The spatio-temporal relationship between alcohol outlets and violence before and after privatization: A natural experiment, Seattle, Wa 2010-2013

Spat Spatiotemporal Epidemiol. 2016 Nov:19:115-124. doi: 10.1016/j.sste.2016.08.003. Epub 2016 Sep 1.

Abstract

Alcohol-related violence is a well-documented public health concern, where various individual and community-level factors contribute to this relationship. The purpose of this study is to examine the impact of a significant policy change at the local level, which privatized liquor sales and distribution. Specifically, we explored the relationship between alcohol and violence in Seattle, WA, 2010-2013, via hierarchical spatio-temporal disease mapping models. To measure and map this complex spatio-temporal relationship at the census block group level (n=567), we examined a variety of models using integrated nested Laplace approximations and used the deviance information criterion to gauge model complexity and fit. For each additional off-premises and on-premises alcohol outlet in a given census block group, we found a significant increase of 8% and 5% for aggravated assaults and 6% and 5% for non-aggravated assaults, respectively. Lastly, our maps showed variation in the estimated relative risks across the city of Seattle.

Keywords: Alcohol outlet; Bayesian spatio-temporal; Violence.

MeSH terms

  • Adolescent
  • Adult
  • Alcoholic Beverages / economics*
  • Cities*
  • Commerce / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Privatization / trends*
  • Spatio-Temporal Analysis
  • Violence / statistics & numerical data*
  • Washington / epidemiology
  • Young Adult