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Does Proximity to Retailers Influence Alcohol and Tobacco Use Among Latino Adolescents?

  • Author(s): West, Joshua H.
  • Blumberg, Elaine J.
  • Kelley, Norma J.
  • Hill, Linda
  • Sipan, Carol L.
  • Schmitz, Katherine E.
  • Ryan, Sherry
  • Clapp, John D.
  • Hovell, Melbourne F.
  • et al.
Abstract

Despite decades of research surrounding determinants of alcohol and tobacco (A&T) use among adolescents, built environment influences have only recently been explored. This study used ordinal regression on 205 Latino adolescents to explore the influence of the built environment (proximity to A&T retailers) on A&T use, while controlling for recognized social predictors. The sample was 45% foreign-born. A&T use was associated with distance from respondents’ home to the nearest A&T retailer (−), acculturation (+), parents’ consistent use of contingency management (−), peer use of A&T (+), skipping school (+), attending school in immediate proximity to the US/Mexico border (+), and the interaction between the distance to the nearest retailer and parents’ consistent use of contingency management (+). The association between decreasing distance to the nearest A&T retailer and increased A&T use in Latino adolescents reveals an additional risk behavior determinant in the US–Mexico border region.

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