Prevalence and Correlates of Smoking among Low-Income Adults Residing in New York City Public Housing Developments-2015
A Feinberg, P M Lopez, K Wyka, N Islam, L Seidl, E Drackett, A Mata, J Pinzon, M R Baker, J Lopez, C Trinh-Shevrin, D Shelley, Z Bailey, K A Maybank, L E Thorpe, A Feinberg, P M Lopez, K Wyka, N Islam, L Seidl, E Drackett, A Mata, J Pinzon, M R Baker, J Lopez, C Trinh-Shevrin, D Shelley, Z Bailey, K A Maybank, L E Thorpe
Abstract
To guide targeted cessation and prevention programming, this study assessed smoking prevalence and described sociodemographic, health, and healthcare use characteristics of adult smokers in public housing. Self-reported data were analyzed from a random sample of 1664 residents aged 35 and older in ten New York City public housing developments in East/Central Harlem. Smoking prevalence was 20.8%. Weighted log-binomial models identified to be having Medicaid, not having a personal doctor, and using health clinics for routine care were positively associated with smoking. Smokers without a personal doctor were less likely to receive provider quit advice. While most smokers in these public housing developments had health insurance, a personal doctor, and received provider cessation advice in the last year (72.4%), persistently high smoking rates suggest that such cessation advice may be insufficient. Efforts to eliminate differences in tobacco use should consider place-based smoking cessation interventions that extend cessation support beyond clinical settings.
Keywords: Chronic diseases; New York City; Primary healthcare; Public housing developments; Smoking; Urban health services.
Source: PubMed