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Alcohol outlets and binge drinking in urban neighborhoods: The implications of nonlinearity for intervention and policy

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  • Ahern, J.
  • Margerison-Zilko, C.
  • Hubbard, A.
  • Galea, S.

Abstract

Objectives: Alcohol outlet density has long been associated with alcohol-related harms, and policymakers have endorsed alcohol outlet restriction to reduce these harms. However, potential nonlinearity in the relation between outlet density and alcohol consumption has not been rigorously examined. Methods: We used data from the New York Social Environment Study (n = 4000) to examine the shape of the relation between neighborhood alcohol outlet density and binge drinking by using a generalized additive model with locally weighted scatterplot smoothing, and applied an imputation-based marginal modeling approach. Results: We found a nonlinear relation between alcohol outlet density and binge drinking; the association was stronger at densities of more than 80 outlets per square mile. Binge drinking prevalence was estimated to be 13% at 130 outlets, 8% at 80 outlets, and 8% at 20 outlets per square mile. Conclusions: This nonlinearity suggests that reductions in alcohol outlet density where density is highest and the association is strongest may have the largest public health impact per unit reduction. Future research should assess the impact of policies and interventions that aim to reduce alcohol outlet density, and consider nonlinearity in effects.

Suggested Citation

  • Ahern, J. & Margerison-Zilko, C. & Hubbard, A. & Galea, S., 2013. "Alcohol outlets and binge drinking in urban neighborhoods: The implications of nonlinearity for intervention and policy," American Journal of Public Health, American Public Health Association, vol. 103(4), pages 81-87.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301203_4
    DOI: 10.2105/AJPH.2012.301203
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    Cited by:

    1. Rima Nakkash & Lilian A. Ghandour & Sirine Anouti & Jessika Nicolas & Ali Chalak & Nasser Yassin & Rima Afifi, 2018. "Surveying Alcohol Outlet Density in Four Neighborhoods of Beirut Lebanon: Implications for Future Research and National Policy," IJERPH, MDPI, vol. 15(9), pages 1-14, September.
    2. Ronald Herrera & Ursula Berger & Ondine S. Von Ehrenstein & Iván Díaz & Stella Huber & Daniel Moraga Muñoz & Katja Radon, 2017. "Estimating the Causal Impact of Proximity to Gold and Copper Mines on Respiratory Diseases in Chilean Children: An Application of Targeted Maximum Likelihood Estimation," IJERPH, MDPI, vol. 15(1), pages 1-15, December.
    3. Santana-Arias, Rogelio & George, Tony Sam & Padrón-Salas, Aldanely & Sanjuan-Meza, Xiomara Sarahí & Landeros-Olvera, Erick Alberto & Cossío-Torres, Patricia Elizabeth, 2021. "The relationship between density of drug outlets, crime hot spots and family factors on the consumption of drugs and delinquent behaviour of male adolescent Mexican students," Social Science & Medicine, Elsevier, vol. 279(C).
    4. Savin, Kimberly L. & Roesch, Scott C. & Oren, Eyal & Carlson, Jordan A. & Allison, Matthew A. & Sotres-Alvarez, Daniela & Sallis, James F. & Jankowska, Marta M. & Talavera, Gregory A. & Rodriguez, Tas, 2022. "Social and built neighborhood environments and blood pressure 6 years later: Results from the Hispanic Community Health Study/Study of Latinos and the SOL CASAS ancillary study," Social Science & Medicine, Elsevier, vol. 292(C).

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