Availability, Promotion, and Signs of Alcohol Consumption: A Mixed Methods Study of Perceived Exposure and Objective Measures

Andrea Pastor, Irene Molina de la Fuente, María Sandín Vázquez, Paloma Conde, Marina Bosque-Prous, Manuel Franco, Niamh Shortt and Xisca Sureda
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Andrea Pastor: Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain
Irene Molina de la Fuente: Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain
María Sandín Vázquez: Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain
Paloma Conde: Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain
Marina Bosque-Prous: Faculty of Health Sciences, Universitat Oberta de Catalunya, Rambla del Poblenou, 156 08018 Barcelona, Spain
Manuel Franco: Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain
Niamh Shortt: Centre for Research on Environment, Society and Health, School of GeoSciences, University of Edinburgh, EH9 3JW Edinburgh, Scotland
Xisca Sureda: Public Health and Epidemiology Research Group, School of Medicine, University of Alcalá, Campus Universitario—Crta. de Madrid-Barcelona, 28871 Madrid, Spain

IJERPH, 2020, vol. 17, issue 21, 1-17

Abstract: This study describes the alcohol environment comparing residents’ perceptions and objective measures in two different income-level districts. Measures were gathered between 2017 and 2018 in two districts with different income levels in Madrid, Spain. We obtained perceived measures using Photovoice. We procured objective measures through social systematic observation. Data were integrated using triangulation. Perceived and objective measures of the alcohol environment were characterized and compared in terms of alcohol availability, alcohol promotion, and signs of alcohol consumption. The integration was classified as agreement, partial agreement, or dissonance. The results related to alcohol availability and signs of its consumption showed high agreement. Availability was high in both areas, which was recognized by residents. Residents of the high-income district (HID) discussed fewer signs of alcohol consumption, whilst those in the low-income district (LID) reported extensive signs of consumption. Such observations agreed with the objective measures. There were dissonances between the approaches for alcohol promotion. Although the alcohol promotion was higher in HID according to the objective measures, it was deeply discussed by LID residents. Both methodologies helped us deepen the understanding of the alcohol environment. These results may help design more effective interventions to prevent hazardous drinking.

Keywords: alcohol; mixed methods; photovoice; alcohol availability; alcohol promotion; signs of alcohol consumption (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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