Citation

Martin G, Inchley J, Marshall A, Shortt N, Currie C. Int. J. Public Health 2019; 64(1): 95-105.

Affiliation

Child and Adolescent Health Research Unit, School of Medicine, University of St Andrews, St Andrews, KY16 9TF, UK.

Copyright

(Copyright © 2019, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00038-018-1181-8

PMID

30511169

Abstract

OBJECTIVES: This research examined the relationship between neighbourhood social environmental characteristics and drinking outcomes among a sample of urban and rural adolescents.

METHODS: From a sample of 1558 Scottish secondary schoolchildren, surveyed as part of the 2010 Health Behaviour in School-aged Children study, we modelled three drinking outcomes on a variety of neighbourhood conditions, including social cohesion, disorder, alcohol outlet density, deprivation, and urban/rurality. Nested and cross-classified multilevel logistic regressions were specified.

RESULTS: An urban-to-rural gradient was found with non-urban adolescents exhibiting higher odds of having ever drank. Neighbourhood social cohesion related to having ever drank. Among drinkers, those living in accessible small towns had higher odds of weekly drinking and drunkenness compared to urban areas. Higher odds of drunkenness were also found in remote rural areas. Those residing in the least deprived areas had lower odds of weekly drinking.

CONCLUSIONS: In Scotland, inequalities exist in adolescent alcohol use by urban/rurality and neighbourhood social conditions.

FINDINGS support regional targeting of public health efforts to address inequalities. Future work is needed to develop and evaluate intervention and prevention approaches for neighbourhoods at risk.

Language: en

Keywords

Adolescents; Alcohol; Alcohol outlet density; Cross-classified; Disorder; Multilevel; Neighbourhood; Rural; Social cohesion; Urban