IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v74y2012i9p1394-1401.html
   My bibliography  Save this article

Individual- and area-level unemployment influence smoking cessation among African Americans participating in a randomized clinical trial

Author

Listed:
  • Kendzor, Darla E.
  • Reitzel, Lorraine R.
  • Mazas, Carlos A.
  • Cofta-Woerpel, Ludmila M.
  • Cao, Yumei
  • Ji, Lingyun
  • Costello, Tracy J.
  • Vidrine, Jennifer Irvin
  • Businelle, Michael S.
  • Li, Yisheng
  • Castro, Yessenia
  • Ahluwalia, Jasjit S.
  • Cinciripini, Paul M.
  • Wetter, David W.

Abstract

African Americans suffer disproportionately from the adverse health consequences of smoking, and also report substantially lower socioeconomic status than Whites and other racial/ethnic groups in the U.S. Although socioeconomic disadvantage is known to have a negative influence on smoking cessation rates and overall health, little is known about the influence of socioeconomic status on smoking cessation specifically among African Americans. Thus, the purpose of the current study was to characterize the impact of several individual- and area-level indicators of socioeconomic status on smoking cessation among African Americans. Data were collected as part of a smoking cessation intervention study for African American smokers (N = 379) recruited from the Houston, Texas, metropolitan area, who participated in the study between 2005 and 2007. The separate and combined influences of individual-level (insurance status, unemployment, education, and income) and area-level (neighborhood unemployment, education, income, and poverty) indicators of socioeconomic status on continuous smoking abstinence were examined across time intervals using continuation ratio logit modeling. Individual-level analyses indicated that unemployment was significantly associated with reduced odds of smoking abstinence, while higher income was associated with greater odds of abstinence. However, only unemployment remained a significant predictor of abstinence when unemployment and income were included in the model together. Area-level analyses indicated that greater neighborhood unemployment and poverty were associated with reduced odds of smoking abstinence, while greater neighborhood education was associated with higher odds of abstinence. However, only neighborhood unemployment remained significantly associated with abstinence status when individual-level income and unemployment were included in the model. Overall, findings suggest that individual- and area-level unemployment have a negative impact on smoking cessation among African Americans. Addressing unemployment through public policy and within smoking cessation interventions, and providing smoking cessation treatment for the unemployed may have a beneficial impact on tobacco-related health disparities.

Suggested Citation

  • Kendzor, Darla E. & Reitzel, Lorraine R. & Mazas, Carlos A. & Cofta-Woerpel, Ludmila M. & Cao, Yumei & Ji, Lingyun & Costello, Tracy J. & Vidrine, Jennifer Irvin & Businelle, Michael S. & Li, Yisheng , 2012. "Individual- and area-level unemployment influence smoking cessation among African Americans participating in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 74(9), pages 1394-1401.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:9:p:1394-1401
    DOI: 10.1016/j.socscimed.2012.01.013
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612001281
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2012.01.013?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Reitzel, L.R. & Cromley, E.K. & Li, Y. & Cao, Y. & Mater, R.D. & Mazas, C.A. & Cofta-Woerpel, L. & Cinciripini, P.M. & Wetter, D.W., 2011. "The effect of tobacco outlet density and proximity on smoking cessation," American Journal of Public Health, American Public Health Association, vol. 101(2), pages 315-320.
    2. Datta, Geetanjali Dabral & Subramanian, S.V. & Colditz, Graham A. & Kawachi, Ichiro & Palmer, Julie R. & Rosenberg, Lynn, 2006. "Individual, neighborhood, and state-level predictors of smoking among US Black women: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 63(4), pages 1034-1044, August.
    3. Vilhjalmsson, Runar, 1993. "Life stress, social support and clinical depression: A reanalysis of the literature," Social Science & Medicine, Elsevier, vol. 37(3), pages 331-342, August.
    4. Novotny, T.E. & Warner, K.E. & Kendrick, J.S. & Remington, P.L., 1988. "Smoking by blacks and whites: Socioeconomic and demographic differences," American Journal of Public Health, American Public Health Association, vol. 78(9), pages 1187-1189.
    5. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1999. "Smoking and deprivation: are there neighbourhood effects?," Social Science & Medicine, Elsevier, vol. 48(4), pages 497-505, February.
    6. Matheson, Flora I. & Moineddin, Rahim & Dunn, James R. & Creatore, Maria Isabella & Gozdyra, Piotr & Glazier, Richard H., 2006. "Urban neighborhoods, chronic stress, gender and depression," Social Science & Medicine, Elsevier, vol. 63(10), pages 2604-2616, November.
    7. Thomas R. Ten Have & David H. Uttal, 1994. "Subject‐Specific and Population‐Averaged Continuation Ratio Logit Models for Multiple Discrete Time Survival Profiles," Journal of the Royal Statistical Society Series C, Royal Statistical Society, vol. 43(2), pages 371-384, June.
    8. Biener, L. & Hamilton, W.L. & Siegel, M. & Sullivan, E.M., 2010. "Individual, Social-normative, and policy predictors of smoking cessation: A multilevel longitudinal analysis," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 547-554.
    9. Stillman, F.A. & Bone, L. & Avila-Tang, E. & Smith, K. & Yancey, N. & Street, C. & Owings, K., 2007. "Barriers to smoking cessation in inner-city African American young adults," American Journal of Public Health, American Public Health Association, vol. 97(8), pages 1405-1408.
    10. Stafford, Mai & Duke-Williams, Oliver & Shelton, Nicola, 2008. "Small area inequalities in health: Are we underestimating them?," Social Science & Medicine, Elsevier, vol. 67(6), pages 891-899, September.
    11. Ross, Catherine E., 2000. "Walking, exercising, and smoking: does neighborhood matter?," Social Science & Medicine, Elsevier, vol. 51(2), pages 265-274, July.
    12. Schulz, Amy J. & Israel, Barbara A. & Zenk, Shannon N. & Parker, Edith A. & Lichtenstein, Richard & Shellman-Weir, Sheryl & A.B., Laura Klem, 2006. "Psychosocial stress and social support as mediators of relationships between income, length of residence and depressive symptoms among African American women on Detroit's eastside," Social Science & Medicine, Elsevier, vol. 62(2), pages 510-522, January.
    13. Kristine J. Ajrouch & Toni C. Antonucci & Mary R. Janevic, 2001. "Social Networks Among Blacks and Whites," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(2), pages 112-118.
    14. Krieger, N. & Chen, J.T. & Waterman, P.D. & Rehkopf, D.H. & Subramanian, S.V., 2003. "Race/Ethnicity, Gender, and Monitoring Socioeconomic Gradients in Health: Comparison of Area-Based Socioeconomic Measures - The Public Health Disparities Geocoding Project," American Journal of Public Health, American Public Health Association, vol. 93(10), pages 1655-1671.
    15. Ross, Nancy A. & Tremblay, Stéphane & Graham, Katie, 2004. "Neighbourhood influences on health in Montréal, Canada," Social Science & Medicine, Elsevier, vol. 59(7), pages 1485-1494, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Warner, Erica T. & Huguet, Nathalie & Fredericks, Michelle & Gundersen, Daniel & Nederveld, Andrea & Brown, Meagan C. & Houston, Thomas K. & Davis, Kia L. & Mazzucca, Stephanie & Rendle, Katharine A. , 2023. "Advancing health equity through implementation science: Identifying and examining measures of the outer setting," Social Science & Medicine, Elsevier, vol. 331(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. 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.
    3. Eleonore M Veldhuizen & Karien Stronks & Anton E Kunst, 2013. "Assessing Associations between Socio-Economic Environment and Self-Reported Health in Amsterdam Using Bespoke Environments," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    4. Frohlich, Katherine L. & Ross, Nancy & Richmond, Chantelle, 2006. "Health disparities in Canada today: Some evidence and a theoretical framework," Health Policy, Elsevier, vol. 79(2-3), pages 132-143, December.
    5. Miles, Rebecca, 2006. "Neighborhood disorder and smoking: Findings of a European urban survey," Social Science & Medicine, Elsevier, vol. 63(9), pages 2464-2475, November.
    6. Nasima Akhter & Ross Stewart Fairbairn & Mark Pearce & Jon Warren & Adetayo Kasim & Clare Bambra, 2021. "Local Inequalities in Health Behaviours: Longitudinal Findings from the Stockton-On-Tees Cohort Study," IJERPH, MDPI, vol. 18(21), pages 1-15, October.
    7. Virtanen, Marianna & Kivimäki, Mika & Kouvonen, Anne & Elovainio, Marko & Linna, Anne & Oksanen, Tuula & Vahtera, Jussi, 2007. "Average household income, crime, and smoking behaviour in a local area: The Finnish 10-Town study," Social Science & Medicine, Elsevier, vol. 64(9), pages 1904-1913, May.
    8. Rachel Tolbert Kimbro, 2009. "Acculturation in Context: Gender, Age at Migration, Neighborhood Ethnicity, and Health Behaviors," Social Science Quarterly, Southwestern Social Science Association, vol. 90(5), pages 1145-1166, December.
    9. Giatti, Luana & Barreto, Sandhi M. & César, Cibele C., 2010. "Unemployment and self-rated health: Neighborhood influence," Social Science & Medicine, Elsevier, vol. 71(4), pages 815-823, August.
    10. Paul, Christine L. & Mee, Kathleen J. & Judd, Tanya M. & Walsh, Raoul A. & Tang, Anita & Penman, Andrew & Girgis, Afaf, 2010. "Anywhere, anytime: Retail access to tobacco in New South Wales and its potential impact on consumption and quitting," Social Science & Medicine, Elsevier, vol. 71(4), pages 799-806, August.
    11. Kuipers, Mirte A.G. & Wingen, Marleen & Stronks, Karien & Kunst, Anton E., 2013. "Smoking initiation, continuation and prevalence in deprived urban areas compared to non-deprived urban areas in The Netherlands," Social Science & Medicine, Elsevier, vol. 87(C), pages 132-137.
    12. Datta, Geetanjali Dabral & Subramanian, S.V. & Colditz, Graham A. & Kawachi, Ichiro & Palmer, Julie R. & Rosenberg, Lynn, 2006. "Individual, neighborhood, and state-level predictors of smoking among US Black women: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 63(4), pages 1034-1044, August.
    13. Do, D. Phuong & Dubowitz, Tamara & Bird, Chloe E. & Lurie, Nicole & Escarce, Jose J. & Finch, Brian K., 2007. "Neighborhood context and ethnicity differences in body mass index: A multilevel analysis using the NHANES III survey (1988-1994)," Economics & Human Biology, Elsevier, vol. 5(2), pages 179-203, July.
    14. Burdette, Amy M. & Hill, Terrence D., 2008. "An examination of processes linking perceived neighborhood disorder and obesity," Social Science & Medicine, Elsevier, vol. 67(1), pages 38-46, July.
    15. Judith EB van der Waerden & Cees Hoefnagels & Clemens MH Hosman & Maria WJ Jansen, 2014. "Defining subgroups of low socioeconomic status women at risk for depressive symptoms: The importance of perceived stress and cumulative risks," International Journal of Social Psychiatry, , vol. 60(8), pages 772-782, December.
    16. Twigg, Liz & Moon, Graham & Szatkowski, Lisa & Iggulden, Paul, 2009. "Smoking cessation in England: Intentionality, anticipated ease of quitting and advice provision," Social Science & Medicine, Elsevier, vol. 68(4), pages 610-619, February.
    17. Newbold, K. Bruce & Neligan, David, 2012. "Disaggregating Canadian immigrant smoking behaviour by country of birth," Social Science & Medicine, Elsevier, vol. 75(6), pages 997-1005.
    18. Floor A. van den Brand & Puck Nagtzaam & Gera E. Nagelhout & Bjorn Winkens & Constant P. van Schayck, 2019. "The Association of Peer Smoking Behavior and Social Support with Quit Success in Employees Who Participated in a Smoking Cessation Intervention at the Workplace," IJERPH, MDPI, vol. 16(16), pages 1-12, August.
    19. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    20. Meffert, Susan M. & McCulloch, Charles E. & Neylan, Thomas C. & Gandhi, Monica & Lund, Crick, 2015. "Increase of perceived frequency of neighborhood domestic violence is associated with increase of women's depression symptoms in a nationally representative longitudinal study in South Africa," Social Science & Medicine, Elsevier, vol. 131(C), pages 89-97.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:74:y:2012:i:9:p:1394-1401. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.