Alcohol Outlet Density and Area-Level Heavy Drinking Are Independent Risk Factors for Higher Alcohol-Related Complaints

Yusuf Ransome, Hui Luan, Xun Shi, Dustin Duncan, S. V. Subramanian

Research output: Contribution to journalArticle

Abstract

Alcohol outlet density has well-documented associations with social and health indicators such as crime and injury. However, significantly less is known about the relationships among alcohol-related complaints. Bayesian hierarchical Poisson regression with spatial autocorrelation was used to model the association between on- and off-premises alcohol outlet density and area-level prevalence of current drinkers and heavy drinking, and graffiti density—an indicator of physical disorder—in association with calls from civilians reporting illegal use, alcohol sales, and other alcohol-related activities (hereafter alcohol-related complaints). Complaints were separated into two groups based on whether they occurred at (a) clubs/bars/restaurants or (b) elsewhere. Alcohol-related complaints and graffiti were collected from NYC Open Data. Alcohol density data are from ESRI Business Analyst and information on the prevalence of drinking from the New York City Community Health Survey. The unit of analysis consisted of ZIP codes in New York City (n = 167), and the design was a cross-sectional analysis of aggregated data between 2009 and 2015. In multivariable models, a one-unit increase in off-premises alcohol outlet density was associated with a 47% higher risk of alcohol-related complaints at clubs, bars, and restaurants [rate ratio (RR = 1.46, 95% CI = 1.21, 1.77)]. Area-level prevalence of heavy drinking was associated with a 59% higher risk of alcohol-related complaints at the club, bars, and restaurants (RR = 1.59, 95% CI = 1.34, 1.86) and a 40% higher risk of complaints elsewhere (RR = 1.40, 95% CI = 1.20, 1.63). In New York City, area-level heavy drinking prevalence is a strong independent mechanism that links alcohol outlet density to alcohol-related complaints. Area-level heavy drinking should be investigated as a predictor of other public health problems such as drug overdose mortality.

Original languageEnglish (US)
JournalJournal of Urban Health
DOIs
StateAccepted/In press - Jan 1 2018

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complaint
Drinking
alcohol
Alcohols
Restaurants
graffiti
clubs
Drug Overdose
Spatial Analysis
Crime
Health Surveys
club
health
sales
mortality
Public Health
Cross-Sectional Studies
public health
offense
drug

Keywords

  • Alcohol availability
  • Alcohol-related complaints
  • Heavy drinking
  • New York City

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Alcohol Outlet Density and Area-Level Heavy Drinking Are Independent Risk Factors for Higher Alcohol-Related Complaints. / Ransome, Yusuf; Luan, Hui; Shi, Xun; Duncan, Dustin; Subramanian, S. V.

In: Journal of Urban Health, 01.01.2018.

Research output: Contribution to journalArticle

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abstract = "Alcohol outlet density has well-documented associations with social and health indicators such as crime and injury. However, significantly less is known about the relationships among alcohol-related complaints. Bayesian hierarchical Poisson regression with spatial autocorrelation was used to model the association between on- and off-premises alcohol outlet density and area-level prevalence of current drinkers and heavy drinking, and graffiti density—an indicator of physical disorder—in association with calls from civilians reporting illegal use, alcohol sales, and other alcohol-related activities (hereafter alcohol-related complaints). Complaints were separated into two groups based on whether they occurred at (a) clubs/bars/restaurants or (b) elsewhere. Alcohol-related complaints and graffiti were collected from NYC Open Data. Alcohol density data are from ESRI Business Analyst and information on the prevalence of drinking from the New York City Community Health Survey. The unit of analysis consisted of ZIP codes in New York City (n = 167), and the design was a cross-sectional analysis of aggregated data between 2009 and 2015. In multivariable models, a one-unit increase in off-premises alcohol outlet density was associated with a 47{\%} higher risk of alcohol-related complaints at clubs, bars, and restaurants [rate ratio (RR = 1.46, 95{\%} CI = 1.21, 1.77)]. Area-level prevalence of heavy drinking was associated with a 59{\%} higher risk of alcohol-related complaints at the club, bars, and restaurants (RR = 1.59, 95{\%} CI = 1.34, 1.86) and a 40{\%} higher risk of complaints elsewhere (RR = 1.40, 95{\%} CI = 1.20, 1.63). In New York City, area-level heavy drinking prevalence is a strong independent mechanism that links alcohol outlet density to alcohol-related complaints. Area-level heavy drinking should be investigated as a predictor of other public health problems such as drug overdose mortality.",
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