Neighborhood Disadvantage and Adult Alcohol Outcomes: Differential Risk by Race and Gender

Abstract

ABSTRACT. Objective:We examined whether relationships of neighborhood disadvantage with drinker status, heavy drinking, alcoholrelated consequences, and dependence differed by race and/or gender. We hypothesized that neighborhood disadvantage would be negatively associated with drinker status but positively associated with heavy and problem drinking, with more pronounced relationships among African American and Hispanic men than other groups. Method: Data consisted of nationally representative, randomly selected, cross-sectional samples of White, African American, and Hispanic adults (N = 13,864, of which 52% were female; with 7,493 drinkers, of which 48% were female) from the 2000 and 2005 National Alcohol Surveys merged with 2000 Census data. Analyses included logistic and linear regression using weights to adjust for sampling and nonresponse. Results: Hypotheses were partly supported. Bivariate relationships were in the expected direction. Multivariate main effect models showed that neighborhood disadvantage was signifi cantly associated with increased abstinence and marginally associated with increased negative consequences experienced by drinkers, but race/ethnicity and gender modifi ed these associations. Disadvantage was signifi cantly associated with increased abstinence for all groups except African American and Hispanic men. Among drinkers, disadvantage was signifi cantly negatively associated with heavy drinking by Whites but signifi cantly positively associated with heavy drinking by African Americans. Disadvantage also was associated with elevated alcohol-related consequences for White women and African American men. Conclusions: The fi ndings have implications for the development of targeted interventions to reduce the unequal impacts of neighborhood disadvantage on alcohol outcomes. Future research should examine the contribution of multiple types of disadvantage to heavy drinking and alcohol problems. (J. Stud. Alcohol Drugs, 73, 865-873, 2012)

Factors influencing psychoactive substance use among adolescents in public secondary schools in Uganda

“…It is asserted that interaction with peer groups encourages experimentation with psychoactive substances among school-going adolescents (McLeod, 2016). Similarly, PASU has previously been related to school neighborhood factors (Karriker-Jaffe et al, 2012;Milam, Furr-Holden, Harrell, Whitaker, & Leaf, 2012;Oman, Tolma, Vesely, & Aspy, 2013). Such a state of affairs catalyzes indulgence in substance use among adolescents and their peers, as previously opined by the social learning theorists.…”

Neighborhood Psychosocial Hazards and Binge Drinking among Late Middle-Aged Adults

“…34 (More recent manuscripts have heeded this recommendation and have found qualitatively different effects for men and women, although the directions have been inconsistent). [35][36][37][38][39] In the review by Karriker-Jaffe, consistent associations between neighborhood disadvantage and heavy drinking were reported. 34 More recent studies not included in this review have corroborated this finding; although the frequency of alcohol use generally increases in higher SES neighborhoods, binge drinking, heavy alcohol use, and other risky drinking behaviors tend to decrease, 35,40 although the evidence is mixed.…”

“…[35][36][37][38][39] In the review by Karriker-Jaffe, consistent associations between neighborhood disadvantage and heavy drinking were reported. 34 More recent studies not included in this review have corroborated this finding; although the frequency of alcohol use generally increases in higher SES neighborhoods, binge drinking, heavy alcohol use, and other risky drinking behaviors tend to decrease, 35,40 although the evidence is mixed. [41][42][43] Similar relationships have been found for other neighborhood measures, such as neighborhood disorder, cohesion, unemployment, and deterioration of the built environment.…”

Neighborhood Disadvantage, High Alcohol Content Beverage Consumption, Drinking Norms, and Drinking Consequences: A Mediation Analysis

“…Most (73 %) were employed; slightly more than half (56 %) had incomes of $60,000/year or less, and 64 % had attended at least some college. For a more detailed description of the sample, see Karriker-Jaffe et al 60 Overall, 5.0 % of respondents reported experiencing two or more negative drinking consequences in the past year. Drinking consequences were common among respondents living in disadvantaged and African American neighborhoods and among respondents who reported more pro-drunkenness norms and higher consumption of high-alcohol-content beverages, especially spirits/liquor (Table 1).…”

“…In contrast, other studies have found no support for the disadvantage hypothesis and substance use, 25 and still other studies have shown mixed results depending on the measure of neighborhood socioeconomic status 26 or the outcome examined. 27,28 Karriker and colleagues 29 found neighborhood disadvantage was associated with elevated risk of negative drinking consequences, particularly for White women and African American men but not to alcohol dependence symptoms. Although prior studies have examined neighborhood influences on drinking behavior, few studies have used large, nationally representative samples or examined different dimensions of neighborhood disadvantage or multiple outcomes.…”