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Association between neighborhood context and smoking prevalence among Asian Americans

Author

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  • Kandula, N.R.
  • Wen, M.
  • Jacobs, E.A.
  • Lauderdale, D.S.

Abstract

Objectives. To study neighborhood-level determinants of smoking among Asian Americans, we examined 3 neighborhood factors (ethnic enclave, socioeconomics, and perceived social cohesion) and smoking prevalence in a population-based sample. Methods. We linked data from the 2003 California Health Interview Survey to tract-level data from the 2000 Census. We used multivariate logistic regression models to estimate the associations between smoking and neighborhood-level factors, independent of individual factors. Results. Twenty-two percent of 1693 Asian men and 6% of 2174 Asian women reported current smoking. Women living in an Asian enclave were less likely to smoke (adjusted odds ratio [AOR]=0.27; 95% confidence interval [CI]=0.08, 0.88). Among men, higher levels of perceived neighborhood social cohesion were associated with lower odds of smoking (AOR=0.74; 95% CI=0.61, 0.91). Conclusions. The association between contextual factors and smoking differed for men and women. For women, living in an Asian enclave may represent cultural behavioral norms. For men, neighborhood trust and cohesiveness may buffer stress. Smoking prevention and cessation interventions among Asian Americans may be more effective if they address contextual factors.

Suggested Citation

  • Kandula, N.R. & Wen, M. & Jacobs, E.A. & Lauderdale, D.S., 2009. "Association between neighborhood context and smoking prevalence among Asian Americans," American Journal of Public Health, American Public Health Association, vol. 99(5), pages 885-892.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.131854_8
    DOI: 10.2105/AJPH.2007.131854
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    Cited by:

    1. Chahine, T. & Subramanian, S.V. & Levy, J.I., 2011. "Sociodemographic and geographic variability in smoking in the U.S.: A multilevel analysis of the 2006-2007 Current Population Survey, Tobacco Use Supplement," Social Science & Medicine, Elsevier, vol. 73(5), pages 752-758, September.
    2. Hong, Seunghye & Zhang, Wei & Walton, Emily, 2014. "Neighborhoods and mental health: Exploring ethnic density, poverty, and social cohesion among Asian Americans and Latinos," Social Science & Medicine, Elsevier, vol. 111(C), pages 117-124.
    3. Özcan Erdem & Frank J Van Lenthe & Rick G Prins & Toon A J J Voorham & Alex Burdorf, 2016. "Socioeconomic Inequalities in Psychological Distress among Urban Adults: The Moderating Role of Neighborhood Social Cohesion," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-15, June.
    4. Wonhyung Lee & Andrew Grogan-Kaylor & Guillermo Sanhueza & Fernando Andrade & Jorge Delva, 2014. "The association of recreational space with youth smoking in low-socioeconomic status neighborhoods in Santiago, Chile," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(1), pages 87-94, February.
    5. Adrian E. Ghenadenik & Katherine L. Frohlich & Lise Gauvin, 2016. "Beyond Smoking Prevalence: Exploring the Variability of Associations between Neighborhood Exposures across Two Nested Spatial Units and Two-Year Smoking Trajectory among Young Adults," IJERPH, MDPI, vol. 13(1), pages 1-18, January.

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