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Smoking and deprivation: are there neighbourhood effects?


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


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.

Suggested Citation

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

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    References listed on IDEAS

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    Cited by:

    1. 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.
    2. Hastert, Theresa A. & Ruterbusch, Julie J. & Beresford, Shirley A.A. & Sheppard, Lianne & White, Emily, 2016. "Contribution of health behaviors to the association between area-level socioeconomic status and cancer mortality," Social Science & Medicine, Elsevier, vol. 148(C), pages 52-58.
    3. Datta, Geetanjali Dabral & Subramanian, S.V. & Colditz, Graham A. & Kawachi, Ichiro & Palmer, Julie R. & Rosenberg, Lynn, 2006. "Individual, neighborhood, and state-level predictors of smoking among US Black women: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 63(4), pages 1034-1044, August.
    4. repec:pri:indrel:dsp01qz20ss50t is not listed on IDEAS
    5. Irma T. Elo & Laryssa Mykyta & Rachel Margolis & Jennifer F. Culhane, 2009. "Perceptions of Neighborhood Disorder: The Role of Individual and Neighborhood Characteristics," Social Science Quarterly, Southwestern Social Science Association, vol. 90(5), pages 1298-1320.
    6. Paul, Christine L. & Mee, Kathleen J. & Judd, Tanya M. & Walsh, Raoul A. & Tang, Anita & Penman, Andrew & Girgis, Afaf, 2010. "Anywhere, anytime: Retail access to tobacco in New South Wales and its potential impact on consumption and quitting," Social Science & Medicine, Elsevier, vol. 71(4), pages 799-806, August.
    7. 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.
    8. Chahine, T. & Subramanian, S.V. & Levy, J.I., 2011. "Sociodemographic and geographic variability in smoking in the U.S.: A multilevel analysis of the 2006-2007 Current Population Survey, Tobacco Use Supplement," Social Science & Medicine, Elsevier, vol. 73(5), pages 752-758, September.
    9. Jeffrey R. Kling & Jeffrey B. Liebman & Lawrence F. Katz & Lisa Sanbonmatsu, 2004. "Moving to Opportuntiy and Tranquility: Neighborhood Effects on Adult Economic Self-sufficiency and Health from a Randomized Housing Voucher Experiment," Working Papers 247, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    10. 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.
    11. 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.
    12. Esther Friedman & Robert Mare, 2014. "The Schooling of Offspring and the Survival of Parents," Demography, Springer;Population Association of America (PAA), vol. 51(4), pages 1271-1293, August.
    13. 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.
    14. 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.
    15. Twigg, Liz & Moon, Graham & Szatkowski, Lisa & Iggulden, Paul, 2009. "Smoking cessation in England: Intentionality, anticipated ease of quitting and advice provision," Social Science & Medicine, Elsevier, vol. 68(4), pages 610-619, February.
    16. Inagami, Sanae & Cohen, Deborah A. & Finch, Brian K., 2007. "Non-residential neighborhood exposures suppress neighborhood effects on self-rated health," Social Science & Medicine, Elsevier, vol. 65(8), pages 1779-1791, October.
    17. 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.
    18. 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.
    19. Miles, Rebecca, 2006. "Neighborhood disorder and smoking: Findings of a European urban survey," Social Science & Medicine, Elsevier, vol. 63(9), pages 2464-2475, November.
    20. Bernard, Paul & Charafeddine, Rana & Frohlich, Katherine L. & Daniel, Mark & Kestens, Yan & Potvin, Louise, 2007. "Health inequalities and place: A theoretical conception of neighbourhood," Social Science & Medicine, Elsevier, vol. 65(9), pages 1839-1852, November.
    21. Schempf, Ashley & Strobino, Donna & O'Campo, Patricia, 2009. "Neighborhood effects on birthweight: An exploration of psychosocial and behavioral pathways in Baltimore, 1995-1996," Social Science & Medicine, Elsevier, vol. 68(1), pages 100-110, January.
    22. 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.


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