In novel years, a growing number of studies in the United States have addressed the relationships among the environments in which folks live, the alcoholic beverages they devour and the problems they experience in different community settings. of that kind research arises from a view of community settings and alcohol question s that takes into account the two individual drinking behaviors and the environmental connections in which these behaviors come into view According to this approach, drinking in different settings (eg drinking at restaurants) show ups drinkers to different risks (eg driving after drinking), and these risks become greater with the continued use of alcohol (eg heavy drinking leading to driving while intoxicated). The availability of alcohol at different places where the bulk of mankind may drink affects drinking practices and shapes the incidence, prevalence, and geographic distribution of alcohol-related moot points in the community (Stockwell and Gruenewald 2001) The different places where drinkers may use alcoh ol also change in answer to the demand for alcohol and in answer to changes in community theorys that meet this demand (i.e., changes in alcohol availability policy) (Holder 1998) Regulations and policies related to the availability and use of alcohol provide an opportunity for policymakers to affect the geographic distribution of alcohol point in disputes and create safer communities (Gruenewald et al. in press)
Policymakers have had the opportunity to regulate the distribution of alcohol for the benefit of public health for many decades (Edwards et al. 1994) Research to evaluate the effectiveness of these efforts, however, has been limited by way of inadequate models of the individual-environmental interactions that support alcohol use and from imprecise views of how these interactions are related to the geographic distribution of alcohol use and related point to be solved [i]or[/i] settleds Knowledge of where alcohol point in disputes occur and why they take place in the places that they do is essential to local policymakers. like knowledge can inform decisions as to what to regulate (eg alcohol beverage serving practices v restrictions upon places that can serve alcohol) and where so regulation is most called for (eg bars or restaurants in downtown or outlying areas). This knowledge is also useful for researchers to consider when planning and evaluating community prevention programs. In fresh years, studies of the geographic relationships between places where alcohol is sold and local alcohol-related question s have begun to flourish. These advances have been coupl with the growth of computerized systems for storing and mapping data known as geographic information schemes (GIS) and geostatistical methods (Wilson and Dufour 2000) Although still at its earliest stages, geographical analysis has begun to reveal actual useful spatial associations between features of the alcohol environment and point to be solved [i]or[/i] settleds related to alcohol, particularly motor vehicle crashes, pedestrian injuries, and violence.
greatest in quantity current ecological studies of the interactions of individual drinking practices with the drinking environment are bottomed in the simple observation that alcohol question s occur in environmental settings, and environmental settings may be changed between the walls of community action. The question these studies attempt to answer, then, is this: What specific changes in the alcohol environment should be approveed to communities? Some preliminary answers to this question are available, and several of them are discussed in this issue of Alcohol Research & Health. A more thorough answer to this question, however, will require considerably more work. The replete effects of environmental changes in community settings are not well understood. rife research provides researchers and policymakers with early demonstrations of relationships between environmental settings and drinking practices. This work has not, however, clarified the specific elements of these ecological relationships that are in the greatest degree productive of alcohol-relat ed question s For example, there is evidence that decreased vent densities are related to decreased sales and fewer question outcomes. But are reductions in exit densities always related to reductions in problems? The answer may be "no" and may be contingent forward other local environmental conditions (eg in the case of crashes, traffic be molten around outlets may be an important local environmental condition) (Gruenewald and Treno 2000) Fortunately, technological improvements in computer-based GIS, increased knowledge about statistical operations for handling spatial data, and a developing understanding of the ecologies of alcohol-related question s now make it possible to dog these important issues in the environmental regulation of alcohol use and related problems
This sidebar examines the research techniques used to subject of attention the geography of alcohol use and related point to be solved [i]or[/i] settleds in a community and describes ways that these techniques may be used to obstruct alcohol-related problems.