Human mobility data and machine learning reveal geographic differences in alcohol sales and alcohol outlet visits across U.S. states during COVID-19

As many U.S. states implemented stay-at-home orders beginning in March 2020, anecdotes reported a surge in alcohol sales, raising concerns about increased alcohol use and associated ills. The surveillance report from the National Institute on Alcohol Abuse and Alcoholism provides monthly U.S. alcohol sales data from a subset of states, allowing an investigation of this potential increase in alcohol use. Meanwhile, anonymized human mobility data released by companies such as SafeGraph enables an examination of the visiting behavior of people to various alcohol outlets such as bars and liquor stores. This study examines changes to alcohol sales and alcohol outlet visits during COVID-19 and their geographic differences across states. We find major increases in the sales of spirits and wine since March 2020, while the sales of beer decreased. We also find moderate increases in people’s visits to liquor stores, while their visits to bars and pubs substantially decreased. Noticing a significant correlation between alcohol sales and outlet visits, we use machine learning models to examine their relationship and find evidence in some states for likely panic buying of spirits and wine. Large geographic differences exist across states, with both major increases and decreases in alcohol sales and alcohol outlet visits.

Assessing alcohol consumption patterns in Jinja and Masindi districts

BackgroundUganda National Association of Community and Occupational Health (UNACOH) implemented a workplace and community based alcohol control intervention in the districts of Masindi and Jinja in Uganda where alcohol is highly consumed. UNACOH therefore conducted an end-of year evaluation with a main focus on two of the project’ anticipated outcomes. These include:1) Reduced risky alcohol consumption patterns among the communities in the project area especially among vulnerable and high risk groups (elderly, youth, women, commercial motorcyclists and fisher folk) by 2021 and 2) Legal restrictions on density of alcohol outlets, accessibility to minors and availability are in place in Masindi and Jinja district by 2021 .The main objective was therefore to assess alcohol consumption patterns among drinkers, perceptions about community awareness of alcohol control regulations and their perceived effectiveness in the project area (Masindi and Jinja) in the year 2020.MethodsThis was a cross-sectional evaluation conducted among 310 respondents in selected villages within the intervention Sub Counties of the Districts in the project area. These included; These included Karujubu Division,Miirya and Pakanyi Sub Counties in Masindi District, and Bugembe Town Council,Walukuba- Masese Division and Budondo Sub County in Jinja District. The primary outcomes were; reduced risky alcohol consumption patterns among the communities and presence of legal restrictions on density of alcohol outlets, accessibility to minors and availability. Quantitative data were entered and cleaned using Epi-data version 4.6.0.2 analyzed using STATA version 12.0. Descriptive analysis was used to generate information on the alcohol consumption patterns.Results Findings indicated that majority drinkers were male (71.34%) with only 0.93% below the age of 18 years. Spirits were the commonest type of alcohol consumed (40.78%). Risky alcohol consumptions were reported by nearly half (48.71%) of the drinkers. Male drinkers (81.88%) and those in Jinja (58.97%) reported significantly higher alcohol consumption in comparison with female drinkers (18.12%) and those in Masindi (38.31%) respectively. (χ2 =15.74 and p value of 0.000 and χ2=13.24 and p = 0.000).ConclusionVariation in risky alcohol consumption between the project areas could be attributed to differences in implementation of alcohol control regulations. In some project areas, communities were aware of alcohol control regulations and thought these had been beneficial in reducing alcohol related harm. Risky consumption among drinkers remained relatively high. If these negative trends are not reversed they could significantly increase the non-communicable disease burden including mental health.

SPATIAL ASSOCIATION PATTERNS OF BINGE DRINKING, ALCOHOL OUTLET DENSITY, AND EARLY STARTED DRINKING IN THAILAND

Thailand had a higher prevalence of binge drinking (BD) behaviors which put them at risks of morbidity and mortality. This study aimed to determine the spatial association of BD and its associated factors among the population of Thailand. This study was conducted using a data set of the National Statistical Office of Thailand and another data set of the Center for Alcohol Studies, Thailand, in 2017. A Moran's I, Local Indicators of Spatial Association (LISA), and Spatial regression were used to identify the spatial autocorrelation between alcohol outlet density, started drinking before 20 years of age, and BD among Thai people. According to the results, among 61,708 participants, the prevalence of BD was 11.47 per 1,000 population. There was global spatial autocorrelation between alcohol outlet density, start drinking before 20 years, and BD with the Moran's I values of 0.10 and 0.54, respectively. The LISA analysis identified significant positive spatial local autocorrelation of BD in the form of two high-high clusters for density of alcohol outlets and seven high-high clusters of started drinking before the age of 20. Started drinking before 20 years of age could predict binge drinking behaviors by 62.8 percent. There were spatial associations between alcohol outlet density and problems with alcoholic beverage control law enforcement that let the youngsters start drinking before 20. It is a general recommendation to strictly enforce the law in prohibited the underage from consuming alcohol, especially in the high density of alcohol outlets.

Alcohol Abuse as a Militating Factor against Quality of Life for Migrants’ Youth Population in Selected Provinces of South Africa

Migrants’ youth are seen as one of the vulnerable populations in South Africa. This is largely due to the fact that they are seen as people who come to take job opportunities of the youth in the host country. In order to cope with their fear and stress, migrants indulge in binge consumption of alcohol. It is in light of that that in this paper researchers aimed to accentuate alcohol abuse as a militating factor against the quality of life for migrants’ youth population in selected provinces of South Africa. The study adopted qualitative approach and case study design to highlight how alcohol is seen as a militating factor against quality of life. The study population was drawn from three provinces in South Africa using convenient sampling technique to sample three participants. Moreover, the data was collected telephonically in three selected provinces and analysed thematically. The findings indicate that due to the accessibility, availability, affordability and stress migrants’ youth indulge in binge consumption. Thus, researchers recommend that policymakers should make guidelines that will restrict mushrooming of alcohol outlets – be regulation to prohibit overcrowding of outlets in selected provinces of South Africa.

The good, the bad, and the environment: developing an area-based measure of access to health-promoting and health-constraining environments in New Zealand

Background Accounting for the co-occurrence of multiple environmental influences is a more accurate reflection of population exposure than considering isolated influences, aiding in understanding the complex interactions between environments, behaviour and health. This study examines how environmental ‘goods’ such as green spaces and environmental ‘bads’ such as alcohol outlets co-occur to develop a nationwide area-level healthy location index (HLI) for New Zealand. Methods Nationwide data were collected, processed, and geocoded on a comprehensive range of environmental exposures. Health-constraining ‘bads’ were represented by: (i) fast-food outlets, (ii) takeaway outlets, (iii) dairy outlets and convenience stores, (iv) alcohol outlets, (v) and gaming venues. Health-promoting ‘goods’ were represented by: (i) green spaces, (ii) blue spaces, (iii) physical activity facilities, (iv) fruit and vegetable outlets, and (v) supermarkets. The HLI was developed based on ranked access to environmental domains. The HLI was then used to investigate socio-spatial patterning by area-level deprivation and rural/urban classification. Results Results showed environmental ‘goods’ and ‘bads’ co-occurred together and were patterned by area-level deprivation. The novel HLI shows that the most deprived areas of New Zealand often have the most environmental ‘bads’ and less access to environmental ‘goods’. Conclusions The index, that is now publicly available, is able to capture both inter-regional and local variations in accessibility to health-promoting and health-constraining environments and their combination. Results in this study further reinforce the need to embrace the multidimensional nature of neighbourhood and place not only when designing health-promoting places, but also when studying the effect of existing built environments on population health.

Modelling retailer-based exemptions in flavoured tobacco sales restrictions: national estimates on the impact of product availability

ObjectivesMore than 250 US localities restrict sales of flavoured tobacco products (FTPs), but comprehensiveness varies, and many include retailer-based exemptions. The purpose of this study is to examine resulting changes in the US retail environment for FTPs if there was a hypothetical national tobacco control policy that would prohibit FTP sales in all retailers except (1) tobacco specialty stores or (2) tobacco specialty stores and alcohol outlets.Design and settingA cross-sectional analysis of the FTP retail environment in every US Census tract (n=74 133). FTP retailers (n=3 10 090) were enumerated using nine unique codes from a national business directory (n=296 716) and a national vape shop directory (n=13 374).Outcome measuresWe assessed FTP availability using static-bandwidth and adaptive-bandwidth kernel density estimation. We then calculated the proportion of FTP stores remaining and the mean density of FTP retailers under each policy scenario for the overall population, as well as across populations vulnerable to FTP use.ResultsExempting tobacco specialty stores alone would leave 25 276 (8.2%) FTP retailers nationwide, while exempting both tobacco specialty stores and alcohol outlets would leave 54 091 (17.4%) retailers. On average, the per cent remaining FTP availability per 100 000 total population was 7.1% for a tobacco specialty store exemption and 18.1% for a tobacco specialty store and alcohol outlet exemption. Overall, density estimate trends for remaining FTP availability among racial/ethnic populations averaged across Census tracts mirrored total population density. However, estimates varied when stratified by metropolitan status. Compared with the national average, FTP availability would remain 47%–49% higher for all racial/ethnic groups in large metropolitan areas.ConclusionsRetailer-based exemptions allow greater FTP availability compared with comprehensive policies which would reduce FTP availability to zero. Strong public policies have the greatest potential impact on reducing FTP availability, particularly among urban, and racial/ethnic minority populations.