Effects of neighbourhood socioeconomic status and convenience store concentration on individual level smoking.

Full Abstract

OBJECTIVES: To assess the effects of neighbourhood level socioeconomic status (SES) and convenience store concentration on individual level smoking, after consideration of individual level characteristics. DESIGN: Individual sociodemographic characteristics and smoking were obtained from five cross sectional surveys (1979-1990). Participants' addresses were geocoded and linked with census data for measuring neighbourhood SES and with telephone yellow page listings for measuring convenience store concentration (density in a neighbourhood, distance between a participant's home and the nearest convenience store, and number of convenience stores within a one mile radius of a participant's home). The data were analysed with multilevel Poisson regression models. SETTING: 82 neighbourhoods in four northern California cities. PARTICIPANTS: 8121 women and men aged 25-74 from the Stanford heart disease prevention programme. MAIN RESULTS: Lower neighbourhood SES and higher convenience store concentration, measured by density and distance, were both significantly associated with higher level of individual smoking after taking individual characteristics into account. The association between convenience store density and individual smoking was modified by individual SES and neighbourhood SES. CONCLUSIONS: These findings are consistent with a growing body of literature suggesting that the socioeconomic and physical environments of neighbourhoods are associated with individual level smoking.

Author information

Author/s: Chuang, Ying-Chih (YC); Cubbin, Catherine (C); Ahn, David (D); Winkleby, Marilyn A (MA);

Affiliation: Graduate Institute of Public Health, Taipei Medical University, 250 Wu-Hsing Street, Taipei, Taiwan. yingchih(-atsign-)tmu.edu.tw

Grants: R01 HL67731 (Agency:NHLBI NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.

Journal: Journal of epidemiology and community health (J Epidemiol Community Health), published in England. (Language: eng)

Reference: 2005-Jul; vol 59 (issue 7) : pp 568-73

Dates: Created 2005/06/20; Completed 2005/10/25; Revised 2008/11/20;

PMID: 15965140, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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