Annals of Behavioral Medicine

, Volume 45, Issue 2, pp 249–257

The Relation between Social Cohesion and Smoking Cessation among Black Smokers, and the Potential Role of Psychosocial Mediators

  • Lorraine R. Reitzel
  • Darla E. Kendzor
  • Yessenia Castro
  • Yumei Cao
  • Micheal S. Businelle
  • Carlos A. Mazas
  • Ludmila Cofta-Woerpel
  • Yisheng Li
  • Paul M. Cinciripini
  • Jasjit S. Ahluwalia
  • David W. Wetter
Brief Report

DOI: 10.1007/s12160-012-9438-6

Cite this article as:
Reitzel, L.R., Kendzor, D.E., Castro, Y. et al. ann. behav. med. (2013) 45: 249. doi:10.1007/s12160-012-9438-6

Abstract

Background

Social cohesion, the self-reported trust and connectedness between neighbors, may affect health behaviors via psychosocial mechanisms.

Purpose

Relations between individual perceptions of social cohesion and smoking cessation were examined among 397 Black treatment-seeking smokers.

Methods

Continuation ratio logit models examined the relation of social cohesion and biochemically verified continuous smoking abstinence through 6 months post-quit. Indirect effects were examined in single mediator models using a nonparametric bootstrapping procedure. All analyses controlled for sociodemographics, tobacco dependence, and treatment.

Results

The total effect of social cohesion on continuous abstinence was non-significant (β = 0.05, p = 0.10). However, social cohesion was associated with social support, positive affect, negative affect, and stress, which, in turn, were each associated with abstinence in adjusted models (ps < 0.05).

Conclusions

Results suggest that social cohesion may facilitate smoking cessation among Black smokers through desirable effects on psychosocial mechanisms that can result from living in a community with strong interpersonal connections.

Keywords

Social cohesion Neighborhood trust Smoking cessation Mediation 

Copyright information

© The Society of Behavioral Medicine 2012

Authors and Affiliations

  • Lorraine R. Reitzel
    • 1
  • Darla E. Kendzor
    • 2
  • Yessenia Castro
    • 1
  • Yumei Cao
    • 1
  • Micheal S. Businelle
    • 2
  • Carlos A. Mazas
    • 1
  • Ludmila Cofta-Woerpel
    • 3
  • Yisheng Li
    • 4
  • Paul M. Cinciripini
    • 3
  • Jasjit S. Ahluwalia
    • 5
  • David W. Wetter
    • 1
  1. 1.Department of Health Disparities ResearchUniversity of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.School of Public HealthUniversity of Texas Health Sciences CenterDallasUSA
  3. 3.Department of Behavioral ScienceUniversity of Texas MD Anderson Cancer CenterHoustonUSA
  4. 4.Department of BiostatisticsUniversity of Texas MD Anderson Cancer CenterHoustonUSA
  5. 5.Center for Health EquityUniversity of Minnesota Medical SchoolMinneapolisUSA