Smoking, social support, and hassles in an urban African-American community

Patrick S Romano, J. Bloom, S. L. Syme

Research output: Contribution to journalArticle

126 Citations (Scopus)

Abstract

Background. Despite public health efforts, the prevalence of smoking among African Americans remains high. The determinants of smoking behavior in this population must be elucidated so that interventions can be better targeted and more effective. Methods. As part of a prospective community intervention trial to reduce cancer mortality, we conducted a random household survey of 1137 African-American adults in San Francisco and Oakland between November 1985 and July 1986. The survey instrument included questions about social network characteristics, instrumental and emotional aspects of social support, smoking behavior, and stressors. Results. The overall prevalence of smoking (41.9%) was higher than that reported in national surveys. Logistic models revealed that persons reporting high levels of stress, represented by an abbreviated hassles index, were more likely to smoke than those reporting less stress. Women with poor social networks were more likely to smoke (odds ratio = 3.1) than women with optimal networks; however, this relationship did not hold among men. Indeed, men lacking emotional support from friends or family were less likely to smoke (odds ratio = 0.5) than men receiving such support. No interaction between social support and hassels was observed. Conclusions. Stressful environments may contribute to high-risk smoking behavior among urban African Americans.

Original languageEnglish (US)
Pages (from-to)1415-1422
Number of pages8
JournalAmerican Journal of Public Health
Volume81
Issue number11
StatePublished - 1991

Fingerprint

Social Support
African Americans
Smoking
Smoke
Odds Ratio
San Francisco
Risk-Taking
Public Health
Logistic Models
Mortality
Population
Surveys and Questionnaires
Neoplasms

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Smoking, social support, and hassles in an urban African-American community. / Romano, Patrick S; Bloom, J.; Syme, S. L.

In: American Journal of Public Health, Vol. 81, No. 11, 1991, p. 1415-1422.

Research output: Contribution to journalArticle

@article{6c52205fbe8240d2b519082db6b8d184,
title = "Smoking, social support, and hassles in an urban African-American community",
abstract = "Background. Despite public health efforts, the prevalence of smoking among African Americans remains high. The determinants of smoking behavior in this population must be elucidated so that interventions can be better targeted and more effective. Methods. As part of a prospective community intervention trial to reduce cancer mortality, we conducted a random household survey of 1137 African-American adults in San Francisco and Oakland between November 1985 and July 1986. The survey instrument included questions about social network characteristics, instrumental and emotional aspects of social support, smoking behavior, and stressors. Results. The overall prevalence of smoking (41.9{\%}) was higher than that reported in national surveys. Logistic models revealed that persons reporting high levels of stress, represented by an abbreviated hassles index, were more likely to smoke than those reporting less stress. Women with poor social networks were more likely to smoke (odds ratio = 3.1) than women with optimal networks; however, this relationship did not hold among men. Indeed, men lacking emotional support from friends or family were less likely to smoke (odds ratio = 0.5) than men receiving such support. No interaction between social support and hassels was observed. Conclusions. Stressful environments may contribute to high-risk smoking behavior among urban African Americans.",
author = "Romano, {Patrick S} and J. Bloom and Syme, {S. L.}",
year = "1991",
language = "English (US)",
volume = "81",
pages = "1415--1422",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "11",

}

TY - JOUR

T1 - Smoking, social support, and hassles in an urban African-American community

AU - Romano, Patrick S

AU - Bloom, J.

AU - Syme, S. L.

PY - 1991

Y1 - 1991

N2 - Background. Despite public health efforts, the prevalence of smoking among African Americans remains high. The determinants of smoking behavior in this population must be elucidated so that interventions can be better targeted and more effective. Methods. As part of a prospective community intervention trial to reduce cancer mortality, we conducted a random household survey of 1137 African-American adults in San Francisco and Oakland between November 1985 and July 1986. The survey instrument included questions about social network characteristics, instrumental and emotional aspects of social support, smoking behavior, and stressors. Results. The overall prevalence of smoking (41.9%) was higher than that reported in national surveys. Logistic models revealed that persons reporting high levels of stress, represented by an abbreviated hassles index, were more likely to smoke than those reporting less stress. Women with poor social networks were more likely to smoke (odds ratio = 3.1) than women with optimal networks; however, this relationship did not hold among men. Indeed, men lacking emotional support from friends or family were less likely to smoke (odds ratio = 0.5) than men receiving such support. No interaction between social support and hassels was observed. Conclusions. Stressful environments may contribute to high-risk smoking behavior among urban African Americans.

AB - Background. Despite public health efforts, the prevalence of smoking among African Americans remains high. The determinants of smoking behavior in this population must be elucidated so that interventions can be better targeted and more effective. Methods. As part of a prospective community intervention trial to reduce cancer mortality, we conducted a random household survey of 1137 African-American adults in San Francisco and Oakland between November 1985 and July 1986. The survey instrument included questions about social network characteristics, instrumental and emotional aspects of social support, smoking behavior, and stressors. Results. The overall prevalence of smoking (41.9%) was higher than that reported in national surveys. Logistic models revealed that persons reporting high levels of stress, represented by an abbreviated hassles index, were more likely to smoke than those reporting less stress. Women with poor social networks were more likely to smoke (odds ratio = 3.1) than women with optimal networks; however, this relationship did not hold among men. Indeed, men lacking emotional support from friends or family were less likely to smoke (odds ratio = 0.5) than men receiving such support. No interaction between social support and hassels was observed. Conclusions. Stressful environments may contribute to high-risk smoking behavior among urban African Americans.

UR - http://www.scopus.com/inward/record.url?scp=0026351572&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026351572&partnerID=8YFLogxK

M3 - Article

C2 - 1951797

AN - SCOPUS:0026351572

VL - 81

SP - 1415

EP - 1422

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 11

ER -