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Social norms, collective efficacy, and smoking cessation in urban neighborhoods

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  • Karasek, D.
  • Ahern, J.
  • Galea, S.

Abstract

Objectives. We examined the separate and combined relations of neighborhood- level social norms and collective efficacy with individuals' cigarette smoking cessation. Methods. We modeled the hazard of quitting over a 5-year period among 863 smokers who participated in the 2005 New York Social Environment Study. Results. In adjusted Cox proportional hazard models, prohibitive neighborhood smoking norms were significantly associated with higher rates of smoking cessation (second quartile hazard ratio [HR]=1.17; 95% confidence interval [CI]= 0.59, 2.32; third quartile HR=2.37; 95% CI=1.17, 4.78; fourth quartile HR=1.80; 95% CI=0.85, 3.81). We did not find a significant association between neighborhood collective efficacy and cessation or significant evidence of a joint relation of collective efficacy and smoking norms with cessation. Conclusions. Neighborhood social norms may be more relevant than is collective efficacy to smoking cessation. The normative environmentmay shape health behavior and should be considered as part of public health intervention efforts.

Suggested Citation

  • Karasek, D. & Ahern, J. & Galea, S., 2012. "Social norms, collective efficacy, and smoking cessation in urban neighborhoods," American Journal of Public Health, American Public Health Association, vol. 102(2), pages 343-351.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300364_5
    DOI: 10.2105/AJPH.2011.300364
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    Cited by:

    1. Li Ping Wong & Haridah Alias & Nasrin Aghamohammadi & Sima Aghazadeh & Victor Chee Wai Hoe, 2016. "Shisha Smoking Practices, Use Reasons, Attitudes, Health Effects and Intentions to Quit among Shisha Smokers in Malaysia," IJERPH, MDPI, vol. 13(7), pages 1-14, July.
    2. Echeverría, Sandra E. & Gundersen, Daniel A. & Manderski, Michelle T.B. & Delnevo, Cristine D., 2015. "Social norms and its correlates as a pathway to smoking among young Latino adults," Social Science & Medicine, Elsevier, vol. 124(C), pages 187-195.
    3. Gage, Anastasia J., 2013. "Child marriage prevention in Amhara Region, Ethiopia: Association of communication exposure and social influence with parents/guardians' knowledge and attitudes," Social Science & Medicine, Elsevier, vol. 97(C), pages 124-133.
    4. Dunbar, Michael S. & Nicosia, Nancy & Kilmer, Beau, 2021. "Exposure to new smoking environments and individual-level cigarette smoking behavior: Insights from exogenous assignment of military personnel," Social Science & Medicine, Elsevier, vol. 280(C).

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