Small Area Estimates Reveal High Cigarette Smoking Prevalence in Low-Income Cities of Los Angeles County

Los Angeles County has among the lowest smoking rates of large urban counties in the USA. Nevertheless, concerning disparities persist as high smoking prevalence is found among certain subgroups. We calculated adult smoking prevalence in the incorporated cities of Los Angeles County in order to iden...

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Bibliographic Details
Published inJournal of urban health Vol. 89; no. 3; pp. 397 - 406
Main Authors Cui, Yan, Baldwin, Susie B., Lightstone, Amy S., Shih, Margaret, Yu, Hongjian, Teutsch, Steven
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.06.2012
Springer Nature B.V
Subjects
Adolescent
Adult
Censuses
Cities
Epidemiology
Feasibility Studies
Female
Health Informatics
Health Surveys
Humans
Logistic Models
Los Angeles - epidemiology
Low income groups
Male
Medicine
Medicine & Public Health
Middle Aged
Neighborhoods
Poverty - statistics & numerical data
Prevalence
Public Health
Smoking
Smoking - economics
Smoking - epidemiology
Socioeconomic factors
Urban areas
Young Adult
Los Angeles
Los Angeles County California
United States > US
Cities
Small area estimation
Smoking prevalence
Los Angeles County
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Summary:Los Angeles County has among the lowest smoking rates of large urban counties in the USA. Nevertheless, concerning disparities persist as high smoking prevalence is found among certain subgroups. We calculated adult smoking prevalence in the incorporated cities of Los Angeles County in order to identify cities with high smoking prevalence. The prevalence was estimated by a model-based small area estimation method with utilization of three data sources, including the 2007 Los Angeles County Health Survey, the 2000 Census, and the 2007 Los Angeles County Population Estimates and Projection System. Smoking prevalence varied considerably across cities, with a more than fourfold difference between the lowest (5.3%) and the highest prevalence (21.7%). Higher smoking prevalence was generally found in socioeconomically disadvantaged cities. The disparities identified here add another layer of data to our knowledge of the health inequities experienced by low-income urban communities and provide much sought data for local tobacco control. Our study also demonstrates the feasibility of providing credible local estimates of smoking prevalence using the model-based small area estimation method.
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ISSN:1099-3460
1468-2869
DOI:10.1007/s11524-011-9615-0