Epidemiol, Berkeley, CA 94720 USA
关键词
epidemiology; alcohol; multilevel modeling; neighborhood;
D O I
10.1016/j.drugalcdep.2007.06.006
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Objectives: To examine the relations between characteristics of the neighborhood built environment and recent alcohol use. Methods: We recruited participants through a random digit dial telephone survey of New York City (NYC) residents. Alcohol consumption was assessed using a structured interview. All respondents were assigned to neighborhood of residence. Data on the internal and external built environment in 59 NYC neighborhoods were collected from archival sources. Multilevel models were used to assess the adjusted relations between features of the built environment and alcohol use. Results: Of the 1355 respondents, 40% reported any alcohol consumption in the past 30 days, and 3% reported more than five drinks in one sitting (heavy drinking) in the past 30 days. Few characteristics of the built environment were associated with any alcohol use in the past 30 days. However, several features of the internal and external built environment were associated with recent heavy drinking. After adjustment, persons living in neighborhoods characterized by poorer features of the built environment were up to 150% more likely to report heavy drinking in the last 30 days compared to persons living in neighborhoods characterized by a better built environment. Conclusions: Quality of the neighborhood built environment may be associated with heavy alcohol consumption in urban populations, independent of individual characteristics. The role of the residential environment as a determinant of alcohol abuse warrants further examination. (c) 2007 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:244 / 252
页数:9
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