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Health Place. 2014 May;27:205-11. doi: 10.1016/j.healthplace.2014.02.015. Epub 2014 Mar 22.

Using multi-level data to estimate the effect of an 'alcogenic' environment on hazardous alcohol consumption in the former Soviet Union.

Author information

1
European Centre on Health of Societies in Transition (ECOHOST), Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
2
Department of Medical Statistics, Faculty of Epidemiology and Public Health, London School of Hygiene and Tropical Medicine, London, UK.
3
European Centre on Health of Societies in Transition (ECOHOST), Department of Health Services Research and Policy, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK; Stockholm Centre on Health of Societies in Transition (SCOHOST), Södertörn University, Huddinge, Sweden.

Abstract

PURPOSE:

The purpose of this study was to assess whether alcohol-related community characteristics act collectively to influence individual-level alcohol consumption in the former Soviet Union (fSU).

METHODS AND RESULTS:

Using multi-level data from nine countries in the fSU we conducted a factor analysis of seven alcohol-related community characteristics. The association between any latent factors underlying these characteristics and two measures of hazardous alcohol consumption was then analysed using a population average regression modelling approach. Our factor analysis produced one factor with an eigenvalue >1 (EV=1.28), which explained 94% of the variance. This factor was statistically significantly associated with increased odds of CAGE problem drinking (OR=1.40 (1.08-1.82)). The estimated association with EHD was not statistically significant (OR=1.10 (0.85-1.44)).

CONCLUSIONS:

Our findings suggest that a high number of beer, wine and spirit advertisements and high alcohol outlet density may work together to create an 'alcogenic' environment that encourages hazardous alcohol consumption in the fSU.

KEYWORDS:

Alcohol consumption; Environmental factors; Epidemiologic factors; USSR

[Indexed for MEDLINE]

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