Spatial disparities: The role of nativity in neighborhood exposure to alcohol and tobacco retailers

G Bostean, LA Sánchez, JA Douglas - Journal of Immigrant and Minority …, 2022 - Springer
G Bostean, LA Sánchez, JA Douglas
Journal of Immigrant and Minority Health, 2022Springer
Studies of retail environment, one of the social determinants of health, document
racial/ethnic disparities in exposure to alcohol and tobacco (A and T) retailers, but have
largely overlooked nativity. We examined associations between A and T retailer density and
rates of foreign-born Latinx and foreign-born Asian residents in California census tracts (N=
7888), using spatial regressions and controlling for population and ecological confounders
(eg, population density, zoning, residential instability, urbanicity). Socio-demographic data …
Abstract
Studies of retail environment, one of the social determinants of health, document racial/ethnic disparities in exposure to alcohol and tobacco (A and T) retailers, but have largely overlooked nativity. We examined associations between A and T retailer density and rates of foreign-born Latinx and foreign-born Asian residents in California census tracts (N = 7888), using spatial regressions and controlling for population and ecological confounders (e.g., population density, zoning, residential instability, urbanicity). Socio-demographic data came from the American Community Survey (2012–2016); census tract density of A and T retailers came from geocoded addresses from state license data for off-sale alcohol distributors and purchased data on tobacco retailers from a commercial provider. Models predicting A and T tract retailer density showed that the rate of foreign-born Latinx residents was associated with higher tobacco retailer density but lower alcohol retailer density, and demonstrate no significant associations between rate of foreign-born Asian residents tobacco and alcohol retail density. Retail environment could contribute to observed declines in immigrant health over time in the US and across generations.
Springer
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