Journal article
Twenty-five-year changes in alcohol environment in US metropolitan areas: Examining patterns by area level sociodemographic characteristics
Cities, v 167, 106326
Dec 2025
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Limiting the availability of alcohol is one of the most effective approaches for reducing alcohol misuse and its health consequences. However, few studies have examined the changing trajectories of alcohol environment characterized jointly by on- and off-premises outlets and their sociodemographic disparities. We aimed to (1) explore 25-year profiles of changes in the alcohol environment in urban areas in the U.S.; and (2) examine sociodemographic disparities in these changes. We used parallel-process latent class growth analyses to identify profiles of changes in the alcohol environment, based on the availability of both on-premises and off-premises outlets. We employed conditional multinomial models to examine associations between profiles of change in the alcohol environment and sociodemographic characteristics at census tract level. We identified 6 distinct profiles that outlined variations in availability of on- and off-premises alcohol outlets and change trajectories, and found variability in these trajectories across racial/ethnic and socioeconomic groups. Tracts with a higher percentage of Blacks and other minoritized populations had higher odds of being in alcohol environment classes featuring high/medium density of alcohol outlets and increasing trends of on-premises outlets. Additionally, tracts with lower income and lower percentage of residents with college degree had higher odds of having medium and high density of alcohol outlets and increasing in on-premises outlets over time. Differences by area level income and education were greater for Blacks and other minority racial/ethnic groups. Since alcohol outlets often require licensing to open, our results suggest that policy-level interventions are needed to reduce racial/ethnic and socioeconomic disparities.
•We identified 6 latent class profiles that outlined variations in alcohol outlets and change trajectories during 1990-2014•We found a variability in these trajectories across racial/ethnic and socioeconomic groups•The density of on-premises outlets rose in tracts with more minoritized people and in tracts with low SES•Differences by area income and education were greater for Blacks and other minority racial/ethnic groups.
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Details
- Title
- Twenty-five-year changes in alcohol environment in US metropolitan areas: Examining patterns by area level sociodemographic characteristics
- Creators
- Jingjing Li - China University of GeosciencesMariana Lazo - Drexel UniversityUsama Bilal - Drexel UniversityLoni P. Tabb - Drexel UniversityJana A. Hirsch - Drexel UniversityGina S. Lovasi - Drexel UniversitySteven Melly - Drexel UniversityBrisa N. Sánchez - Drexel University
- Publication Details
- Cities, v 167, 106326
- Publisher
- Elsevier
- Number of pages
- 11
- Grant note
- National Heart, Lung, and Blood Institute: R01HL14843 National Institute on Aging: R01AG049970, R01AG049970-04S1, R01AG072634 National Institute on Alcohol Abuse and Alcoholism: R01AA028552 Commonwealth Universal Research Enhancement: 4100072543 Office of the Director of the National Institutes of Health: DP5OD26429 MESA Neighborhoods data is supported by the National Heart, Lung, and Blood Institute (R01HL071759) , the National Institute on Aging (R01AG072634) . Novel methods for neighborhoods research are sup-ported by the National Heart, Lung, and Blood institute (R01HL131610) . Classification schemes, initial data processing, and protocol template was based off research from RECVD and was supported by the National Institute on Aging (grants R01AG049970, R01AG049970-04S1, R01AG072634) , National Heart, Lung, and Blood Institute (grant R01HL14843) , National Institute on Alcohol Abuse and Alcoholism (R01AA028552) , Commonwealth Universal Research Enhancement (C. U. R. E.) program funded by the Pennsylvania Department of Health-2015 Formula award-SAP #4100072543, the Urban Health Collaborative at Drexel University. Usama Bilal was also supported by the Office of the Director of the National Institutes of Health (No. DP5OD26429).
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health; Epidemiology and Biostatistics; Community Health and Prevention
- Web of Science ID
- WOS:001543736100002
- Scopus ID
- 2-s2.0-105011839908
- Other Identifier
- 991022073840404721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Urban Studies