The corner liquor store: race, retail, and health risk in urban African American communities

街角酒类商店：城市非裔美国人社区的种族、零售和健康风险

基本信息

批准号：
10395428
负责人：
Naa Oyo A Kwate
金额：
$ 5万
依托单位：
RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-05-01 至 2023-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10395428
关键词：
Accounting Achievement Address Adult Affect African American African American population Alcohol consumption Alcoholic Beverages Alcoholic Liver Diseases Alcohols American Archives Area Attention Baltimore Black race Books Businesses Cardiovascular Diseases Chronic Disease Collection Communities Community Health Consumption Country Data Drug usage Economics Environment Esthetics Exposure to Face Goals Grant Health Health Care Research Health Sciences Healthy People 2020 Humanities Income Individual Inequality Injury Institutional Practice Intervention Interview Left Licensing Life Link Literature Locales Malignant Neoplasms Maps Marketing Methods Mind Morbidity - disease rate National Health Insurance National Institute on Alcohol Abuse and Alcoholism Neighborhoods Outcome Pattern Personal Satisfaction Persons Play Policies Politics Population Prevalence Public Health Public Policy Race Reading Recording of previous events Research Resources Risk Role Scholarship Sexually Transmitted Diseases Shapes Social Impacts Social Sciences Socialization Socioeconomic Status Source Stress Surveys Time Time trend Toxic effect United States United States Dept. of Health and Human Services Work Writing alcohol abstinence alcohol exposure alcohol outlet density binge drinking catalyst density disparity elimination distilled alcoholic beverage drinking effective intervention experience health care availability health care service utilization health data health disparity health equity health inequalities high risk high risk behavior high risk drinking innovation interest journal article mortality operation pedestrian injury pressure public health relevance racial disparity racism response segregation social social deficits social health determinants social observations social stressor socioeconomics violent crime

项目摘要

The National Institute on Alcohol Abuse and Alcoholism notes that “people drink to socialize, celebrate, and relax.” Indeed, alcohol consumption features prominently in American social life, is widely consumed in the population, and is extensively marketed. Yet, national health data show that African Americans are more likely to abstain from alcohol use. For example, according to the 2016 National Health Insurance Survey, 57.6% of White, but 43.6% of Black adults were current regular drinkers. However, African Americans who do drink consume more alcohol and are often more likely to engage in binge drinking. As well, this population has a higher risk for developing alcohol-related liver disease. Alcohol is also linked to a number of other conditions from which African Americans suffer high morbidity and mortality such as cardiovascular disease and cancer. Because the unequal burden of chronic disease among African Americans is not attributable solely to individual socioeconomic status or access to health care, research is needed to contextualize alcohol-related health risks. A significant body of research has documented that African American communities are heavily exposed to liquor stores, a mismatch that is discordant from drinking patterns. Liquor store density is associated with greater consumption of alcohol and with a number of negative outcomes ranging from injury to sexually transmitted disease. Beyond immediate health risks related to consumption, liquor stores exert systematic pressures on African American communities of which health outcomes are but one. By inducing a cascade of socioeconomic and social stressors, and by perpetuating racial inequalities in institutional practices and social relations, liquor stores have a profound and capacious reach in Black life. To date, these impacts have been little interrogated. The proposed study seeks to advance research on social determinants of health by conducting historical analyses of liquor store prevalence, operations, merchandise, and alcoholic beverage marketing in urban African American communities from approximately 1945 to the present. Drawing on a diverse set of archival resources, street observation of stores, and interviews with liquor store workers, the proposed work will make an innovative contribution to research on neighborhood context and health.

美国国家酒精滥用和酒精中毒研究所指出，“人们喝酒是为了社交、庆祝和事实上，饮酒在美国社会生活中占有重要地位，在美国被广泛消费。然而，全国健康数据显示，非洲裔美国人的可能性更大。例如，根据 2016 年国民健康保险调查，57.6% 的人戒酒。白人，但 43.6% 的黑人成年人目前经常饮酒，但非裔美国人确实喝酒。饮酒量较多，而且往往更有可能酗酒。患酒精相关肝病的风险较高。酒精还与许多其他疾病有关。非裔美国人患有心血管疾病和癌症等高发病率和死亡率。因为非裔美国人慢性病负担不平等不仅仅归因于个人社会经济地位或获得医疗保健的机会，需要进行研究以了解与酒精相关的情况大量研究表明，非裔美国人社区面临着严重的健康风险。暴露于酒类商店中，与饮酒模式不一致的不匹配是。与大量饮酒以及许多负面后果（从受伤到除了与消费相关的直接健康风险外，酒类商店还施加压力。对非裔美国人社区造成的系统性压力，其健康结果只是其中之一。社会经济和社会压力的级联，以及制度实践中种族不平等的长期存在迄今为止，酒类商店对黑人生活产生了深远而广泛的影响。拟议的研究旨在推进对健康的社会决定因素的研究。通过对酒类商店的流行、运营、商品和酒精饮料进行历史分析大约从 1945 年至今，在城市非裔美国人社区进行营销。多样化的档案资源、对商店的街头观察以及对酒类商店工作人员的采访，拟议的工作将为邻里环境和健康的研究做出创新贡献。