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Neighborhood Income Inequality and Alcohol Use among Adolescents in Boston, Massachusetts

Author

Listed:
  • Roman Pabayo

    (School of Public Health, University of Alberta, Edmonton, AB T6G 2R3, Canada)

  • Daniel M. Cook

    (School of Public Health, University of Nevada, Reno, NV 89557, USA)

  • Gregory Farmer

    (School of Public Health, University of Alberta, Edmonton, AB T6G 2R3, Canada)

  • Beth E. Molnar

    (Bouvé College of Health Sciences, Northeastern University, Boston, MA 02115, USA)

Abstract

Objectives: Previous research has indicated that area-level income inequality is associated with increased risk in alcohol consumption. However, few studies have been conducted among adolescents living within smaller area units, such as neighborhoods. We investigated whether neighborhood income inequality is associated with alcohol consumption among adolescents. Methods: We analyzed cross-sectional data from a sample of 1878 adolescents living in 38 neighborhoods participating in the 2008 Boston Youth Survey. Multilevel logistic regression modeling was used to determine the role of neighborhood income inequality and the odds for alcohol consumption and to determine if social cohesion and depressive symptoms were mediators. Results: In comparison to the first tertile of income inequality, or the most equal neighborhood, adolescent participants living in the second tertile (AOR = 1.20, 95% CI: 0.89, 1.61) and third tertile (AOR = 1.44, 95% CI: 1.06, 1.96) were more likely to have consumed alcohol in the last 30 days. Social cohesion and depressive symptoms were not observed to mediate this relationship. Conclusions: Findings indicate that the distribution of incomes within urban areas may be related to alcohol consumption among adolescents. To prevent alcohol consumption, public health practitioners should prioritize prevention efforts for adolescents living in neighborhoods with large gaps between rich and poor.

Suggested Citation

  • Roman Pabayo & Daniel M. Cook & Gregory Farmer & Beth E. Molnar, 2021. "Neighborhood Income Inequality and Alcohol Use among Adolescents in Boston, Massachusetts," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8484-:d:612574
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    References listed on IDEAS

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    1. McLaughlin, K.A. & Costello, E.J. & Leblanc, W. & Sampson, N.A. & Kessler, R.C., 2012. "Socioeconomic status and adolescent mental disorders," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 1742-1750.
    2. Karriker-Jaffe, K.J. & Roberts, S.C.M. & Bond, J., 2013. "Income inequality, alcohol use, and alcohol-related problems," American Journal of Public Health, American Public Health Association, vol. 103(4), pages 649-656.
    3. Harling, Guy & Subramanian, S.V. & Bärnighausen, Till & Kawachi, Ichiro, 2014. "Income inequality and sexually transmitted in the United States: Who bears the burden?," Social Science & Medicine, Elsevier, vol. 102(C), pages 174-182.
    4. Henderson, Claire & Liu, Xinhua & Diez Roux, Ana V. & Link, Bruce G. & Hasin, Deborah, 2004. "The effects of US state income inequality and alcohol policies on symptoms of depression and alcohol dependence," Social Science & Medicine, Elsevier, vol. 58(3), pages 565-575, February.
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