title: The influence of perceived neighborhood disorder on smoking cessation among urban safety net hospital patients.
abstract: BACKGROUND
  Although research has shown that objective neighborhood characteristics are associated with health behaviors including smoking, little is known about the influence of perceived neighborhood characteristics on a smoking cessation attempt.
  
  
  METHODS
  Participants (N=139) enrolled in a Dallas safety-net hospital smoking cessation program were followed from 1 week pre-quit through 4 weeks post-quit. Logistic regression analyses were conducted to evaluate the impact of perceived neighborhood order and disorder on the likelihood of achieving biochemically verified point prevalence and continuous smoking abstinence 4 weeks following a scheduled quit attempt. Analyses were adjusted for demographic characteristics, cigarettes per day, intervention group, and pharmacological treatment.
  
  
  RESULTS
  Participants were primarily non-White (72.7%) and female (56.8%) with a mean age of 52.5 (SD=3.7) years. Most reported an annual household income of ≤$25,000 (86.3%). Logistic regression analyses indicated that greater neighborhood physical (p=.048) and social order (p=.039) were associated with a greater likelihood of achieving point prevalence smoking abstinence at 4 weeks post-quit. Greater perceived physical (p=.035) and social disorder (p=.039) and total neighborhood disorder (p=.014), were associated with a reduced likelihood of achieving point prevalence abstinence. Social disorder (p=.040) was associated with a reduced likelihood of achieving continuous abstinence at 4 weeks post-quit, while social order (p=.020) was associated with an increased likelihood of continuous abstinence.
  
  
  CONCLUSIONS
  Perceptions of neighborhood order and disorder were associated with the likelihood of smoking cessation among socioeconomically disadvantaged smokers making a quit attempt. Findings highlight the need to address perceptions of the neighborhood environment among disadvantaged smokers seeking treatment.
authors.affiliation: University of Texas Southwestern Medical Center, Department of Clinical Sciences, Dallas, TX, United States. Electronic address: ping.ma@utsouthwestern.edu.
authors.forename: Ping
authors.initials: P
authors.lastname: Ma
authors.affiliation: University of Texas School of Public Health, Department of Health Promotion and Behavioral Sciences, Dallas, TX, United States.
authors.forename: Michael S
authors.initials: MS
authors.lastname: Businelle
authors.affiliation: University of Texas Southwestern Medical Center, Department of General Internal Medicine, Dallas, TX, United States.
authors.forename: David S
authors.initials: DS
authors.lastname: Balis
authors.affiliation: University of Texas School of Public Health, Department of Health Promotion and Behavioral Sciences, Dallas, TX, United States.
authors.forename: Darla E
authors.initials: DE
authors.lastname: Kendzor
mesh_terms: D000328:Adult; D001741:Black or African American; D000368:Aged; D005260:Female; D015438:Health Behavior; D006786:Hospitals, Urban / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D064876:Safety-net Providers / Q000706:statistics & numerical data*; D012907:Smoking / Q000188:drug therapy* / Q000453:epidemiology / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology*; D012923:Social Class; D012931:Social Environment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013781:Texas; D014505:Urban Population
keywords: African American; Neighborhood disorder; Smoking; Smoking cessation; Socioeconomic status