The Relationship Between Neighborhood Disorder and Barriers to Cessation in a Sample of Impoverished
Wednesday, January 17, 2018
Posted by: Natalia Gromov
Latkin C, Kennedy RD, Davey-Rothwell M, Tseng TY, Czaplicki L, Baddela A, Edwards C, Chander G, Moran MB, Knowlton A.
The Relationship Between Neighborhood Disorder and Barriers to Cessation in a Sample of Impoverished Inner-city Smokers in Baltimore, Maryland, USA.
Nicotine Tob Res. 2017 Nov 8. doi: 10.1093/ntr/ntx252. [Epub ahead of print]
Economic disparities in rates of smoking have been well documented in many countries. These disparities exist on an individual and geographic or neighborhood level. This cross-sectional study examined the relationship between neighborhood physical and social disorder and barriers to smoking cessation among an impoverished urban sample. A sample of current smokers was recruited through street outreach, posted advertisements, and word of mouth from impoverished neighborhoods in Baltimore, Maryland, USA for a study of psychosocial factors and smoking behaviors. Neighborhood disorder was assessed with a 10-item scale from the Block Environmental Inventory and barriers to cessation with a 9-item scale. In the multiple logistic regression model, perceived stress (aOR= 1.60, 95% CI=1.32-1.95), neighborhood disorder (aOR= 1.34, 95% CI=1.11-1.63), and level of nicotine dependence (aOR= 1.97), 95% CI 1.62-2.40) were all strongly associated with barriers to cessation. The results of this study suggest that neighborhood disorder may lead to barriers to cessation among low-income populations. The findings also indicate that tobacco control interventions should examine and address social and physical aspects of impoverished neighborhoods.
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