Influence of social and neighborhood contexts on smoking cessation among urban minorities

ABSTRACT

A range of individual, social, and neighborhood factors influence the smoking-related health inequities of urban minorities. Yet little is known about how these factors interact to influence smoking behaviors, including cessation. Hierarchical linear modeling was used to estimate the variance in cessation service utilization among a sample of primarily African American adults accounted for by individual, social, and neighborhood factors. Findings showed individual and social factors were important predictors of cessation service utilization. Social contexts have significant effects on smoking cessation service use, and social influences were more significant predictors of cessation service use than neighborhood factors.

KEYWORDS:

• Hierarchical linear modeling
• smoking cessation
• social influence

Acknowledgments

The authors acknowledge Robin H. Pugh-Yi, Carla D. Williams, and Rebecca Reviere, who provided support for this project and editorial comments. The authors also acknowledge Forough Saadatmand, who managed the grant that supported this project. The author acknowledges the District of Columbia Primary Care Practice Based Research Network (DC PrimCare PBRN) which provided research locations and support for the project.

Conflict of interest

All authors declare they have no conflicts of interest.

Additional information

Funding

This work was supported by National Institute on Drug Abuse of the National Institutes of Health under Award Number R24DA021470. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. NIDA had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.