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The Moderating Effect of Community-Level Deprivation on the Association between Individual Characteristics and Smoking Behavior among Chinese Adults: A Cross-Level Study

Author

Listed:
  • Nan Chen

    (Major in Chinese Studies, Department of Global Business, Kosin University, Busan 49104, Korea)

  • Chang-Gyeong Kim

    (Department of Chinese Studies, Pukyong National University, Busan 48513, Korea)

Abstract

China joined the World Health Organization (WHO) Framework Convention on Tobacco Control in 2006; however, the overall Chinese smoking rate is still high. The aim of this study is to provide new evidence for the direct effects of community-level deprivation, and the effects of interactions between community-level deprivation and individual characteristics, on smoking intensity, by using cross-sectional data from the 2015 China Health and Nutrition Survey (CHNS). The results show that there is a strong association between community-level deprivation and individual smoking intensity, and that community deprivation moderates the relationship between individual perceived stress and smoking intensity. The findings imply that adequate interventions should be conducted in the context of deprived neighborhoods, and should consider differences between levels of individual perceived stress and between sexes, especially focusing on highly stressed women who live in deprived communities.

Suggested Citation

  • Nan Chen & Chang-Gyeong Kim, 2021. "The Moderating Effect of Community-Level Deprivation on the Association between Individual Characteristics and Smoking Behavior among Chinese Adults: A Cross-Level Study," IJERPH, MDPI, vol. 18(11), pages 1-13, May.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5785-:d:563847
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    References listed on IDEAS

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    1. Nattinee Jitnarin & Katie M. Heinrich & Christopher K. Haddock & Joseph Hughey & LaVerne Berkel & Walker S.C. Poston, 2015. "Neighborhood Environment Perceptions and the Likelihood of Smoking and Alcohol Use," IJERPH, MDPI, vol. 12(1), pages 1-16, January.
    2. Qing Wang & Jay J Shen & Michelle Sotero & Casey A Li & Zhiyuan Hou, 2018. "Income, occupation and education: Are they related to smoking behaviors in China?," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-17, February.
    3. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1996. "Health-related behaviour in context: A multilevel modelling approach," Social Science & Medicine, Elsevier, vol. 42(6), pages 817-830, March.
    4. Tingzhong Yang & Ian R H Rockett & Qiaohong Lv & Randall R Cottrell, 2012. "Stress Status and Related Characteristics among Urban Residents: A Six-Province Capital Cities Study in China," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-6, January.
    5. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1999. "Smoking and deprivation: are there neighbourhood effects?," Social Science & Medicine, Elsevier, vol. 48(4), pages 497-505, February.
    6. Jiantuo Yu, 2013. "Multidimensional Poverty in China: Findings Based on the CHNS," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 112(2), pages 315-336, June.
    7. Frohlich, Katherine L. & Potvin, Louise & Chabot, Patrick & Corin, Ellen, 2002. "A theoretical and empirical analysis of context: : neighbourhoods, smoking and youth," Social Science & Medicine, Elsevier, vol. 54(9), pages 1401-1417, May.
    8. Jian-Xin Wu & Ling-Yun He, 2018. "Urban–rural gap and poverty traps in China: A prefecture level analysis," Applied Economics, Taylor & Francis Journals, vol. 50(30), pages 3300-3314, June.
    9. Yang, Tingzhong & Barnett, Ross & Jiang, Shuhan & Yu, Lingwei & Xian, Hong & Ying, Jun & Zheng, Weijun, 2016. "Gender balance and its impact on male and female smoking rates in Chinese cities," Social Science & Medicine, Elsevier, vol. 154(C), pages 9-17.
    10. Mohan, John & Twigg, Liz & Barnard, Steve & Jones, Kelvyn, 2005. "Social capital, geography and health: a small-area analysis for England," Social Science & Medicine, Elsevier, vol. 60(6), pages 1267-1283, March.
    11. Qing Wang & Jay J. Shen & Chris Cochran, 2016. "Unemployment Rate, Smoking in China: Are They Related?," IJERPH, MDPI, vol. 13(1), pages 1-12, January.
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