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Updated: Jun 28, 2026

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Published on: June 23, 2023
Alcohol availability and intimate partner violence among US couples.
Christy M McKinney1, Raul Caetano, Theodore Robert Harris
1University of Texas Houston School of Public Health, Dallas, TX 75390-9128, USA. christy.mckinney@utsouthwestern.edu
Higher alcohol outlet density is linked to increased risk of male-to-female partner violence (MFPV). This association is stronger when alcohol-related problems are present, suggesting policy implications for outlet density.
Area of Science:
- Public Health
- Sociology
- Criminology
Background:
- Intimate partner violence (IPV) is a significant public health issue.
- Understanding environmental risk factors for IPV is crucial for prevention.
- Alcohol outlet density is a potential community-level risk factor for IPV.
Purpose of the Study:
- To examine the relationship between alcohol outlet density and male-to-female partner violence (MFPV) and female-to-male partner violence (FMPV).
- To investigate whether binge drinking or alcohol-related problems modify the association between alcohol outlet density and IPV.
Main Methods:
- Utilized a national population-based sample of 1,597 couples from 1995.
- Linked individual/couple data with alcohol outlet density and 1990 US Census data.
- Employed logistic regression and interaction tests to analyze associations.
Main Results:
- Increased alcohol outlet density was associated with higher risks of both MFPV and FMPV.
- A 10-outlet increase per 10,000 persons correlated with a 34% increased risk of MFPV.
- The link between outlet density and MFPV was significantly stronger in couples with alcohol-related problems.
Conclusions:
- Elevated alcohol outlet density is associated with increased risk of MFPV.
- The presence of alcohol-related problems amplifies the relationship between outlet density and MFPV.
- Policy considerations for limiting alcohol outlet density may help reduce MFPV and associated harms.
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