1
|
Georgescu OS, Martin L, Târtea GC, Rotaru-Zavaleanu AD, Dinescu SN, Vasile RC, Gresita A, Gheorman V, Aldea M, Dinescu VC. Alcohol Consumption and Cardiovascular Disease: A Narrative Review of Evolving Perspectives and Long-Term Implications. Life (Basel) 2024; 14:1134. [PMID: 39337917 PMCID: PMC11433171 DOI: 10.3390/life14091134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2024] [Revised: 09/06/2024] [Accepted: 09/07/2024] [Indexed: 09/30/2024] Open
Abstract
Cardiovascular illnesses remain the primary cause of death, accounting for at least 17.9 million fatalities per year and posing a significant public health problem because of its extensive predominance and effect on healthcare systems. The etiology of cardiovascular disease is complex and involves several environmental and lifestyle factors. Alcohol use is a highly important determinant because of its dual-edged effect on cardiovascular health. Multiple studies indicate that moderate alcohol consumption may have certain advantages, such as slight enhancements in lipid profiles. Conversely, excessive alcohol intake is associated with serious negative consequences, including cardiomyopathy, hypertension, arrhythmias, and even mortality. The aim of this study is to provide a comprehensive analysis of the several effects of alcohol on cardiovascular health and their understanding within the medical field over time. It uses an interpretative narrative review methodology and analyzes studies that focus on genetic risk factors, gender differences, and shifts in paradigms in recent years. This article highlights the need for obtaining a thorough understanding of the effects of alcohol on cardiovascular health to support public health guidelines and clinical practice, and it underscores the significance of including alcohol consumption into the broader context of cardiovascular risk management and identifies important subjects for further study.
Collapse
Affiliation(s)
- Ovidiu Stefan Georgescu
- Doctoral School, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Str., 200349 Craiova, Romania
| | - Liviu Martin
- Faculty of Medical Care, Titu Maiorescu University, Văcărești Road, no 187, 040051 Bucharest, Romania
| | - Georgică Costinel Târtea
- Department of Physiology, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Str., 200349 Craiova, Romania
| | | | - Sorin Nicolae Dinescu
- Department of Epidemiology, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Str., 200349 Craiova, Romania
| | - Ramona Constantina Vasile
- Department of Epidemiology, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Str., 200349 Craiova, Romania
| | - Andrei Gresita
- Department of Physiology, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Str., 200349 Craiova, Romania
| | - Veronica Gheorman
- Department 3 Medical Semiology, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Str., 200349 Craiova, Romania
| | - Madalina Aldea
- Department of Psychiatry, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Str., 200349 Craiova, Romania
| | - Venera Cristina Dinescu
- Department of Health Promotion and Occupational Medicine, University of Medicine and Pharmacy of Craiova, 2 Petru Rares Str., 200349 Craiova, Romania
| |
Collapse
|
2
|
Doyle A, Foley R, Houghton F. A spatial examination of alcohol availability and the level of disadvantage of schools in Ireland. BMC Public Health 2024; 24:795. [PMID: 38481175 PMCID: PMC10938707 DOI: 10.1186/s12889-024-18261-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Accepted: 03/03/2024] [Indexed: 03/17/2024] Open
Abstract
BACKGROUND The availability of alcohol is a major factor in underage drinking and according to the alcohol harm paradox, those living in more deprived communities are more susceptible to the negative consequences of alcohol use, despite drinking the same or less than those from more affluent areas. Alcohol availability within the vicinity of the home or school normalises alcohol for schoolchildren. For the first time in the Republic of Ireland, this study examines the number of premises licensed to sell alcohol within 300 m of all schools in Ireland and differences in this number between disadvantaged and non-disadvantaged schools. METHODS Using publicly available data from the Department of Education and Revenue, the addresses of all schools (n = 3,958) and all premises with at least one liquor licence (n = 14,840) were geocoded and analysed using the Geographic Information System software, Quantum GIS (QGIS). Schools were identified by their disadvantaged classification using the HP Pobal Deprivation Index and the number of liquor licences within 300 m of each school type was examined. To test for significant differences between schools' level of disadvantage, a combination of Mann-Whitney U tests, Kruskal-Wallis tests and Dunn-Bonferroni tests were used. RESULTS There was a mean of two licenced premises within 300 m of all schools in Ireland, but when disadvantaged schools were compared to non-disadvantaged schools, there was a significantly higher number of licenced premises around disadvantaged schools (p < .001). Primary schools are further classified according to their level of disadvantage and the results indicated that those schools classified as the most disadvantaged had a significantly greater number of liquor licences within 300 meters (p < .001). There was no significant difference in density of licenced premises when comparing disadvantaged secondary schools with non-disadvantaged secondary schools (p = .705). CONCLUSION Ireland is considering increasing alcohol availability through the Sale of Alcohol Bill, 2022. However, this analysis indicates already problematic numbers of licenced premises within close proximity of schools in Ireland. It is essential that the harms associated with alcohol availability are considered, especially for those living and attending school in disadvantaged communities, where higher numbers of licenced premises were identified.
Collapse
Affiliation(s)
- Anne Doyle
- Health Research Board, Grattan House 67-72 Lower Mount Street, Dublin, Ireland.
| | - Ronan Foley
- Maynooth University, Maynooth, Co. Kildare, Ireland
| | - Frank Houghton
- Technological University of the Shannon, Limerick, Ireland
| |
Collapse
|
3
|
Berasaluce M, Martín-Turrero I, Valiente R, Martínez-Manrique L, Sandín-Vázquez M, Sureda X. Urban and social determinants of alcohol and tobacco consumption among adolescents in Madrid. GACETA SANITARIA 2023; 37:102336. [PMID: 38006663 DOI: 10.1016/j.gaceta.2023.102336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Revised: 08/10/2023] [Accepted: 09/25/2023] [Indexed: 11/27/2023]
Abstract
OBJECTIVE This study aims to describe the accessibility to and promotion of alcohol and tobacco around secondary schools in Madrid and its distribution in relation with area-level socioeconomic deprivation; analyze the relationship between this exposure and individual consumption characteristics of students between 14 and 18 years old; and explore other facilitators of this consumption. METHOD Mixed-methods study conducted in three phases: 1) we collected data on accessibility to and promotion of alcohol and tobacco in the environment using systematic social observation around 55 secondary schools; 2) we administered 2287 questionnaires among the students in these centers to gather information about characteristics and determinants of consumption; and 3) we conducted 20 semi-structured interviews and one discussion group to deepen in the results obtained in surveys and systematic social observation. We will use Geographic Information Systems to integrate and analyze the data from a spatial perspective.
Collapse
Affiliation(s)
- Maitane Berasaluce
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain
| | - Irene Martín-Turrero
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain
| | - Roberto Valiente
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain; Centre for Research on Environment, Society and Health (CRESH), School of GeoSciences, University of Edinburgh, Edinburgh, United Kingdom; SPECTRUM Consortium, United Kingdom
| | - Lucía Martínez-Manrique
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain; Department of Preventive Medicine, Hospital Universitario de Móstoles, Móstoles, Madrid, Spain
| | - María Sandín-Vázquez
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain; Department of Community Health and Social Sciences, Graduate School of Public Health & Health Policy, City University of New York, New York, United States of America
| | - Xisca Sureda
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain; Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, City University of New York, New York, United States of America; Tobacco Control Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain; CIBER de Enfermedades Respiratorias (CIBERES), Spain.
| |
Collapse
|
4
|
Odeigah OW, Patton R, Trangenstein P. Alcohol outlet density and marketing in Abeokuta, Nigeria. Alcohol Alcohol 2023; 58:628-636. [PMID: 37706528 DOI: 10.1093/alcalc/agad058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Revised: 08/07/2023] [Accepted: 08/19/2023] [Indexed: 09/15/2023] Open
Abstract
AIM The physical availability of alcohol is a modifiable determinant of alcohol consumption and related harm. However, Nigeria currently does not have national regulations restricting the physical availability of alcohol. The study measured alcohol outlet density and marketing in Abeokuta, Nigeria. METHODS A descriptive community design was employed. Seven wards in Abeokuta South local government were surveyed street by street for functional alcohol outlets and nearby public institutions (schools and worship centres). Outlet characteristics were documented, and the location of outlets and public institutions was geocoded using a global positioning system app. The density and proximity of outlets and public institutions were analysed using QGIS 3.22. RESULTS Four hundred and seventy-six alcohol outlets and 194 public institutions (82 schools, 87 churches, and 25 mosques) were sampled across the 7 wards. The most common type of alcohol premises and outlets was on/off-premises and liquor/non-alcoholic drinks stores. Alcohol banners on liquor store lintels were the most prevalent marketing item. Alcohol outlet density ranged from 8.06 to 200 per km2. The smallest average distance between alcohol outlets was 28 m in Sodeke, while Ago Egun/Ijesa had the highest number of outlets and on/off premises. The shortest distance from an outlet to a school was 18.77 m in Ijaiye and 44 (14.7%) schools were located within ≤100 m of an outlet. CONCLUSIONS Findings indicate high alcohol density, resulting in short distances between alcohol outlets and public institutions in Abeokuta South local government area. These results underscore the importance of implementing evidence-based alcohol availability policies in Nigeria.
Collapse
Affiliation(s)
- Ogochukwu W Odeigah
- Department of Psychology, Chrisland University, K/M 5 Ajebo Road, P. M. B. 2131, Abeokuta, Ogun State, Nigeria
| | - Robert Patton
- School of Psychology, University of Surrey, Guildford, Surrey GU2 7XH, United Kingdom
| | - Pamela Trangenstein
- Alcohol Research Group, Public Health Institute, 6001 Shellmound Street, Suite 450, Emeryville, CA 94608, United States
| |
Collapse
|
5
|
Sandín Vázquez M, Pastor A, Molina de la Fuente I, Conde Espejo P, Sureda Llul F. Using photovoice to generate policy recommendations to improve the alcohol urban environment: A participatory action research project. Health Place 2023; 84:103131. [PMID: 37847983 DOI: 10.1016/j.healthplace.2023.103131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 09/26/2023] [Accepted: 09/26/2023] [Indexed: 10/19/2023]
Abstract
The place where we live, work and play may influence our alcohol drinking behaviours. This study aimed to present local policy recommendations on urban determinants for alcohol consumption prevention in a low-income and a high-income area of Madrid (Spain) using a participatory action research method, with photovoice and nominal group techniques. Participants (n = 26) engaged in a photovoice project initiated a process of critical reflection by discussing and analysing their alcohol environment based on photographs they took themselves. At the end of six week group discussion sessions, participants identified 33 themes related to their alcohol environment. They later met to translate the final categories into urban policy recommendations using a logical framework approach. Then, with a nominal group, they prioritized these recommendations based on time, impact, feasibility, and cost. Finally, participants produced a total of 61 policy recommendations for the improvement of the alcohol environment, highlighting the need for researcher-community collaborations when designing public health interventions.
Collapse
Affiliation(s)
- María Sandín Vázquez
- Surgery, Medical and Social Science Department, School of Medicine, University of Alcalá, Madrid, Spain; Public Health and Epidemiology Research Group, School of Medicine, University of Alcala, Alcala de Henares, Madrid, Spain; Department of Community Health and Social Sciences, Graduate School of Public Health and Health Policy, City University of New York, New York, NY, 10027, United States.
| | - Andrea Pastor
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcala, Alcala de Henares, Madrid, Spain
| | - Irene Molina de la Fuente
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcala, Alcala de Henares, Madrid, Spain
| | - Paloma Conde Espejo
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcala, Alcala de Henares, Madrid, Spain
| | - Francisca Sureda Llul
- Surgery, Medical and Social Science Department, School of Medicine, University of Alcalá, Madrid, Spain; Public Health and Epidemiology Research Group, School of Medicine, University of Alcala, Alcala de Henares, Madrid, Spain; Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, City University of New York, New York, NY, 10027, United States; Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, l'Hospitalet de Llobregat, Barcelona, Spain; Respiratory Diseases Networking Biomedical Research Centre (CIBERES), Madrid, Spain
| |
Collapse
|
6
|
Martín-Turrero I, Sureda X, Escobar F, Bilal U, Berasaluce M, Valiente R. How Can We Measure Alcohol Outlet Density Around Schools? A Comparison Between Two Buffer-Based Methods. J Urban Health 2023:10.1007/s11524-023-00740-z. [PMID: 37351726 DOI: 10.1007/s11524-023-00740-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/10/2023] [Indexed: 06/24/2023]
Abstract
Measuring the density of alcohol outlets around schools is a critical step towards understanding the drivers of drinking among adolescents. Different methodologies have been used in the literature for this purpose, but the implications of using one methodology or another have not been clearly assessed. Our aim was to compare different methods to measure alcohol outlet density and highlight under which characteristics of the environment might be best using each approach. We used Geographic Information Systems to geolocate schools (n = 576) and alcohol outlets (n = 21,732) in Madrid. We defined the density of alcohol outlets as the number of establishments within an area of 400 m around schools measured using two buffering methods: crow flies' and street network distances. We evaluated the agreement between both methods visually and through regression models, including street connectivity, population density, and density of recreational venues as predictors of disagreement. The density of alcohol outlets around schools was higher using crow flies' distances compared to street network distances. The differences between methodologies were wider in areas of higher density of outlets, especially in the downtown areas, where there are higher population density and street connectivity. Our results suggest that the spatial characteristics and morphology of the study area (e.g., street connectivity and population density) should be considered when deciding the methodology to be used to measure alcohol outlet density. Future studies should explore the implications of different exposure measures in their association with drinking prevalence and consumption patterns among different geographical contexts.
Collapse
Affiliation(s)
- Irene Martín-Turrero
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario - Crta. de Madrid-Barcelona, Km. 33,600. Alcalá de Henares, 28871, Madrid, Spain
| | - Xisca Sureda
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario - Crta. de Madrid-Barcelona, Km. 33,600. Alcalá de Henares, 28871, Madrid, Spain.
- Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, City University of New York, New York, NY, 10027, USA.
- Tobacco Control Research Group, Institut d'Investigació Biomèdica de Bellvitge-IDIBELL, l'Hospitalet de Llobregat, Barcelona, Spain.
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain.
| | - Francisco Escobar
- Department of Geology, Geography and Environmental Sciences, University of Alcalá, Alcalá de Henares, Madrid, Spain
| | - Usama Bilal
- Urban Health Collaborative, Drexel Dornsife School of Public Health, Philadelphia, PA, 19104, USA
- Department of Epidemiology and Biostatistics, Drexel Dornsife School of Public Health, Philadelphia, PA, 19104, USA
| | - Maitane Berasaluce
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario - Crta. de Madrid-Barcelona, Km. 33,600. Alcalá de Henares, 28871, Madrid, Spain
| | - Roberto Valiente
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario - Crta. de Madrid-Barcelona, Km. 33,600. Alcalá de Henares, 28871, Madrid, Spain
- Center for Research on Environment, Society and Health (CRESH), School of GeoSciences, University of Edinburgh, Edinburgh, UK
- SPECTRUM Consortium, London, UK
| |
Collapse
|
7
|
Belay GM, Lam KKW, Liu Q, Wu CST, Mak YW, Ho KY. Magnitude and determinants of alcohol use disorder among adult population in East Asian countries: A systematic review and meta-analysis. Front Public Health 2023; 11:1144012. [PMID: 36926176 PMCID: PMC10011711 DOI: 10.3389/fpubh.2023.1144012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Accepted: 02/08/2023] [Indexed: 03/08/2023] Open
Abstract
Introduction Alcohol use disorder is a medical condition characterized by an impaired ability to control or stop alcohol use despite adverse health outcomes. Despite several studies that have analyzed the prevalence and determinants, their results have been equivocal, and the reasons for the differences in prevalence rates and determinants of AUD across nationalities are unknown. Hence, this study estimated the pooled prevalence of alcohol use disorder and its determinant among adults in East Asian countries. Methods Articles were searched from PubMed, Web of Science, EMBASE, PsycINFO, and Scopus. All observational study designs that fulfilled the predefined criteria were included in the study. The findings were reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). The quality and heterogeneity of articles were assessed using the new castle-Ottawa scale (NOS) and I2, respectively. Additionally, publication bias was checked through funnel plot and Egger's regression test. Results A total of 14 articles with 93, 161 study participants were considered in the study. Of which 9 studies were included in the meta-analysis of the 1-year prevalence of alcohol use disorder, 6 in the lifetime, 9 in alcohol abuse, and 8 in alcohol dependency. Consequently, the overall pooled prevalence of one-year alcohol use disorder was 8.88% (95% CI: 6.32, 11.44), lifetime 13.41% (95%CI: 8.48, 18.34), alcohol abuse 5.4% (95% CI: 2.66, 8.13), and alcohol dependency 4.47% (95% CI: 2.66, 6.27). In the subgroup analysis by country, the highest 1-year and lifetime pooled prevalence of alcohol use disorder was observed in Korea at 9.78% (95% CI:4.40, 15.15) and 16.73% (95% CI: 15.31, 18.16), respectively. Besides, smoking (OR: 3.99; 95% CI: 1.65, 6.33) and male gender (OR: 5.9; 95% CI: 3.3, 8.51) were significant determinants of alcohol use disorder. Conclusions The magnitude of alcohol use disorder was high among adults in East Asian countries. Smoking and male gender were the key determinants of alcohol use disorders.
Collapse
Affiliation(s)
| | | | | | | | | | - Ka Yan Ho
- School of Nursing, Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
| |
Collapse
|
8
|
Yibo Y, Ziyuan C, Simayi Z, Haobo Y, Xiaodong Y, Shengtian Y. Dynamic evaluation and prediction of the ecological environment quality of the urban agglomeration on the northern slope of Tianshan Mountains. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:25817-25835. [PMID: 36346520 DOI: 10.1007/s11356-022-23794-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 10/19/2022] [Indexed: 06/16/2023]
Abstract
In order to timely determine the dynamic changes of the ecological environment quality and future development laws of the urban agglomeration on the northern slope of the Tianshan Mountains, combined with the actual situation of the urban agglomeration, 11 indicators were selected from the three aspects of natural ecology, social ecology, and economic ecology. To reduce the dimensions of the indicators, principal component analysis, coefficient of variation, and analytic hierarchy process were used based on RS and GIS technology methods, and the ecological environmental quality (EQI) from 2000 to 2018 was dynamically evaluated. Further, the CA-Markov model was introduced to simulate the development status in 2026 for predictive purposes. The main results are as follows: the overall ecological environment of the area exhibited a gradually improving distribution change from southwest to northeast; the proportion of ecological environment classification exhibited a gradually decreasing change pattern; the spatial differentiation of ecological environment quality exhibited a significant spatial positive correlation; from the influencing factors, an observation can be made that natural ecological factors were highly significant; the prediction accuracy verification revealed that the CA-Markov model was suitable for the prediction of the ecological environment quality in the region and had high accuracy; and the comprehensive regional ecological environment quality indexes were 5.7392, 6.1856, and 6.4366, respectively, while the forecasted value for 2026 was predicted to be 6.6285, indicating that the overall ecological environment quality of the region will improve and develop well. The present research results reveal the law of dynamic changes and future development of the ecological environment quality in the region, which can be used as a theoretical reference for the formulation of ecological environmental protection measures.
Collapse
Affiliation(s)
- Yan Yibo
- College of Resources and Environmental Sciences, Xinjiang University, Urumqi, 830046, Xinjiang, China
- Key Laboratory of Smart City and Environmental Modelling for General Universities, College of Resources and Environmental Sciences, Xinjiang University, Urumqi, 830046, Xinjiang, China
- Key Laboratory of Oasis Ecology, Ministry of Education Laboratory, Xinjiang University, Urumqi, 830046, Xinjiang, China
| | - Chai Ziyuan
- College of Resources and Environmental Sciences, Xinjiang University, Urumqi, 830046, Xinjiang, China
- Key Laboratory of Smart City and Environmental Modelling for General Universities, College of Resources and Environmental Sciences, Xinjiang University, Urumqi, 830046, Xinjiang, China
- Key Laboratory of Oasis Ecology, Ministry of Education Laboratory, Xinjiang University, Urumqi, 830046, Xinjiang, China
| | - Zibibula Simayi
- College of Resources and Environmental Sciences, Xinjiang University, Urumqi, 830046, Xinjiang, China.
- Key Laboratory of Smart City and Environmental Modelling for General Universities, College of Resources and Environmental Sciences, Xinjiang University, Urumqi, 830046, Xinjiang, China.
- Key Laboratory of Oasis Ecology, Ministry of Education Laboratory, Xinjiang University, Urumqi, 830046, Xinjiang, China.
| | - Yan Haobo
- School of Civil Engineering and Transportation, North China University of Water Resources and Electric Power, Henan, 450045, China
| | - Yang Xiaodong
- Sino-French Joint College of Ningbo University, Ningbo, 200231, Zhejiang, China
| | - Yang Shengtian
- College of Resources and Environmental Sciences, Xinjiang University, Urumqi, 830046, Xinjiang, China
- Key Laboratory of Smart City and Environmental Modelling for General Universities, College of Resources and Environmental Sciences, Xinjiang University, Urumqi, 830046, Xinjiang, China
- Key Laboratory of Oasis Ecology, Ministry of Education Laboratory, Xinjiang University, Urumqi, 830046, Xinjiang, China
- School of Geography and Remote Sensing Science, Beijing Normal University, Beijing, 100875, China
| |
Collapse
|
9
|
Li Y, Gao X, Xu Y, Cao J, Ding W, Li J, Yang H, Huang Y, Ge J. A multicomponent index method to evaluate the relationship between urban environment and CHD prevalence. Spat Spatiotemporal Epidemiol 2023. [DOI: 10.1016/j.sste.2023.100569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
|
10
|
Martínez-Manrique L, Berasaluce M, Sureda X, Sandín Vázquez M. Gender Matters: Identity, Risk Perception and Preventive Interventions for Alcohol Consumption among Adolescents Using a Qualitative Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16435. [PMID: 36554316 PMCID: PMC9779382 DOI: 10.3390/ijerph192416435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 11/27/2022] [Accepted: 12/06/2022] [Indexed: 06/17/2023]
Abstract
The epidemiological information available in Spain and the Community of Madrid highlights two relevant facts regarding alcohol consumption: an increase in binge drinking in teenagers and a reduction/reversal of the gender gap, particularly at young ages. This article aims to describe some of the factors related to alcohol use in teenagers, especially those related to gender and risk perception. A qualitative study was designed with semi-structured interviews and a discussion group with students from the city of Madrid aged 14 to 18 years. A descriptive analysis of the content of the replies of 28 teenagers was conducted. The results show that alcohol consumption has an identity component, both in terms of transition to adulthood and gender role performance. Consumption is also associated with risks, especially those determined by gender inequality, which teenagers learn to manage as a means of survival in nightlife. Preventive campaigns typically lack a gender perspective and a focus on risk prevention. To reduce the prevalence of consumption and associated risks, these strategies need to be reformulated with a gender perspective.
Collapse
Affiliation(s)
- Lucía Martínez-Manrique
- Preventive Medicine Department, Hospital Universitario de Móstoles, C. Dr. Luis Montes, S/N, 28935 Madrid, Spain
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, 28801 Madrid, Spain
| | - Maitane Berasaluce
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, 28801 Madrid, Spain
| | - Xisca Sureda
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, 28801 Madrid, Spain
- Department of Epidemiology and Biostatistics, Graduate School of Public Health and Health Policy, City University of New York, 205 E 42nd St., New York, NY 10017, USA
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge-IDIBELL, l’Hospitalet de Llobregat Avinguda de la Granvia de l’Hospitalet, 199 L’Hospitalet de Llobregat, 08908 Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28029 Madrid, Spain
| | - María Sandín Vázquez
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, 28801 Madrid, Spain
- Department of Community Health and Social Sciences, Graduate School of Public Health and Health Policy, City University of New York, New York, NY 10027, USA
| |
Collapse
|
11
|
Caryl FM, Pearce J, Mitchell R, Shortt NK. Inequalities in children's exposure to alcohol outlets in Scotland: a GPS study. BMC Public Health 2022; 22:1749. [PMID: 36109778 PMCID: PMC9479265 DOI: 10.1186/s12889-022-14151-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Accepted: 09/08/2022] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Alcohol use is a leading cause of harm in young people and increases the risk of alcohol dependence in adulthood. Alcohol use is also a key driver of rising health inequalities. Quantifying inequalities in exposure to alcohol outlets within the activity spaces of pre-adolescent children-a vulnerable, formative development stage-may help understand alcohol use in later life. METHODS GPS data were collected from a nationally representative sample of 10-and-11-year-old children (n = 688, 55% female). The proportion of children, and the proportion of each child's GPS, exposed to alcohol outlets was compared across area-level income-deprivation quintiles, along with the relative proportion of exposure occurring within 500 m of each child's home and school. RESULTS Off-sales alcohol outlets accounted for 47% of children's exposure, which was higher than expected given their availability (31% of alcohol outlets). The proportion of children exposed to alcohol outlets did not differ by area deprivation. However, the proportion of time children were exposed showed stark inequalities. Children living in the most deprived areas were almost five times more likely to be exposed to off-sales alcohol outlets than children in the least deprived areas (OR 4.83, 3.04-7.66; P < 0.001), and almost three times more likely to be exposed to on-sales alcohol outlets (OR 2.86, 1.11-7.43; P = 0.03). Children in deprived areas experienced 31% of their exposure to off-sales outlets within 500 m of their homes compared to 7% for children from less deprived areas. Children from all areas received 22-32% of their exposure within 500 m of schools, but the proportion of this from off-sales outlets increased with area deprivation. CONCLUSIONS Children have little control over what they are exposed to, so policies that reduce inequities in alcohol availability should be prioritised to ensure that all children have the opportunity to lead healthy lives.
Collapse
Affiliation(s)
- Fiona M. Caryl
- grid.8756.c0000 0001 2193 314XMRC/CSO Social and Public Health Sciences Unit, School of Health & Wellbeing, University of Glasgow, Glasgow, UK
| | - Jamie Pearce
- grid.4305.20000 0004 1936 7988Centre for Research On Environment, Society and Health, School of GeoSciences, University of Edinburgh, Edinburgh, UK
| | - Rich Mitchell
- grid.8756.c0000 0001 2193 314XMRC/CSO Social and Public Health Sciences Unit, School of Health & Wellbeing, University of Glasgow, Glasgow, UK
| | - Niamh K. Shortt
- grid.4305.20000 0004 1936 7988Centre for Research On Environment, Society and Health, School of GeoSciences, University of Edinburgh, Edinburgh, UK
| |
Collapse
|
12
|
Pastor A, Sureda X, Valiente R, Badland H, García-Dorado M, Escobar F. Using Geovisualization Tools to Examine Attitudes towards Alcohol Exposure in Urban Environments: A Pilot Study in Madrid, Spain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159192. [PMID: 35954557 PMCID: PMC9368102 DOI: 10.3390/ijerph19159192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 07/22/2022] [Accepted: 07/25/2022] [Indexed: 02/01/2023]
Abstract
Pervasiveness of alcohol products and their promotion in the urban landscape may normalize alcohol consumption. This study aims to utilize geovisualization-based methods to assess attitudes towards different levels of alcohol exposure in the urban environment. We selected a typical downtown location, Lavapiés Square in Madrid, Spain, to conduct our study. First, we designed and created realistic 3D models simulating three different urban scenes with varying degrees of exposure to alcohol in the environment. Second, we used a survey on 159 adults to explore the level of acceptance of, attitudes towards, and perceptions of alcohol exposure in each scene. Participants reported a higher level of comfort in the scene with null alcohol exposure compared with the other scenes (p < 0.001). Acceptance towards alcohol exposure decreased as the level of alcohol elements increased in the scenes (p < 0.01). Acceptance also decreased when children were present in the scenes (p < 0.01). This study demonstrated that geovisualization tools provide a useful and well-suited approach to analyze perceptions of the alcohol environment. The use of geovisualization can help understand attitudes and perceptions towards the alcohol environment and may offer a way to simulate different scenarios prior to development or retrofitting.
Collapse
Affiliation(s)
- Andrea Pastor
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario-Ctra. de Madrid-Barcelona, Km. 33,600, 28871 Madrid, Spain;
| | - Xisca Sureda
- Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario-Ctra. de Madrid-Barcelona, Km. 33,600, 28871 Madrid, Spain;
- Department of Epidemiology & Biostatistics, Graduate School of Public Health & Health Policy, City University of New York, 205 E 42nd St., New York, NY 10017, USA
- Tobacco Control Research Group, Institut d’Investigació Biomèdica de Bellvitge-IDIBELL, l’Hospitalet de Llobregat Avinguda de la Granvia de l’Hospitalet, 199, L’Hospitalet de Llobregat, 08908 Barcelona, Spain
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), 28029 Madrid, Spain
- Correspondence: ; Tel.: +34-918-222-351
| | - Roberto Valiente
- Centre for Research on Environment, Society and Health (CRESH), School of GeoSciences, University of Edinburgh, Edinburgh EH8 9XP, UK;
- SPECTRUM Consortium, UK
| | - Hannah Badland
- Health, Place and Society Group, Centre for Urban Research, RMIT University, Melbourne, VIC 3000, Australia;
| | - Macarena García-Dorado
- Department of Geology, Geography and Environmental Sciences, University of Alcalá, 28801 Madrid, Spain; (M.G.-D.); (F.E.)
| | - Francisco Escobar
- Department of Geology, Geography and Environmental Sciences, University of Alcalá, 28801 Madrid, Spain; (M.G.-D.); (F.E.)
| |
Collapse
|