Abstract
To guide targeted cessation and prevention programming, this study assessed smoking prevalence and described sociodemographic, health, and healthcare use characteristics of adult smokers in public housing. Self-reported data were analyzed from a random sample of 1664 residents aged 35 and older in ten New York City public housing developments in East/Central Harlem. Smoking prevalence was 20.8%. Weighted log-binomial models identified to be having Medicaid, not having a personal doctor, and using health clinics for routine care were positively associated with smoking. Smokers without a personal doctor were less likely to receive provider quit advice. While most smokers in these public housing developments had health insurance, a personal doctor, and received provider cessation advice in the last year (72.4%), persistently high smoking rates suggest that such cessation advice may be insufficient. Efforts to eliminate differences in tobacco use should consider place-based smoking cessation interventions that extend cessation support beyond clinical settings.
Original language | English |
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Pages (from-to) | 525-533 |
Number of pages | 9 |
Journal | Journal of Urban Health |
Volume | 94 |
Issue number | 4 |
DOIs | |
State | Published - 1 Aug 2017 |
Externally published | Yes |
Keywords
- Chronic diseases
- New York City
- Primary healthcare
- Public housing developments
- Smoking
- Urban health services