OBJECTIVE: This study examines individual and contextual correlates of cigarette smoking in a randomly selected, community-based sample of low-income African American women. DESIGN: The study sample was selected by using a two-stage area probability sample design. SETTING:Participants were recruited from > 12,000 housing units selected from 39 census tracts in the city of Detroit. PARTICIPANTS: Participants for this study include a total of 921 women who completed the baseline assessment of a randomized clinical trial aimed at improving the oral health of African American families. MAIN OUTCOME MEASURES: Past month prevalence of cigarette use and number of cigarettes smoked during this period. RESULTS: Data were analyzed with fixed-effects and multilevel statistics. Social support was the only variable associated, inversely, with current smoking. Self-reported feelings of anger were positively associated, though marginally, with current smoking. Between-neighborhood variance was small, and no neighborhood level variables were associated with cigarette smoking. CONCLUSIONS: Previously established risk factors did not predict cigarette use in this randomly selected, community-based sample of low-income African American women. Further research is needed to identify risk and protective factors that might be unique to low-income African American populations in order to better inform preventive and cessation interventions.
RCT Entities:
OBJECTIVE: This study examines individual and contextual correlates of cigarette smoking in a randomly selected, community-based sample of low-income African American women. DESIGN: The study sample was selected by using a two-stage area probability sample design. SETTING:Participants were recruited from > 12,000 housing units selected from 39 census tracts in the city of Detroit. PARTICIPANTS: Participants for this study include a total of 921 women who completed the baseline assessment of a randomized clinical trial aimed at improving the oral health of African American families. MAIN OUTCOME MEASURES: Past month prevalence of cigarette use and number of cigarettes smoked during this period. RESULTS: Data were analyzed with fixed-effects and multilevel statistics. Social support was the only variable associated, inversely, with current smoking. Self-reported feelings of anger were positively associated, though marginally, with current smoking. Between-neighborhood variance was small, and no neighborhood level variables were associated with cigarette smoking. CONCLUSIONS: Previously established risk factors did not predict cigarette use in this randomly selected, community-based sample of low-income African American women. Further research is needed to identify risk and protective factors that might be unique to low-income African American populations in order to better inform preventive and cessation interventions.
Authors: Guillermo E Sanhueza; Jorge Delva; Fernando H Andrade; Andrew Grogan-Kaylor; Cristina Bares; Marcela Castillo Journal: Revista Trab Soc (Santiago) Date: 2011-12-01
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