Citation

Sun Y, Li J, Jin X, Xiao H, He Z, Su S, Weng M. Sustain. Cities Soc. 2019; 46: 101414.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.scs.2018.12.042

PMID

unavailable

Abstract

Urban China is now faced with the considerable challenge of sustainability, given that it has the highest incidence of excessive alcohol drinking (EAD)-related deaths worldwide. The current study presents a conceptual framework explaining the geographic disparities in EAD; and explores the associations between EAD and the neighborhood physical environment and sociodemographic characteristics across the districts within Wuhan, China. Four regression models are built to verify related hypotheses and examine the role of alcohol outlets accessibility, transport convenience and social deprivation. Geographically weighted regression (GWR) is employed to further explore the spatial nonstationary associations. Our results demonstrate that similarities and differences exist between China and other nations in regard to the associations between EAD and related neighborhood characteristics. In China, the neighborhood physical environment strongly influences the occurrence of EAD, while social deprivation is not a significant contributor. EAD is more likely to be found in neighborhoods with greater alcohol outlet accessibility, and on-premise alcohol outlets represented by restaurants contribute much more than off-premise alcohol outlets. In addition, the relationship between alcohol outlet accessibility and EAD varies across regions in strength but is the same in nature. Based on these findings, several suggestions are provided for healthy city planning.

Language: en

Keywords

China; Excessive alcohol drinking; Geographically weighted regression; Physical environment; Sociodemographic characteristics