Int J Health Geogr - Alcohol outlets and clusters of violence.

Tópicos

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Resumo

CKGROUND: Alcohol related violence continues to be a major public health problem in the United States. In particular, there is substantial evidence of an association between alcohol outlets and assault. However, because the specific geographic relationships between alcohol outlets and the distribution of violence remains obscured, it is important to identify the spatial linkages that may exist, enhancing public health efforts to curb both violence and morbidity.METHODS: The present study utilizes police-recorded data on simple and aggravated assaults in Cincinnati, Ohio. Addresses of alcohol outlets for Cincinnati, including all bars, alcohol-serving restaurants, and off-premise liquor and convenience stores were obtained from the Ohio Division of Liquor Control and geocoded for analysis. A combination of proximity analysis, spatial cluster detection approaches and a geographic information system were used to identify clusters of alcohol outlets and the distribution of violence around them.RESULTS: A brief review of the empirical work relating to alcohol outlet density and violence is provided, noting that the majority of this literature is cross-sectional and ecological in nature, yielding a somewhat haphazard and aggregate view of how outlet type(s) and neighborhood characteristics like social organization and land use are related to assaultive violence. The results of the statistical analysis for Cincinnati suggest that while alcohol outlets are not problematic per se, assaultive violence has a propensity to cluster around agglomerations of alcohol outlets. This spatial relationship varies by distance and is also related to the characteristics of the alcohol outlet agglomeration. Specifically, spatially dense distributions of outlets appear to be more prone to clusters of assaultive violence when compared to agglomerations with a lower density of outlets.CONCLUSION: With a more thorough understanding of the spatial relationships between alcohol outlets and the distribution of assaults, policymakers in urban areas can make more informed regulatory decisions regarding alcohol licenses. Further, this research suggests that public health officials and epidemiologists need to develop a better understanding of what actually occurs in and around alcohol outlets, determining what factors (whether outlet, neighborhood, or spatially related) help fuel their relationship with violence and other alcohol-related harm.

Resumo Limpo

ckground alcohol relat violenc continu major public health problem unit state particular substanti evid associ alcohol outlet assault howev specif geograph relationship alcohol outlet distribut violenc remain obscur import identifi spatial linkag may exist enhanc public health effort curb violenc morbiditymethod present studi util policerecord data simpl aggrav assault cincinnati ohio address alcohol outlet cincinnati includ bar alcoholserv restaur offpremis liquor conveni store obtain ohio divis liquor control geocod analysi combin proxim analysi spatial cluster detect approach geograph inform system use identifi cluster alcohol outlet distribut violenc around themresult brief review empir work relat alcohol outlet densiti violenc provid note major literatur crosssect ecolog natur yield somewhat haphazard aggreg view outlet type neighborhood characterist like social organ land use relat assault violenc result statist analysi cincinnati suggest alcohol outlet problemat per se assault violenc propens cluster around agglomer alcohol outlet spatial relationship vari distanc also relat characterist alcohol outlet agglomer specif spatial dens distribut outlet appear prone cluster assault violenc compar agglomer lower densiti outletsconclus thorough understand spatial relationship alcohol outlet distribut assault policymak urban area can make inform regulatori decis regard alcohol licens research suggest public health offici epidemiologist need develop better understand actual occur around alcohol outlet determin factor whether outlet neighborhood spatial relat help fuel relationship violenc alcoholrel harm

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