| Literature DB >> 33102679 |
Juliet P Lee1, William Ponicki1, Christina Mair2, Paul Gruenewald1, Lina Ghanem1.
Abstract
INTRODUCTION: Greater availability of commercial alcohol is associated with increased alcohol use and related public health problems. Greater alcohol outlet density, a marker of alcohol availability, is associated with poorer and predominantly minority neighborhoods. However, poorer populations, African Americans, and Latinxs report using less alcohol compared to Whites and wealthier groups. We consider the role of structural racism in the social ecology of alcohol availability. Specifically we examine racist urban land use practices in the USA which became codified in the 1930s through Federal Home Owner Lending Corporation (HOLC) designations for assigning parcel values, known as "redlining." Redlining demarcated low-density residential zones for wealthy Whites which excluded poor and non-White people as well as certain businesses, including alcohol retailers. We assessed the impacts of historic redlining on present day risks for exposure to retail alcohol availability in urban Northern California.Entities:
Keywords: Alcohol availability; Health inequities; Racial segregation; Redlining; Urban policy
Year: 2020 PMID: 33102679 PMCID: PMC7576518 DOI: 10.1016/j.ssmph.2020.100669
Source DB: PubMed Journal: SSM Popul Health ISSN: 2352-8273
Fig. 1Historic HOLC map.
Fig. 2Map of best-matched HOLC rating for each of 520 Census 2010-defined block groups, with locations of off-premise alcohol outlets.
Fig. 3aPercentages Black population, identifying locations of off-premise alcohol outlets.
Fig. 3bPercentages Hispanic population, identifying locations of off-premise alcohol outlets.
Fig. 3cMedian Household Income, identifying locations of off-premise alcohol outlets.
Descriptive statistics for 520 census block groups, total and by HOLC class.
| Variable: | Six-City | HOLC Class 1 (Green) n = 33 | HOLC Class 2 (Blue) n = 81 | HOLC Class 3 (Yellow) n = 202 | HOLC Class 4 (Red) n = 120 | Not HOLC Rated n = 84 |
|---|---|---|---|---|---|---|
| Mean (SD) | Mean (SD) | Mean (SD) | Mean (SD) | Mean (SD) | Mean (SD) | |
| Off-Premise Alcohol Outlets | 0.78 (0.95) | 0.27 (0.80) | 0.43 (0.69) | 0.75 (0.82) | 1.11 (1.08) | 0.88 (1.11) |
| Off-Premise Outlets per Square Mile | 10.0 (14.7) | 1.1 (3.1) | 4.6 (7.8) | 12.4 (16.0) | 13.2 (12.8) | 8.4 (18.5) |
| % Black Population | 19.8 (19.1) | 2.3 (3.6) | 16.8 (22.2) | 18.9 (16.6) | 29.6 (18.7) | 17.8 (19.1) |
| % Hispanic Population | 21.8 (22.3) | 3.1 (1.9) | 10.2 (10.0) | 25.2 (22.0) | 33.0 (26.0) | 16.0 (18.9) |
| Median Household Income (x $1000) | 68.1 (45.1) | 163.6 (48.4) | 96.0 (44.9) | 55.0 (28.7) | 46.3 (21.7) | 66.1 (41.1) |
| Total Population | 1210 (532) | 994 (306) | 1064 (361) | 1220 (510) | 1201 (418) | 1427 (801) |
| Land Area (Square Miles) | 0.18 (0.43) | 0.22 (0.20) | 0.11 (0.07) | 0.08 (0.07) | 0.11 (0.10) | 0.60 (0.94) |
| Population Density (1,000s/Sq. Mile) | 15.0 (11.9) | 5.5 (1.7) | 12.2 (9.7) | 19.3 (12.5) | 14.3 (6.1) | 11.8 (16.3) |
Note: all variables above show significant differences (p < 0.01) across the HOLC groupings as measured by a group F-test.
Results of Bayesian spatial analyses estimating associations of 1937 HOLC classifications with current characteristics of 520 Census Block Groups in six California cities.
| Model 1: Black Population vs. Total Population (Poisson) | Model 2: Hispanic Population vs. Total Population (Poisson) | Model 3: Household Income [$1000s] (Linear Model) | |
|---|---|---|---|
| 0.97 (0.78, 1.21) | 0.58 (0.48, 0.71) | 0.96 (0.46, 1.68) | |
| 1.18 (1.07, 1.31) | 0.58 (0.52, 0.66) | 2.17 (1.79, 2.60) | |
| 0.609 | 0.647 | 0.647 | |
Note: Results in bold indicate that the 95% credible interval excludes no effect (i.e., CI excludes a relative rate of 1 in Poisson models 1–3, and excludes a coefficient of 0 in linear model 4).
Testing association between 1937 HOLC categories and 2016 alcohol outlets relative to land area, alone and with additional alcohol-demand factors included (Morrison et al., 2015) in 520 Census Block Groups.
| Model 1: Off-Premise Alcohol Outlets vs. Land Area (Poisson) | Model 2: Add controls for alcohol-demand factors | |
|---|---|---|
| 1.50 (0.67, 3.64) | ||
| 2.00 (0.89, 4.97) | ||
| 1.90 (0.81, 4.84) | ||
| 0.70 (0.31, 1.75) | ||
| 1.13 (0.92, 1.38) | ||
| 1.00 (0.96, 1.04) | ||
| 1.82 (0.58, 5.43) | ||
| 0.83 (0.62, 1.08) | 0.76 (0.57, 0.99) | |
| 0.03 (0.01, 0.09) | 0.03 (0.01, 0.09) | |
| 0.687 | 0.486 | |
Note: Results in bold indicate that the 95% credible interval excludes no effect (i.e., CI excludes a relative rate of 1).