The Relation between Social Cohesion and Smoking Cessation among Black Smokers, and the Potential Role of Psychosocial Mediators
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Social cohesion, the self-reported trust and connectedness between neighbors, may affect health behaviors via psychosocial mechanisms.
Relations between individual perceptions of social cohesion and smoking cessation were examined among 397 Black treatment-seeking smokers.
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.
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).
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.
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- The Relation between Social Cohesion and Smoking Cessation among Black Smokers, and the Potential Role of Psychosocial Mediators
Annals of Behavioral Medicine
Volume 45, Issue 2 , pp 249-257
- Cover Date
- Print ISSN
- Online ISSN
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- Social cohesion
- Neighborhood trust
- Smoking cessation
- Industry Sectors
- Author Affiliations
- 1. Department of Health Disparities Research, University of Texas MD Anderson Cancer Center, Unit 1440, P.O. Box 301402, Houston, TX, 77230, USA
- 2. School of Public Health, University of Texas Health Sciences Center, Dallas, TX, USA
- 3. Department of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, TX, USA
- 4. Department of Biostatistics, University of Texas MD Anderson Cancer Center, Houston, TX, USA
- 5. Center for Health Equity, University of Minnesota Medical School, Minneapolis, MI, USA