This article highlights examples of how societal factors, cultural norms, neighborhoods, and social contexts may be associated with alcohol misuse. Certain gaps in the literature clearly remain. Methodologically, these findings should be interpreted with caution, because it is difficult to distinguish between and among societal and community-level influences. Future studies should use advanced statistical methods such as multilevel modeling techniques, based on theoretical and conceptual approaches in population health. In addition, longitudinal data will help support causal hypotheses and relationships.
