Journal article
Area characteristics, individual-level socioeconomic indicators, and smoking in young adults: The coronary artery disease risk development in young adults study
American journal of epidemiology, v 157(4), pp 315-326
15 Feb 2003
PMID: 12578802
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The 10-year follow-up examination in 1995–1996 to the population-based Coronary Artery Disease Risk Development in Young Adults Study was used to compare the strength with which socioeconomic indicators at the individual and area levels are related to smoking prevalence and to investigate contextual effects of area characteristics. When categories based on similar percentile cutoffs were compared, differences across area categories in the odds of smoking were smaller than differences across categories based on individual-level indicators. In Whites, there was evidence of a significant contextual effect of area characteristics on smoking: Living in the most disadvantaged area quartiles was associated with 50–110% higher odds of smoking, even after controlling for individual-level socioeconomic indicators. Clear contextual effects of area characteristics were not present in Blacks, but there was evidence that contextual effects may emerge at higher levels of individual-level socioeconomic position. Similar results were obtained for census tracts and block groups. Even in the presence of contextual effects, area measures may underestimate associations of individual-level variables with health outcomes. On the other hand, as illustrated by the presence of contextual effects, area- and individual-level measures are likely to tap into different constructs.
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Details
- Title
- Area characteristics, individual-level socioeconomic indicators, and smoking in young adults: The coronary artery disease risk development in young adults study
- Creators
- Ana V. Diez Roux - Columbia UniversityS. Stein Merkin - Columbia UniversityP. Hannan - University of MinnesotaD. R. Jacobs - University of MinnesotaC. I. Kiefe - University of Alabama at Birmingham
- Publication Details
- American journal of epidemiology, v 157(4), pp 315-326
- Publisher
- Oxford University Press
- Number of pages
- 12
- Grant note
- N01-HC-48047; N01-HC-48048; N01-HC-48049; N01-HC-48050; N01-HC-95095; R29HL059386 / National Heart, Lung, and Blood Institute (http://data.elsevier.com/vocabulary/SciValFunders/100000050) National Heart, Lung, and Blood Institute (http://data.elsevier.com/vocabulary/SciValFunders/100000050)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000181057800007
- Scopus ID
- 2-s2.0-0037442222
- Other Identifier
- 991020112017704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health