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The Neighborhood Alcohol Environment and At-Risk Drinking Among African-Americans

Authors

  • Katherine P. Theall,

    1. From the Tulane School of Public Health and Tropical Medicine (KPT), New Orleans; Louisiana State University Health Sciences Center (SL, RTH, SS, RS), School of Public Health, New Orleans; College of Pharmacy (VK), Xavier University of Louisiana, New Orleans; and Comprehensive Alcohol Research Center at Louisiana State University Health Sciences Center (KPT, BPL, VK), New Orleans, Louisiana.
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  • Brooke P. Lancaster,

    1. From the Tulane School of Public Health and Tropical Medicine (KPT), New Orleans; Louisiana State University Health Sciences Center (SL, RTH, SS, RS), School of Public Health, New Orleans; College of Pharmacy (VK), Xavier University of Louisiana, New Orleans; and Comprehensive Alcohol Research Center at Louisiana State University Health Sciences Center (KPT, BPL, VK), New Orleans, Louisiana.
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  • Sara Lynch,

    1. From the Tulane School of Public Health and Tropical Medicine (KPT), New Orleans; Louisiana State University Health Sciences Center (SL, RTH, SS, RS), School of Public Health, New Orleans; College of Pharmacy (VK), Xavier University of Louisiana, New Orleans; and Comprehensive Alcohol Research Center at Louisiana State University Health Sciences Center (KPT, BPL, VK), New Orleans, Louisiana.
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  • Robert T. Haines,

    1. From the Tulane School of Public Health and Tropical Medicine (KPT), New Orleans; Louisiana State University Health Sciences Center (SL, RTH, SS, RS), School of Public Health, New Orleans; College of Pharmacy (VK), Xavier University of Louisiana, New Orleans; and Comprehensive Alcohol Research Center at Louisiana State University Health Sciences Center (KPT, BPL, VK), New Orleans, Louisiana.
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  • Scott Scribner,

    1. From the Tulane School of Public Health and Tropical Medicine (KPT), New Orleans; Louisiana State University Health Sciences Center (SL, RTH, SS, RS), School of Public Health, New Orleans; College of Pharmacy (VK), Xavier University of Louisiana, New Orleans; and Comprehensive Alcohol Research Center at Louisiana State University Health Sciences Center (KPT, BPL, VK), New Orleans, Louisiana.
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  • Richard Scribner,

    1. From the Tulane School of Public Health and Tropical Medicine (KPT), New Orleans; Louisiana State University Health Sciences Center (SL, RTH, SS, RS), School of Public Health, New Orleans; College of Pharmacy (VK), Xavier University of Louisiana, New Orleans; and Comprehensive Alcohol Research Center at Louisiana State University Health Sciences Center (KPT, BPL, VK), New Orleans, Louisiana.
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  • Vimal Kishore

    1. From the Tulane School of Public Health and Tropical Medicine (KPT), New Orleans; Louisiana State University Health Sciences Center (SL, RTH, SS, RS), School of Public Health, New Orleans; College of Pharmacy (VK), Xavier University of Louisiana, New Orleans; and Comprehensive Alcohol Research Center at Louisiana State University Health Sciences Center (KPT, BPL, VK), New Orleans, Louisiana.
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Reprints requests: Katherine P. Theall, Ph.D., Associate Professor, Department of Community Health Sciences, Tulane University School of Public Health & Tropical Medicine, 1440 Canal Street, Suite 2301, New Orleans, LA 70112; Tel.: 504-988-4535; Fax: 504-988-3540; E-mail: ktheall@tulane.edu

Abstract

Background:  Our objective was to examine whether components of the neighborhood alcohol environment—liquor store, on-premise outlet, convenience store, and supermarket densities—are positively associated with at-risk alcohol consumption among African-American drinkers.

Methods:  A multilevel cross-sectional sample of 321 African-American women and men ages 21 to 65 years recruited from April 2002 to May 2003 from three community-based healthcare clinics in New Orleans, Louisiana, was studied.

Results:  The alcohol environment had a significant impact on at-risk alcohol consumption among African-American drinkers, specifically liquor store density (adjusted OR = 3.11, 95% CI = 1.87, 11.07). Furthermore, the influence of the alcohol environment was much stronger for African-American female drinkers (adjusted OR = 6.96, 95% CI = 1.38, 35.08).

Conclusions:  Treatment and prevention programs should take into account the physical environment, and the concentration of outlets in minority neighborhoods must be addressed as it poses potential health risks to the residents of these neighborhoods.

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