In this component we test hypotheses about the social ecological correlates of heavy drinking and alcohol use disorders (AUDs). We know little about the many problems that may be related to AUDs per se, and we know nothing about the community contexts that may accelerate or mitigate AUD-related problems, the critical social ecological question considered here. We propose to:
Specific Aim 1 : Develop and test a dynamic model of relationships between drinking, problems and AUD symptoms, Specific Aim 2: Use this model to assess ways in which drinking contexts and situations differentially affect problems among AUD vs. non-AUD drinkers, and Specific Aim 3: Begin to measure broader impacts that AUDs have on alcohol problems across communities in the US. We develop a mathematical model that summarizes dynamic relationships between drinking, problems and AUD symptoms. That model is used to predict and test statistical relationships between measures of these constructs using general population survey data from 3000 adult respondents 18 years of age and older in California. AUD symptoms are measured using items from the World Mental Health Organization Composite International Diagnostic Interview. A subsample of about 267 AUD and 534 non-AUD drinkers will be drawn from the population survey, matched by drinking pattern, gender and age, then administered three web-based surveys at 6-month intervals, including additional measures of use in drinking contexts, routine daily drinking activities and social network supports for drinking. Critically, the model developed in Specific Aim 1 enables us to make unbiased comparisons between groups. In order to characterize public health problems related to AUDs at the community level we assess spatial statistical relationships between AUD-related hospital discharge diagnoses (HDDs) and a spectrum of alcohol-related problems across ZIP codes in California and other states in the US. These analyses also provide support for two other research components of the Center: the assessment of impacts of Mexican border access to alcohol on AUD-related HDDs among young adult Hispanic drinkers (Component #4) and, in combination with other survey data generated in this component, the parameterization of simulation models of alcohol problems in cities in the state and, as possible, across the nation (Component #5). With our short-term goals of understanding and estimating the impacts of AUD on alcohol problems achieved, we can take on the long-term goal of providing communities with essential information on how prevention policies can be used effectively to reduce problems related to AUDs in their communities.

National Institute of Health (NIH)
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Comprehensive Center (P60)
Project #
Application #
Study Section
Special Emphasis Panel (ZAA1)
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
Pacific Institute for Research and Evaluation
United States
Zip Code
Miller, Ted R; Nygaard, Peter; Gaidus, Andrew et al. (2017) Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California. Alcohol Clin Exp Res 41:758-768
Lipperman-Kreda, Sharon; Paschall, Mallie J; Robert F, Saltz et al. (2017) Places and social contexts associated with simultaneous use of alcohol, tobacco and marijuana among young adults. Drug Alcohol Rev :
Lipperman-Kreda, Sharon; Gruenewald, Paul J; Bersamin, Melina et al. (2017) Adolescent drinking in different contexts: What behaviors do parents control? Addict Behav Rep 6:39-44
Lloyd, Margaret H; Kepple, Nancy Jo (2017) Unpacking the parallel effects of parental alcohol misuse and low income on risk of supervisory neglect. Child Abuse Negl 69:72-84
Lipperman-Kreda, Sharon; Finan, Laura J; Grube, Joel W (2017) Social and situational characteristics associated with adolescents' drinking at party and non-party events. Addict Behav :
Lipperman-Kreda, Sharon; Gruenewald, Paul J; Grube, Joel W et al. (2017) Adolescents, alcohol, and marijuana: Context characteristics and problems associated with simultaneous use. Drug Alcohol Depend 179:55-60
Wolf, Jennifer Price; Freisthler, Bridget; Kepple, Nancy Jo et al. (2017) The places parents go: understanding the breadth, scope, and experiences of activity spaces for parents. GeoJournal 82:355-368
Freisthler, Bridget; Thomas, Crystal A; Curry, Susanna R et al. (2016) An Alternative to Residential Neighborhoods: An Exploratory Study of how Activity Spaces and Perception of Neighborhood Social Processes relate to Maladaptive Parenting. Child Youth Care Forum 45:259-277
Freisthler, Bridget; Ponicki, William R; Gaidus, Andrew et al. (2016) A micro-temporal geospatial analysis of medical marijuana dispensaries and crime in Long Beach, California. Addiction 111:1027-35
Lipperman-Kreda, Sharon; Grube, Joel W; Friend, Karen B et al. (2016) Tobacco outlet density, retailer cigarette sales without ID checks and enforcement of underage tobacco laws: associations with youths' cigarette smoking and beliefs. Addiction 111:525-32

Showing the most recent 10 out of 112 publications