Neighbourhood deprivation and smoking and quit behaviour among smokers in Mexico: Findings from the ITC Mexico survey

Nancy L. Fleischer, James F. Thrasher, Belén Sáenz Miera de Juárez, Luz Myriam Reynales-Shigematsu, Edna Arillo-Santillán, Amira Osman, Mohammad Siahpush, Geoffrey T. Fong

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background In high-income countries (HICs), higher neighbourhood socioeconomic deprivation is associated with higher levels of smoking. Few studies in lowincome and middle-income countries (LMICs) have investigated the role of the neighbourhood environment on smoking behaviour. Objective To determine whether neighbourhood socioeconomic deprivation is related to smoking intensity, quit attempts, quit success and smoking relapse among a cohort of smokers in Mexico from 2010 to 2012. Methods Data were analysed from adult smokers and recent ex-smokers who participated in waves 4–6 of the International Tobacco Control (ITC) Mexico Survey. Data were linked to the Mexican government’s composite index of neighbourhood socioeconomic deprivation, which is based on 2010 Mexican Census data. We used generalised estimating equations to determine associations between neighbourhood deprivation and individual smoking behaviours. Findings Contrary to past findings in HICs, higher neighbourhood socioeconomic deprivation was associated with lower smoking intensity. Quit attempts showed a U-shaped pattern whereby smokers living in high/very high deprivation neighbourhoods and smokers living in very low deprivation neighbourhoods were more likely to make a quit attempt than smokers living in other neighbourhoods. We did not find significant differences in neighbourhood deprivation on relapse or successful quitting, with the possible exception of people living in medium-deprivation neighbourhoods having a higher likelihood of successful quitting than people living in very low deprivation neighbourhoods ( p=0.06). Conclusions Neighbourhood socioeconomic environments in Mexico appear to operate in an opposing manner to those in HICs. Further research should investigate whether rapid implementation of strong tobacco control policies in LMICs, as occurred in Mexico during the follow-up period, avoids the concentration of tobacco-related disparities among socioeconomically disadvantaged groups.

Original languageEnglish (US)
Pages (from-to)ii56-iii63
JournalTobacco control
Volume24
DOIs
StatePublished - Jul 1 2015

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Mexico
deprivation
nicotine
Tobacco
smoking
Smoking
income
relapse
Surveys and Questionnaires
Recurrence
Vulnerable Populations
Censuses
census

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Fleischer, N. L., Thrasher, J. F., de Juárez, B. S. M., Reynales-Shigematsu, L. M., Arillo-Santillán, E., Osman, A., ... Fong, G. T. (2015). Neighbourhood deprivation and smoking and quit behaviour among smokers in Mexico: Findings from the ITC Mexico survey. Tobacco control, 24, ii56-iii63. https://doi.org/10.1136/tobaccocontrol-2013-051495

Neighbourhood deprivation and smoking and quit behaviour among smokers in Mexico : Findings from the ITC Mexico survey. / Fleischer, Nancy L.; Thrasher, James F.; de Juárez, Belén Sáenz Miera; Reynales-Shigematsu, Luz Myriam; Arillo-Santillán, Edna; Osman, Amira; Siahpush, Mohammad; Fong, Geoffrey T.

In: Tobacco control, Vol. 24, 01.07.2015, p. ii56-iii63.

Research output: Contribution to journalArticle

Fleischer, NL, Thrasher, JF, de Juárez, BSM, Reynales-Shigematsu, LM, Arillo-Santillán, E, Osman, A, Siahpush, M & Fong, GT 2015, 'Neighbourhood deprivation and smoking and quit behaviour among smokers in Mexico: Findings from the ITC Mexico survey', Tobacco control, vol. 24, pp. ii56-iii63. https://doi.org/10.1136/tobaccocontrol-2013-051495
Fleischer NL, Thrasher JF, de Juárez BSM, Reynales-Shigematsu LM, Arillo-Santillán E, Osman A et al. Neighbourhood deprivation and smoking and quit behaviour among smokers in Mexico: Findings from the ITC Mexico survey. Tobacco control. 2015 Jul 1;24:ii56-iii63. https://doi.org/10.1136/tobaccocontrol-2013-051495
Fleischer, Nancy L. ; Thrasher, James F. ; de Juárez, Belén Sáenz Miera ; Reynales-Shigematsu, Luz Myriam ; Arillo-Santillán, Edna ; Osman, Amira ; Siahpush, Mohammad ; Fong, Geoffrey T. / Neighbourhood deprivation and smoking and quit behaviour among smokers in Mexico : Findings from the ITC Mexico survey. In: Tobacco control. 2015 ; Vol. 24. pp. ii56-iii63.
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abstract = "Background In high-income countries (HICs), higher neighbourhood socioeconomic deprivation is associated with higher levels of smoking. Few studies in lowincome and middle-income countries (LMICs) have investigated the role of the neighbourhood environment on smoking behaviour. Objective To determine whether neighbourhood socioeconomic deprivation is related to smoking intensity, quit attempts, quit success and smoking relapse among a cohort of smokers in Mexico from 2010 to 2012. Methods Data were analysed from adult smokers and recent ex-smokers who participated in waves 4–6 of the International Tobacco Control (ITC) Mexico Survey. Data were linked to the Mexican government’s composite index of neighbourhood socioeconomic deprivation, which is based on 2010 Mexican Census data. We used generalised estimating equations to determine associations between neighbourhood deprivation and individual smoking behaviours. Findings Contrary to past findings in HICs, higher neighbourhood socioeconomic deprivation was associated with lower smoking intensity. Quit attempts showed a U-shaped pattern whereby smokers living in high/very high deprivation neighbourhoods and smokers living in very low deprivation neighbourhoods were more likely to make a quit attempt than smokers living in other neighbourhoods. We did not find significant differences in neighbourhood deprivation on relapse or successful quitting, with the possible exception of people living in medium-deprivation neighbourhoods having a higher likelihood of successful quitting than people living in very low deprivation neighbourhoods ( p=0.06). Conclusions Neighbourhood socioeconomic environments in Mexico appear to operate in an opposing manner to those in HICs. Further research should investigate whether rapid implementation of strong tobacco control policies in LMICs, as occurred in Mexico during the follow-up period, avoids the concentration of tobacco-related disparities among socioeconomically disadvantaged groups.",
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AU - Reynales-Shigematsu, Luz Myriam

AU - Arillo-Santillán, Edna

AU - Osman, Amira

AU - Siahpush, Mohammad

AU - Fong, Geoffrey T.

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N2 - Background In high-income countries (HICs), higher neighbourhood socioeconomic deprivation is associated with higher levels of smoking. Few studies in lowincome and middle-income countries (LMICs) have investigated the role of the neighbourhood environment on smoking behaviour. Objective To determine whether neighbourhood socioeconomic deprivation is related to smoking intensity, quit attempts, quit success and smoking relapse among a cohort of smokers in Mexico from 2010 to 2012. Methods Data were analysed from adult smokers and recent ex-smokers who participated in waves 4–6 of the International Tobacco Control (ITC) Mexico Survey. Data were linked to the Mexican government’s composite index of neighbourhood socioeconomic deprivation, which is based on 2010 Mexican Census data. We used generalised estimating equations to determine associations between neighbourhood deprivation and individual smoking behaviours. Findings Contrary to past findings in HICs, higher neighbourhood socioeconomic deprivation was associated with lower smoking intensity. Quit attempts showed a U-shaped pattern whereby smokers living in high/very high deprivation neighbourhoods and smokers living in very low deprivation neighbourhoods were more likely to make a quit attempt than smokers living in other neighbourhoods. We did not find significant differences in neighbourhood deprivation on relapse or successful quitting, with the possible exception of people living in medium-deprivation neighbourhoods having a higher likelihood of successful quitting than people living in very low deprivation neighbourhoods ( p=0.06). Conclusions Neighbourhood socioeconomic environments in Mexico appear to operate in an opposing manner to those in HICs. Further research should investigate whether rapid implementation of strong tobacco control policies in LMICs, as occurred in Mexico during the follow-up period, avoids the concentration of tobacco-related disparities among socioeconomically disadvantaged groups.

AB - Background In high-income countries (HICs), higher neighbourhood socioeconomic deprivation is associated with higher levels of smoking. Few studies in lowincome and middle-income countries (LMICs) have investigated the role of the neighbourhood environment on smoking behaviour. Objective To determine whether neighbourhood socioeconomic deprivation is related to smoking intensity, quit attempts, quit success and smoking relapse among a cohort of smokers in Mexico from 2010 to 2012. Methods Data were analysed from adult smokers and recent ex-smokers who participated in waves 4–6 of the International Tobacco Control (ITC) Mexico Survey. Data were linked to the Mexican government’s composite index of neighbourhood socioeconomic deprivation, which is based on 2010 Mexican Census data. We used generalised estimating equations to determine associations between neighbourhood deprivation and individual smoking behaviours. Findings Contrary to past findings in HICs, higher neighbourhood socioeconomic deprivation was associated with lower smoking intensity. Quit attempts showed a U-shaped pattern whereby smokers living in high/very high deprivation neighbourhoods and smokers living in very low deprivation neighbourhoods were more likely to make a quit attempt than smokers living in other neighbourhoods. We did not find significant differences in neighbourhood deprivation on relapse or successful quitting, with the possible exception of people living in medium-deprivation neighbourhoods having a higher likelihood of successful quitting than people living in very low deprivation neighbourhoods ( p=0.06). Conclusions Neighbourhood socioeconomic environments in Mexico appear to operate in an opposing manner to those in HICs. Further research should investigate whether rapid implementation of strong tobacco control policies in LMICs, as occurred in Mexico during the follow-up period, avoids the concentration of tobacco-related disparities among socioeconomically disadvantaged groups.

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