The Neighborhood Alcohol Environment and Injury Risk: A Spatial Analysis of Pedestrian Injury in Baltimore City

Details

• Alternative Title:
  Inj Prev
• Personal Author:
  Nesoff, Elizabeth D. ; Milam, Adam J. ; Pollack, Keshia M. ; Curriero, Frank C. ; Bowie, Janice V. ; Knowlton, Amy R. ; Gielen, Andrea C. ; Furr-Holden, Debra M.
• Description:
  Objectives:
  
  The purpose of this study was to investigate the contribution of neighborhood disorder around alcohol outlets to pedestrian injury risk.
  
  Methods:
  
  A spatial analysis was conducted on census block groups in Baltimore City. Data included pedestrian injury EMS records from January 1, 2014, to April 15, 2015 (n=858), off-premise alcohol outlet locations for 2014 (n=693), and neighborhood disorder indicators and demographics. Negative binomial regression models were used to determine the relationship between alcohol outlet count and pedestrian injuries at the block group level, controlling for other neighborhood factors. Attributable risk was calculated by comparing the total population count per census block group to the injured pedestrian count.
  
  Results:
  
  Each one-unit increase in the number of alcohol outlets was associated with a 14.2% (95%CI=(1.099, 1.192), p<0.001) increase in the relative risk of neighborhood pedestrian injury, adjusting for traffic volume, pedestrian volume, population density, percent of vacant lots, and median household income. The attributable risk was 10.4% (95% CI=(7.7, 12.7)) or 88 extra injuries. Vacant lots was the only significant neighborhood disorder indicator in the final adjusted model (RR=1.016, 95%CI=(1.007, 1.026), p=0.003). Vacant lots have not been previously investigated as possible risk factors for pedestrian injury.
  
  Conclusions:
  
  This study identifies modifiable risk factors for pedestrian injury previously unexplored in the literature and may provide evidence for alcohol control strategies (e.g., liquor store licensing, zoning, and enforcement).
  
  
• Subjects:
  Accidents, Traffic Adult Alcohol Drinking Alcohol Outlets Article Baltimore Crime Cross-Sectional Studies Environment Design Female Humans Male Neighborhood Disorder Pedestrian Injury Pedestrians Regression Analysis Residence Characteristics Risk Factors Spatial Analysis Wounds And Injuries

  More +
• Source:
  Inj Prev. 25(5):350-356
• Pubmed ID:
  29588410
• Pubmed Central ID:
  PMC6160351
• Document Type:
  Journal Article
• Funding:
  R01 CE002682/CE/NCIPC CDC HHS/United States ; U49 CE000728/CE/NCIPC CDC HHS/United States ; R01 AA015196/AA/NIAAA NIH HHS/United States ; R34 DA034314/DA/NIDA NIH HHS/United States ; F31 AA023716/AA/NIAAA NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  25
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5613adeefb19054c6fb8824d92d2f41dfddee363a8fba430012c8c16cc5df89d
• Download URL:
  https://stacks.cdc.gov/view/cdc/59506/cdc_59506_DS1.pdf
• File Type:
  [PDF - 987.41 KB ]