TY - JOUR
T1 - Objective and perceived neighborhood characteristics and tobacco use among young adults
AU - Brown, Qiana L.
AU - Milam, Adam J.
AU - Smart, Mieka J.
AU - Johnson, Renee M.
AU - Linton, Sabriya L.
AU - Furr-Holden, C. Debra M.
AU - Ialongo, Nicholas S.
N1 - Funding Information:
This research was supported by the National Institute on Drug Abuse Grants T32DA007292 , R37-DA011796 , and 5K01DA031739-02 , and the National Institute on Alcohol Abuse and Alcoholism Grant R01AA015196 . Funders had no further role in the study design; in the data collection, analysis or interpretation; in the writing of the manuscript; or in the decision to submit the manuscript for publication.
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Background: In the US, past month tobacco use is higher among young adults aged 18-25 years than among any other age group. Neighborhood disorder may be a malleable environmental determinant of tobacco use among young adults; its correlation with tobacco use is understudied. The purpose of this study is to examine whether perceived and objectively measured neighborhood factors are associated with tobacco use among young adults in Baltimore City. Methods: This cross-sectional study of predominately African American young adults (n= 359) used logistic regression models via generalized estimating equations (GEE) to estimate the association of perceived and objective neighborhood disorder with past month tobacco use, adjusting for race, age, sex, income, and other substance use. Two measures of perceived neighborhood environment - neighborhood drug involvement, and neighborhood social cohesion - were derived from the Neighborhood Environment Scale (NES). Objective neighborhood disorder was measured via trained field raters using the Neighborhood Inventory for Environmental Typology (NIfETy) instrument. Results: Sex modified the relationship between perceived neighborhood drug involvement and past month tobacco use, and the association was significant among women only (aOR = 1.49; 95% CI = 1.19-1.88). Perceptions of neighborhood social cohesion (aOR = 0.97; 95% CI = 0.83-1.13), and objective neighborhood disorder (aOR = 1.17; 95% CI = 0.98-1.38) were not significantly associated with past month tobacco use. Conclusion: Understanding the correlation between perceived and objective neighborhood disorder, and their independent association with tobacco use can potentially lead to environmentally based interventions aimed at reducing tobacco use among young adults who live in urban environments.
AB - Background: In the US, past month tobacco use is higher among young adults aged 18-25 years than among any other age group. Neighborhood disorder may be a malleable environmental determinant of tobacco use among young adults; its correlation with tobacco use is understudied. The purpose of this study is to examine whether perceived and objectively measured neighborhood factors are associated with tobacco use among young adults in Baltimore City. Methods: This cross-sectional study of predominately African American young adults (n= 359) used logistic regression models via generalized estimating equations (GEE) to estimate the association of perceived and objective neighborhood disorder with past month tobacco use, adjusting for race, age, sex, income, and other substance use. Two measures of perceived neighborhood environment - neighborhood drug involvement, and neighborhood social cohesion - were derived from the Neighborhood Environment Scale (NES). Objective neighborhood disorder was measured via trained field raters using the Neighborhood Inventory for Environmental Typology (NIfETy) instrument. Results: Sex modified the relationship between perceived neighborhood drug involvement and past month tobacco use, and the association was significant among women only (aOR = 1.49; 95% CI = 1.19-1.88). Perceptions of neighborhood social cohesion (aOR = 0.97; 95% CI = 0.83-1.13), and objective neighborhood disorder (aOR = 1.17; 95% CI = 0.98-1.38) were not significantly associated with past month tobacco use. Conclusion: Understanding the correlation between perceived and objective neighborhood disorder, and their independent association with tobacco use can potentially lead to environmentally based interventions aimed at reducing tobacco use among young adults who live in urban environments.
KW - NES
KW - NIfETy, African American
KW - Neighborhood disorder
KW - Tobacco
KW - Young adults
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U2 - 10.1016/j.drugalcdep.2013.11.005
DO - 10.1016/j.drugalcdep.2013.11.005
M3 - Article
C2 - 24300901
AN - SCOPUS:84890131178
SN - 0376-8716
VL - 134
SP - 370
EP - 375
JO - Drug and alcohol dependence
JF - Drug and alcohol dependence
IS - 1
ER -