Alcohol outlet availability and excessive alcohol consumption in breast cancer survivors

Mario Schootman; Anjali D Deshpande; Michael T Lynskey; Sandi L Pruitt; Min Lian; Donna B Jeffe

doi:10.1177/2150131912443133

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Alcohol outlet availability and excessive alcohol consumption in breast cancer survivors

Journal article

Open access

Peer reviewed

Alcohol outlet availability and excessive alcohol consumption in breast cancer survivors

Mario Schootman, Anjali D Deshpande, Michael T Lynskey, Sandi L Pruitt, Min Lian and Donna B Jeffe

Journal of primary care & community health, Vol.4(1), pp.50-58

01/2013

DOI: 10.1177/2150131912443133

PMCID: PMC4154367

PMID: 23799690

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Abstract

Breast cancer survivors who consume alcohol excessively are at increased risk of recurrence and have worse prognosis. Because the environments in which people live shape many health behaviors, there has been increased attention to how neighborhood environments (eg, alcohol outlet availability) may influence alcohol consumption. The authors hypothesized that proximity to alcohol outlets increases the likelihood of excessive consumption (ie, more than 1 drink/day) among breast cancer survivors independent of their personal or neighborhood characteristics. With the Missouri Cancer Registry, the authors conducted a cross-sectional study of 1047 female breast cancer survivors (aged 27-96 years) 1 year after diagnosis. Using telephone interviews, the authors obtained data regarding survivors' alcohol consumption during the past 30 days and several covariates of alcohol use. They also obtained street addresses of all licensed alcohol outlets in Missouri and calculated the road network distance between a participant's address of residence and the nearest alcohol outlet, using a geographic information system. Logistic regression was used to determine if distance was independently associated with excessive alcohol consumption. Eighteen percent of participants reported consuming more than 1 drink on average per day. Women who lived within 3 miles of the nearest outlet were more likely to report excessive alcohol consumption (odds ratio: 2.09; 95% confidence interval: 1.08, 4.05) than women who lived at least 3 miles from the nearest outlet in adjusted analysis. Opportunities exist to reduce excessive alcohol use among breast cancer survivors through policy (eg, restricting number of alcohol outlets) and behavioral (eg, counseling) interventions.

Residence Characteristics

Geographic Information Systems

Cross-Sectional Studies

Neoplasm Recurrence, Local - prevention & control

Humans

Middle Aged

Survivors

Ethanol - administration & dosage

Commerce

Logistic Models

Alcohol Drinking

Health Behavior

Neoplasm Recurrence, Local - etiology

Socioeconomic Factors

Breast Neoplasms - complications

Ethanol - adverse effects

Risk-Taking

Missouri

Environment

Female

Interviews as Topic

Aged

Odds Ratio

Details

Title: Subtitle: Alcohol outlet availability and excessive alcohol consumption in breast cancer survivors
Creators: Mario Schootman - Division of Health Behavior Research, Department of Medicine, Washington University School of Medicine, Saint Louis, MO 63108, USA. mschootm@dom.wustl.edu
Anjali D Deshpande
Michael T Lynskey
Sandi L Pruitt
Min Lian
Donna B Jeffe
Resource Type: Journal article
Publication Details: Journal of primary care & community health, Vol.4(1), pp.50-58
Publisher: United States
DOI: 10.1177/2150131912443133
PMID: 23799690
PMCID: PMC4154367
ISSN: 2150-1327
eISSN: 2150-1327
Grant note: P30 CA091842 / NCI NIH HHS R01 CA112159 / NCI NIH HHS P30 CA91842 / NCI NIH HHS
Language: English
Date published: 01/2013
Academic Unit: Epidemiology
Record Identifier: 9983995149902771

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