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. 2020 Feb 11:18:101064.
doi: 10.1016/j.pmedr.2020.101064. eCollection 2020 Jun.

Disentangling individual and neighborhood differences in the intention to quit smoking in Asian American male smokers

Priyanka Vyas  1 , Janice Y Tsoh  1   2 , Ginny Gildengorin  3 , Susan L Stewart  4 , Edgar Yu  2 , Alice Guan  2 , Amber Pham  5 , Nancy J Burke  6 , Steven J McPhee  3
Affiliations

Disentangling individual and neighborhood differences in the intention to quit smoking in Asian American male smokers

Priyanka Vyas et al. Prev Med Rep. .

Erratum in

Abstract

Numerous studies have assessed individual-level factors associated with intention to quit smoking. However, fewer studies have assessed how neighborhood and built environment also contribute towards individual-level behavior. We used baseline data of 340 Chinese and Vietnamese male daily smokers from August 2015 to November 2017 living in the San Francisco Bay Area, who enrolled in a lifestyle intervention trial. The outcome variable was intention to quit in 30 days. To understand the role of contextual factors participants' residential addresses were geocoded, and neighborhood median income, ethnic composition, and tobacco retail density were computed. Individual level analysis suggested that Vietnamese American men had greater intention to quit smoking (OR = 2.90 CI = 1.59, 5.26) in comparison to Chinese Americans. However, after adding neighborhood level factors to the model, no ethnic group difference was observed. Neighborhood household median income (OR = 0.74, CI = 0.64, 0.86) and tobacco retail counts (OR = 0.79, CI = 0.67, 0.94) were negatively associated with intention to quit. Years lived in the U.S. was the only individual level factor associated with intention to quit. By comparing two Asian American groups that live in heterogeneous neighborhoods, we identify key environmental and policy drivers that are associated with quit intention. Future studies aimed at influencing individual-level behavior should take into consideration the neighborhood context and built environment characteristics.

Keywords: Asian Americans; Geographic variation; Neighborhood characteristics; Tobacco retailers; Tobacco use.

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Figures

Fig. 1
Fig. 1
Spatial variation in the distribution of tobacco retailers within 1000 feet buffer around a participant’s home location in the study area.
Fig. 2
Fig. 2
Spatial variation in the distribution of median household income within a 1000 feet buffer around a participant’s home location in the study area.
See this image and copyright information in PMC

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