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Smoking and deprivation: are there neighbourhood effects?

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  • Duncan, Craig
  • Jones, Kelvyn
  • Moon, Graham
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    Abstract

    Debate has centred on whether the character of places plays an independent role in shaping individual smoking behaviour. At the small-area scale, particular attention has focused on whether measures of neighbourhood deprivation predict an individual's smoking status independent of their own personal characteristics. This study applies multilevel modelling techniques to data from the British Health and Lifestyle Survey and ward (local neighbourhood) level deprivation scores based on four variables from the national Census. Results suggest that after taking account of a large range of individual characteristics, both as main effects and interactions, together with complex structures of between-individual variation, measures of neighbourhood deprivation continue to have an independent effect on individual smoking status. In addition, significant between-ward differences in smoking behaviour remain which cannot be explained either by population composition or ward-level deprivation. The study suggests that the character of the local neighbourhood plays a role in shaping smoking behaviour.

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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 48 (1999)
    Issue (Month): 4 (February)
    Pages: 497-505

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    Handle: RePEc:eee:socmed:v:48:y:1999:i:4:p:497-505

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    Related research

    Keywords: Smoking Deprivation Neighbourhood effects Multilevel modelling;

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    Citations

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    Cited by:
    1. Newbold, K. Bruce & Neligan, David, 2012. "Disaggregating Canadian immigrant smoking behaviour by country of birth," Social Science & Medicine, Elsevier, vol. 75(6), pages 997-1005.
    2. Frohlich, Katherine L. & Ross, Nancy & Richmond, Chantelle, 2006. "Health disparities in Canada today: Some evidence and a theoretical framework," Health Policy, Elsevier, vol. 79(2-3), pages 132-143, December.
    3. Birch, Stephen & Jerrett, Michael & Wilson, Kathi & Law, Michael & Elliott, Susan & Eyles, John, 2005. "Heterogeneities in the production of health: smoking, health status and place," Health Policy, Elsevier, vol. 72(3), pages 301-310, June.
    4. Do, D. Phuong & Wang, Lu & Elliott, Michael R., 2013. "Investigating the relationship between neighborhood poverty and mortality risk: A marginal structural modeling approach," Social Science & Medicine, Elsevier, vol. 91(C), pages 58-66.
    5. Kendzor, Darla E. & Reitzel, Lorraine R. & Mazas, Carlos A. & Cofta-Woerpel, Ludmila M. & Cao, Yumei & Ji, Lingyun & Costello, Tracy J. & Vidrine, Jennifer Irvin & Businelle, Michael S. & Li, Yisheng , 2012. "Individual- and area-level unemployment influence smoking cessation among African Americans participating in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 74(9), pages 1394-1401.
    6. Kuipers, Mirte A.G. & Wingen, Marleen & Stronks, Karien & Kunst, Anton E., 2013. "Smoking initiation, continuation and prevalence in deprived urban areas compared to non-deprived urban areas in The Netherlands," Social Science & Medicine, Elsevier, vol. 87(C), pages 132-137.
    7. Merlo, Juan & Viciana-Fernández, Francisco J. & Ramiro-Fariñas, Diego, 2012. "Bringing the individual back to small-area variation studies: A multilevel analysis of all-cause mortality in Andalusia, Spain," Social Science & Medicine, Elsevier, vol. 75(8), pages 1477-1487.
    8. Do, D. Phuong & Dubowitz, Tamara & Bird, Chloe E. & Lurie, Nicole & Escarce, Jose J. & Finch, Brian K., 2007. "Neighborhood context and ethnicity differences in body mass index: A multilevel analysis using the NHANES III survey (1988-1994)," Economics & Human Biology, Elsevier, vol. 5(2), pages 179-203, July.
    9. Stephen Birch, 1999. "The 39 steps: the mystery of health inequalities in the UK," Health Economics, John Wiley & Sons, Ltd., vol. 8(4), pages 301-308.

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