Alcohol Outlets, Gonorrhea, and the kos Angeles Civil Unrest : A Longitudinal Analysis  

Oleh:

Cohen, Deborah A. ; Ghosh-Dastidar, Bonnie ; Scribner, Richard ; Miu, Angela ; Scott, Molly ; Robinson, Paul ; Farley, Thomas A. ; Bluthenthal, Ricky N. ; Brown-Taylor, Didra

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 12 (Jun. 2006), page 3062-3071.
Topik: ALCOHOL; gonorrhea; alcohol outlets; civil unrest; broken windows; GIS; los angels; growth model

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.4 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This study tests the effect of neighborhood changes on gonorrhea rates. prior studies that indicate gonorrhea rates are associated with alcohol outlet density and neighborhood deterioration have been cross sectional and cannot establish causality. After the 1992 civil unrest in los angeles, 270 alcohol outlets surrendered their licences due to arson and vandalism thus providing a natural experiment. We geocodd all reported gonorrhea cases from 1988 to 1996 in LA county, all annually licencsed alcohol outlets, and all properties damaged as a result of the civil unrest. We run individual growth models to examine the independent effects if changes in alcohol outlets and damaged buidings on gonorrhea. The individual growth model explained over 90% of the residual variance inc ensus tract fonorrhea rates. After the civil interest, a unit decrease int he number of alcohol outlets per mile of roadway was associated with 21 fewer gonnorhea cases per 100,000 (p < 0.01) in tracts affected by the unrest compared to those not affected. Neighborhood alcohol outlets appear to be significantly associated with changes in gonorrhea rates. The findings suggest that efforts to control sexually transmitted diseases, including gonorrhea and HIV, should address contextual factors that facilitate high risk behaviors and disease transmission.

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