The association of individual and neighborhood social cohesion, stressors, and crime on smoking status among African-American women in southeastern US subsidized housing neighborhoods

Jeannette O Andrews, Martina Mueller, Susan D Newman, Gayenell Magwood, Jasjit S Ahluwalia, Kellee White, Martha S Tingen, Jeannette O Andrews, Martina Mueller, Susan D Newman, Gayenell Magwood, Jasjit S Ahluwalia, Kellee White, Martha S Tingen

Abstract

The purpose of this study was to examine the associations between individual and neighborhood social contextual factors and smoking prevalence among African-American women in subsidized neighborhoods. We randomly sampled 663 adult women in 17 subsidized neighborhoods in two Southeastern US states. The smoking prevalence among participants was 37.6%, with an estimated neighborhood household prevalence ranging from 30 to 68%. Smokers were more likely to be older, have lower incomes, have lower BMI, and live with other smokers. Women with high social cohesion were less likely to smoke, although living in neighborhoods with higher social cohesion was not associated with smoking prevalence. Women with higher social cohesion were more likely to be older and had lived in the neighborhood longer. Women with high stress (related to violence and disorder) and who lived in neighborhoods with higher stress were more likely to smoke. Younger women were more likely to have higher stress than older women. There were no statistically significant associations with objective neighborhood crime data in any model. This is the first study to examine both individual and neighborhood social contextual correlates among African-American women in subsidized neighborhoods. This study extends findings about smoking behaviors and neighborhood social contexts in this high-risk, urban population. Future research is needed to explore age and residential stability differences and perceptions of social cohesion, neighborhood disorder, and perceived violence in subsidized housing. Further research is also warranted on African-American women, subsidized housing, smoking, social context, health disparities' effective strategies to address these individual and contextual factors to better inform future ecological-based multilevel prevention, and cessation intervention strategies.

References

    1. Centers for Disease Control and Prevention. Health effects of cigarette smoking. 2009. . Accessed 20 Jun 2013.
    1. National Cancer Institute. Cancer trends progress report—2011/2012 update. . Accessed 15 May 2013.
    1. American Cancer Society. Cancer Facts & Figures 2013 . Atlanta. Atlanta, GA: American Cancer Society; 2013.
    1. US Department of Health and Human Services. Healthy People 2020. Washington, DC: Office of Disease Prevention and Health Promotion. . Accessed 3 May 2013.
    1. Grady G, Ahluwalia J, Pederson L. Smoking initiation and cessation in African Americans attending an inner-city walk-in clinic. Am J Prev Med. 1998;14:130–7. doi: 10.1016/S0749-3797(97)00025-1.
    1. Lee D, Turner N, Burns J, Lee T. Tobacco use and low-income African Americans: policy implications. Addict Behav. 2007;32(2):332–41. doi: 10.1016/j.addbeh.2006.05.002.
    1. Andrews JO, Tingen MS, Jarriel SC, Caleb M, Simmons A, Brunson J, et al. Application of a CBPR framework to inform a multi-level cessation intervention in public housing neighborhoods. Am J Commun Psychol. 2012;50(1–2):129–40. doi: 10.1007/s10464-011-9482-6.
    1. Centers for Disease Control and Prevention Vital signs: current cigarette smoking among adults aged ≥18 years—United States. MMWR 2010. 2009;59(35):1135–40.
    1. McNulty TL, Holloway SR. Race, crime, and public housing in Atlanta: testing a conditional effect. Soc Forces. 2000;79(2):707–29. doi: 10.1093/sf/79.2.707.
    1. Tseng M, Yeatts K, Millikan R, Newman B. Area-level characteristics and smoking in women. Am J Public Health. 2001;91(11):1847–50. doi: 10.2105/AJPH.91.11.1847.
    1. Diez Roux AV, Merkin SS, Hannan P, Jacobs DR, Kiefe CI. Area characteristics, individual level socioeconomic indicators, and smoking in young adults: the coronary artery disease risk development in young adults study. Am J Epid. 2003;157(4):315–26. doi: 10.1093/aje/kwf207.
    1. Kandula NR, Wen M, Jacobs EA, Lauderdale DS. Association between neighborhood context and smoking prevalence among Asian Americans. Am J Public Health. 2009;99(5):885–92. doi: 10.2105/AJPH.2007.131854.
    1. Cohen SS, Sonderman JS, Mumma MT, Signorello LB, Blot WJ. Individual and neighborhood-level socioeconomic characteristics in relation to smoking prevalence among black and white adults in the Southeastern United States: a cross-sectional study. BMC Public Health. 2011;11:877. doi: 10.1186/1471-2458-11-877.
    1. Reitzel LR, Vidrine JI, Businelle MS, Kendzor DE, Cao Y, Mazas CA, et al. Neighborhood perceptions are associated with tobacco dependence among African American smokers. Nic Tob Res. 2012;14(7):786–93. doi: 10.1093/ntr/ntr285.
    1. Sallis JF, Owen N, Fisher EB. Ecological models of health behavior. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research and practice. 4. San Francisco: Jossey-Bass; 2008. pp. 465–85.
    1. US Department of Housing and Urban Development. . Accessed 22 Mar 2014.
    1. Yu M, Nebbitt VE, Lombe M, Pitner RO, Salas-Wright CP. Understanding tobacco use among urban African American adolescents living in public housing communities: a test of problem behavior theory. Addict Behav. 2012;37(8):978–81. doi: 10.1016/j.addbeh.2012.03.023.
    1. Turney K, Kissane R, Edin K. After moving to opportunity: how moving to a low-poverty neighborhood improves mental health among African American women. Soc Ment Health. 2013;3(1):1–21. doi: 10.1177/2156869312464789.
    1. Haberman CP, Groff ER, Taylor RB. The variable impacts of public housing community proximity on nearby street robberies. J Res Crime Delinq. 2013;50(2):163–88. doi: 10.1177/0022427811426335.
    1. Adler NE, Newman K. Socioeconomic disparities in health: pathways and policies. Health Aff. 2002;21:60–76. doi: 10.1377/hlthaff.21.2.60.
    1. Ewart CK, Suchday S. Discovering how urban poverty and violence effect health: development and validation of a neighborhood stress index. Health Psychol. 2002;21(3):254–62. doi: 10.1037/0278-6133.21.3.254.
    1. Echeverría S, Diez-Roux AV, Shea S, Borrell L, Jackson S. Associations of neighborhood problems and neighborhood social cohesion with mental health and health behaviors: the multi-ethnic study of atherosclerosis. Health Place. 2008;14:853–65. doi: 10.1016/j.healthplace.2008.01.004.
    1. Miles R. Neighborhood disorder and smoking: findings of a European urban survey. Soc Sci Med. 2006;63:2464–75. doi: 10.1016/j.socscimed.2006.06.011.
    1. Renzetti CM, Maier SL. Private crime in public housing: violent victimization, fear of crime, and social isolation among women public housing residents. CRVAW Faculty Journal Articles. 2002. Paper 29. .
    1. Patterson F, Seravalli L, Hanlon A, Nelson DB. Neighborhood safety as a correlate of tobacco use in a sample of urban, pregnant women. Addict Behav. 2012;37(10):1132–7. doi: 10.1016/j.addbeh.2012.05.011.
    1. Patterson JM, Eberly LE, Ding Y, Hargreaves M. Associations of smoking prevalence with individual and area level social cohesion. J Epidemiol Community Health. 2004;58:692–7. doi: 10.1136/jech.2003.009167.
    1. SAS Institute, Cary NC: 2002–2008.
    1. Chavis D, Hogge J, McMillan D, Wandersman A. Sense of community through Brunswik’s lens: a first look. J Community Psychol. 1986;14(1):24–40. doi: 10.1002/1520-6629(198601)14:1<24::AID-JCOP2290140104>;2-P.
    1. Chavis D, Wandersman A. Sense of community in the urban environment: a catalyst for participation and community development. Am J Community Psychol. 1990;18:55–81. doi: 10.1007/BF00922689.
    1. McDonald NC. The effect of objectively measured crime on walking in minority adults. Am J Health Promot. 2008;22(6):436. doi: 10.4278/ajhp.22.6.433.
    1. Datta GD, Subramanian SV, Colditz GA, Kawachi I, Palmer JR, Rosenberg L. Individual, neighborhood, and state-level predictors of smoking among US Black women: a multilevel analysis. Soc Sci Med. 2006;63(4):1034–44. doi: 10.1016/j.socscimed.2006.03.010.
    1. Epstein JA, Williams C, Botvin GJ, Diaz T, Ifill-Williams M. Psychosocial predictors of cigarette smoking among adolescents living in public housing developments. Tob Control. 1999;8:45–52. doi: 10.1136/tc.8.1.45.
    1. Freedman KS, Nelson NM, Feldman LL. Smoking initiation among young adults in the United States and Canada, 1998–2010: a systematic review. Prev Chronic Dis. 2012;9:110037.
    1. Ross C. Walking, exercising, and smoking: does neighborhood matter? Soc Sci Med. 2000;51:265–74. doi: 10.1016/S0277-9536(99)00451-7.
    1. Brewster KL, Billy JO, Grady WR. Social context and adolescent behavior: the impact of community on the transition to sexual activity. Soc Forces. 1993;71:713–40. doi: 10.1093/sf/71.3.713.
    1. Jencks C, Mayer SE. The social consequences of growing up in a poor neighborhood. In: Lynn LE, McGeary MGH, editors. Inner-city poverty in the United States. Washington, DC.: National Academy Press; 1990. pp. 111–84.
    1. Osypuk TL, Kawachi I, Subranian SV, Acevedo-Garcia D. Are state patterns of smoking different for different racial groups? an application of multi-level analyses. Public Health Rep. 2006;121(5):563–77.
    1. King G, Polednak AP, Bendel R. Regional variation in smoking among African Americans. Prev Med. 1999;29:126–32. doi: 10.1006/pmed.1999.0511.
    1. Berkman L, Glass T. Social integration, social networks, social support, and health. New York, NY: Oxford University Press; 2000.
    1. Ruel E, Oakley D, Wilson GE, Maddox R. Is public housing the cause of poor health or a safety net for the poor? J Urban Health. 2010;87(5):827–38. doi: 10.1007/s11524-010-9484-y.
    1. Mickens L, Ameringer K, Brightman M, Leventhal A. Epidemiology, determinants, and consequences of cigarette smoking in African American women: an integrative review. Addict Behav. 2010;35:383–91. doi: 10.1016/j.addbeh.2009.12.014.
    1. Hood NE, Ferketich AK, Klein EG, Wewers ME, Pirie P. Smoking behaviors and cessation interests among multi-unit subsidized housing tenants. Prev Chronic Dis. 2013; 10:120302. doi:10.5888/pcd10.120302.
    1. Popkin S, Leventhal T, Weismann G. Girls in the ‘Hood’: how safety affects the life chances of low-income girls. Urban Aff Rev. 2010;45(6):715–44. doi: 10.1177/1078087410361572.
    1. DeKeseredy WS, Alvi S, Schwartz MD, Perry B. Violence against the harassment of women in Canadian public housing: an exploratory study. Can Rev Sociol Anthropol. 1999;36:399–416.
    1. Virtanen M, Kivimäki M, Kouvonen A, Elovainio M, Linna A, Oksanen T, et al. Average household income, crime, and smoking behaviour in a local area: the Finnish 10-Town study. Soc Sci Med. 2007;64(9):1904–13. doi: 10.1016/j.socscimed.2007.01.005.
    1. Shareck M, Ellaway A. Neighbourhood crime and smoking: the role of objective and perceived crime measures. BMC Public Health. 2011;11:930. doi: 10.1186/1471-2458-11-930.
    1. Beck C, McSweeney JC, Richards K, Roberson P, Tsai P, Souder E. Challenges in tailored intervention research. Nurs Outlook. 2010;58:104–10. doi: 10.1016/j.outlook.2009.10.004.

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