The influence of perceived neighborhood disorder on smoking cessation among urban safety net hospital patients

Ping Ma, Michael S. Businelle, David S. Balis, Darla E. Kendzor

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


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.

Original languageEnglish (US)
Article number5744
Pages (from-to)157-161
Number of pages5
JournalDrug and Alcohol Dependence
StatePublished - Nov 1 2015


  • African American
  • Neighborhood disorder
  • Smoking
  • Smoking cessation
  • Socioeconomic status

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)


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