The influence of neighbourhood disadvantage on smoking cessation and its contribution to inequalities in smoking status

Turrell, Gavin; Hewitt, Belinda; Miller, Stephanie

doi:10.1111/j.1465-3362.2012.00452.x

Cited by 46 publications

(34 citation statements)

References 64 publications

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“…This is consistent with the general finding that disadvantaged neighborhoods are associated with significantly greater probability of smoking in a middle-aged Australian population and reduced likelihood of smoking cessation over time (Turrell, Hewitt, & Miller, 2012). However, some neighborhood characteristics that might be considered to be disadvantageous had protective effects for smoking behavior among mothers ages 15–25 (neighborhoods with more unemployment) and mothers ages 36+ (neighborhoods with more poverty and female-headed households).…”

Section: Discussionsupporting

confidence: 91%

Growth Models of Maternal Smoking Behavior: Individual and Contextual Factors

Mumford

Liu

2015

Substance Use & Misuse

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Background Persistent maternal smoking during pregnancy, reduction or cessation during pregnancy, and smoking initiation or resumption postpartum impel further research to understand these behavioral patterns and opportunities for intervention. Objectives We investigated heterogeneous longitudinal patterns of smoking quantity to determine if these patterns vary across three maternal age groups, and whether the influence of individual and contextual risk factors varies by maternal age. Methods Separate general growth mixture models were estimated for mothers ages 15–25, 26–35, and 36+, allowing different empirical patterns of an ordinal measure of smoking behavior at six time points, from preconception through child entry to kindergarten. Results We identify five classes for mothers ages 15–25, four classes for ages 26–35, and three classes for ages 36+. Each age group presents classes of nonsmokers and persistent heavy smokers. Intermediate to these ends of the spectrum, each age group exhibited its own smoking classes characterized by the extent of pregnancy smoking reductions and postpartum behavior. In all three age groups, class membership can be distinguished by individual sociodemographic and behavioral characteristics. Co-resident smokers predicted nearly all smoking classifications across age groups, and selected neighborhood characteristics predicted classification of younger (15–25) and older (36+) mothers. Conclusions The design, timing, and delivery of smoking prevention and cessation services, for women seeking to become pregnant and for women presenting for prenatal or pediatric care, are best guided by individual characteristics, particularly maternal age, preconception alcohol consumption, and postpartum depression, but neighborhood characteristics merit further attention for mothers at different ages.

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Section: Discussionsupporting

confidence: 91%

Growth Models of Maternal Smoking Behavior: Individual and Contextual Factors

Mumford

Liu

2015

Substance Use & Misuse

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“…Those living in socioeconomically disadvantaged neighbourhoods also exhibit less healthy behaviours and worse outcomes, independent of their individual-level socioeconomic position (SEP) 7 8…”

Section: Introductionmentioning

confidence: 99%

Associations between individual socioeconomic position, neighbourhood disadvantage and transport mode: baseline results from the HABITAT multilevel study

Rachele

Kavanagh

Badland

et al. 2015

J Epidemiol Community Health

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The relationships between socioeconomic characteristics and transport modes are complex, and provide challenges for those attempting to encourage active forms of transportation. Further work is required exploring the individual-level and neighbourhood-level mechanisms behind choice of transport mode, and what factors might influence individuals from different socioeconomic backgrounds to change to more active transport modes.

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“…For instance, lower socioeconomic home environments are more likely to have current smokers and fewer smoking bans in the household (Muilenburg et al, 2009; Zhang, Martinez-Donate, Kuo, Jones, & Palmersheim, 2012). There is also increased smoking and less likelihood of TC in community and public environments that are considered lower income areas (Cohen, Sonderman, Mumma, Signorello, & Blot, 2011; Turrell, Hewitt, & Miller, 2012). In addition to environmental and social exposure to tobacco, there is also greater access to tobacco products in these low-income areas (Loomis, Kim, Goetz, & Juster, 2013).…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Low-Income Patient Census and Substance Use Disorder Treatment Programs’ Availability of Tobacco Cessation Services

Muilenburg

Laschober

Eby

2014

Journal of Drug Issues

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Low income adults with substance use disorders (SUDs) have a high prevalence of tobacco use and often limited access to tobacco cessation treatment. This study examines the relationship between low-income SUD patient census (i.e., percentage of patients whose treatment costs are covered by Medicaid and Federal block grants) and SUD programs’ availability of three evidence-based tobacco cessation services: behavioral treatments, system-level support, and pharmacotherapy. Data were collected from a random sample of 1,006 program administrators in 2010. Mixed-effects models results show that the percentage of low-income patients is significantly positively associated with the availability of behavioral treatments and system-level support but not pharmacotherapy. Thus, low-income patients may have similar access to tobacco cessation pharmacotherapy but greater access to behavioral treatments and system-level support. However, the availability of tobacco cessation services is not widespread overall, which may hamper access to extensive services to address low-income SUD patients’ high smoking rates.

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The influence of neighbourhood disadvantage on smoking cessation and its contribution to inequalities in smoking status

Cited by 46 publications

References 64 publications

Growth Models of Maternal Smoking Behavior: Individual and Contextual Factors

Growth Models of Maternal Smoking Behavior: Individual and Contextual Factors

Associations between individual socioeconomic position, neighbourhood disadvantage and transport mode: baseline results from the HABITAT multilevel study

Relationship Between Low-Income Patient Census and Substance Use Disorder Treatment Programs’ Availability of Tobacco Cessation Services

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