Neighborhood perceptions are associated with tobacco dependence among african american smokers

Lorraine R. Reitzel, Jennifer I. Vidrine, Michael S. Businelle, Darla E. Kendzor, Yumei Cao, Carlos A. Mazas, Yisheng Li, Jasjit S. Ahluwalia, Paul M. Cinciripini, Ludmila Cofta-Woerpel, David W. Wetter

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Introduction: The animal and human research literatures suggest that deprived environmental conditions may be associated with drug dependence, but the relation of neighborhood perceptions with a multidimensional measure of tobacco dependence has not been previously studied. The purpose of this study was to examine the associations between neighborhood perceptions (neighborhood problems and neighborhood vigilance) and tobacco dependence among smokers as measured by the Wisconsin Inventory of Smoking Dependence Motives-68 (WISDM). Methods: Participants were 384 African American smokers (49% men, 80% <$30,000 annual household income) enrolled in a randomized clinical trial of a smoking cessation intervention. A series of regression models were conducted to examine the associations between neighborhood perceptions and tobacco dependence using a generalized estimating equation approach, which accounted for potential correlation in tobacco dependence between participants from the same neighborhood. Results: Results indicated that more self-reported neighborhood problems and greater neighborhood vigilance were significantly associated with tobacco dependence as measured by the WISDM total score in analyses adjusted for age, gender, income, education, employment status, and partner status (p ≤ .002). Neighborhood perceptions were related to both primary and secondary dependence motives (p ≤ .005). Conclusions: Results suggest that the neighborhood context is associated with dependence on tobacco among African American smokers but longitudinal studies are needed to assess causation. Future research should also explore the mechanisms that account for the associations between neighborhood perceptions and tobacco dependence to better inform intervention development.

Original languageEnglish (US)
Article numberntr285
Pages (from-to)786-793
Number of pages8
JournalNicotine and Tobacco Research
Volume14
Issue number7
DOIs
StatePublished - Jul 2012

Fingerprint

Dive into the research topics of 'Neighborhood perceptions are associated with tobacco dependence among african american smokers'. Together they form a unique fingerprint.

Cite this