142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Exposure to neighborhood poverty and drinking patterns over five years

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 9:30 AM - 9:50 AM

Katherine J. Karriker-Jaffe, PhD , Alcohol Research Group, Public Health Institute, Emeryville, CA
Kevin L. Delucchi, PhD , Department of Psychiatry, University of California San Francisco, San Francisco, CA
Shalika Gupta, BS , Alcohol Research Group, Public Health Institute, Emeryville, CA
Few US studies have examined residential migration of heavy drinkers over time. We examined impacts of longitudinal drinking patterns on exposure to neighborhood poverty and assessed moderators of these effects. We expected persistently heavy drinkers have longer exposure to neighborhood poverty than those whose drinking declined over time, and that this effect would be most likely for heavy drinkers who had been to treatment. We used data from problem drinkers recruited from alcohol treatment programs and a probability sample of heavy drinkers drawn from the same county. Drinking patterns were derived using latent class growth modeling including cases with 4 waves of data over 5 years. Analyses focused on respondents whose drinking declined over time (N=217), compared to those with consistently moderate alcohol use (N=229) and those with consistently heavy alcohol use (N=572). Multivariate generalized estimating equations tested associations of drinking pattern with proportion of time in high-poverty neighborhoods (using geocoded addresses from 5 waves over 7 years), adjusting for neighborhood clustering, individual demographics and baseline neighborhood median income. Results partially supported hypotheses. Exposure to neighborhood poverty was significantly longer for heavy drinkers and marginally higher for moderate drinkers compared to those with declining use. There was a significant interaction of drinking pattern with receiving treatment, with both heavy and moderate drinkers who went to treatment showing significantly longer duration of exposure to poverty than counterparts who went to treatment and reduced drinking over time. Reducing drinking after attending substance abuse treatment may help decrease exposure to high-risk neighborhoods.

Learning Areas:

Administer health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Compare characteristics of residential neighborhoods according to drinking patterns Evaluate relationships between drinking patterns and exposure to neighborhood poverty over time Assess factors that increase likelihood heavy drinkers will migrate to or remain in high-poverty neighborhoods over time

Keyword(s): Alcohol Use, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted research on the social determinants of health risk behaviors, including alcohol and drug problems, for over 10 years, and I am the Principal Investigator on the federally-funded proposal that supported the current analyses.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.