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Published in: Journal of Urban Health 3/2012

01-06-2012

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

Authors: Yan Cui, Susie B. Baldwin, Amy S. Lightstone, Margaret Shih, Hongjian Yu, Steven Teutsch

Published in: Journal of Urban Health | Issue 3/2012

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Abstract

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.
Appendix
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Footnotes
1
LA County has 26 HDs and 8 SPAs. Each SPA consists of 1–5 HDs. HDs and SPAs have coincident boundaries.
 
Literature
1.
go back to reference Los Angeles County Department of Public Health. Cigarette Smoking in Los Angeles County: Local Data to Inform Tobacco Policy. Los Angeles, CA: Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology; June 2010. Los Angeles County Department of Public Health. Cigarette Smoking in Los Angeles County: Local Data to Inform Tobacco Policy. Los Angeles, CA: Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology; June 2010.
2.
go back to reference Los Angeles County Department of Public Health. LA Health Trends: Cigarette Smoking among Los Angeles County Adults. Los Angeles, CA: Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology; 2006. Los Angeles County Department of Public Health. LA Health Trends: Cigarette Smoking among Los Angeles County Adults. Los Angeles, CA: Los Angeles County Department of Public Health, Office of Health Assessment and Epidemiology; 2006.
3.
go back to reference Warner KE, Mendez D, Alshanqeety O. Tobacco control success versus demographic destiny: examining the causes of the low smoking prevalence in California. Am J Public Health. 2008; 98(2): 268–9.PubMedCrossRef Warner KE, Mendez D, Alshanqeety O. Tobacco control success versus demographic destiny: examining the causes of the low smoking prevalence in California. Am J Public Health. 2008; 98(2): 268–9.PubMedCrossRef
4.
go back to reference Simon PA, Wold CM, Cousineau MR, Fielding JE. Meeting the data needs of a local health department: the Los Angeles County Health Survey. Am J Public Health. 2001; 91(12): 1950–2.PubMedCrossRef Simon PA, Wold CM, Cousineau MR, Fielding JE. Meeting the data needs of a local health department: the Los Angeles County Health Survey. Am J Public Health. 2001; 91(12): 1950–2.PubMedCrossRef
5.
go back to reference Yu H, Meng YY, Mendez-Luck CA, Jhawar M, Wallace SP. Small-area estimation of health insurance coverage for California legislative districts. Am J Public Health. 2007; 97(4): 731–7.PubMedCrossRef Yu H, Meng YY, Mendez-Luck CA, Jhawar M, Wallace SP. Small-area estimation of health insurance coverage for California legislative districts. Am J Public Health. 2007; 97(4): 731–7.PubMedCrossRef
6.
go back to reference Mendez-Luck CA, Yu H, Meng YY, Jhawar M, Wallace SP. Estimating health conditions for small areas: asthma symptom prevalence for state legislative districts. Health Serv Res. 2007; 42(6 Pt 2): 2389–409.PubMedCrossRef Mendez-Luck CA, Yu H, Meng YY, Jhawar M, Wallace SP. Estimating health conditions for small areas: asthma symptom prevalence for state legislative districts. Health Serv Res. 2007; 42(6 Pt 2): 2389–409.PubMedCrossRef
7.
go back to reference Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. 5th ed. Lenexa, KS: AAPOR: The American Association for Public Opinion Research; 2008. Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. 5th ed. Lenexa, KS: AAPOR: The American Association for Public Opinion Research; 2008.
8.
go back to reference County of Los Angeles. Estimated Census Tract-City Split Population by Age, Sex, and Race/Ethnicity. Los Angeles, CA: County of Los Angeles, Chief Executive Office, Service Integration Branch; 2008. County of Los Angeles. Estimated Census Tract-City Split Population by Age, Sex, and Race/Ethnicity. Los Angeles, CA: County of Los Angeles, Chief Executive Office, Service Integration Branch; 2008.
9.
go back to reference Hosmer DW, Lemeshow S. Confidence interval estimates of an index of quality performance based on logistic regression models. Stat Med. 1995; 14(19): 2161–72.PubMedCrossRef Hosmer DW, Lemeshow S. Confidence interval estimates of an index of quality performance based on logistic regression models. Stat Med. 1995; 14(19): 2161–72.PubMedCrossRef
10.
go back to reference Cohen RA, Bloom B. Trends in Health Insurance and Access to Medical Care for Children under Age 19 Years: United States, 1998–2003. Advance data from Vital and Health Statistics. Hyattsville, MD: National Center for Health Statistics; 2005. Cohen RA, Bloom B. Trends in Health Insurance and Access to Medical Care for Children under Age 19 Years: United States, 1998–2003. Advance data from Vital and Health Statistics. Hyattsville, MD: National Center for Health Statistics; 2005.
11.
go back to reference Lewis LB, Sloane DC, Nascimento LM, et al. African Americans’ access to healthy food options in South Los Angeles restaurants. Am J Public Health. 2005; 95(4): 668–73.PubMedCrossRef Lewis LB, Sloane DC, Nascimento LM, et al. African Americans’ access to healthy food options in South Los Angeles restaurants. Am J Public Health. 2005; 95(4): 668–73.PubMedCrossRef
12.
go back to reference Kipke MD, Iverson E, Moore D, et al. Food and park environments: neighborhood-level risks for childhood obesity in East Los Angeles. J Adolesc Health. 2007; 40(4): 325–33.PubMedCrossRef Kipke MD, Iverson E, Moore D, et al. Food and park environments: neighborhood-level risks for childhood obesity in East Los Angeles. J Adolesc Health. 2007; 40(4): 325–33.PubMedCrossRef
13.
go back to reference Simon PA, Kwan D, Angelescu A, Shih M, Fielding JE. Proximity of fast food restaurants to schools: do neighborhood income and type of school matter? Prev Med. 2008; 47(3): 284–8.PubMedCrossRef Simon PA, Kwan D, Angelescu A, Shih M, Fielding JE. Proximity of fast food restaurants to schools: do neighborhood income and type of school matter? Prev Med. 2008; 47(3): 284–8.PubMedCrossRef
14.
go back to reference Sloane DC, Diamant AL, Lewis LB, et al. Improving the nutritional resource environment for healthy living through community-based participatory research. J Gen Intern Med. 2003; 18(7): 568–75.PubMedCrossRef Sloane DC, Diamant AL, Lewis LB, et al. Improving the nutritional resource environment for healthy living through community-based participatory research. J Gen Intern Med. 2003; 18(7): 568–75.PubMedCrossRef
15.
go back to reference Jetter KM, Cassady DL. The availability and cost of healthier food alternatives. Am J Prev Med. 2006; 30(1): 38–44.PubMedCrossRef Jetter KM, Cassady DL. The availability and cost of healthier food alternatives. Am J Prev Med. 2006; 30(1): 38–44.PubMedCrossRef
16.
go back to reference Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. MMWR Morb Mortal Wkly Rep. 2008; 57(45): 1226–1228. Smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 2000–2004. MMWR Morb Mortal Wkly Rep. 2008; 57(45): 1226–1228.
17.
go back to reference Goodman MS. Comparison of small-area analysis techniques for estimating prevalence by race. Prev Chronic Dis. 2010; 7(2): A33. Goodman MS. Comparison of small-area analysis techniques for estimating prevalence by race. Prev Chronic Dis. 2010; 7(2): A33.
18.
go back to reference Jia H, Muennig P, Borawski E. Comparison of small-area analysis techniques for estimating county-level outcomes. Am J Prev Med. 2004; 26(5): 453–60.PubMedCrossRef Jia H, Muennig P, Borawski E. Comparison of small-area analysis techniques for estimating county-level outcomes. Am J Prev Med. 2004; 26(5): 453–60.PubMedCrossRef
19.
go back to reference Malec D, Davis WW, Cao X. Model-based small area estimates of overweight prevalence using sample selection adjustment. Stat Med. 1999; 18(23): 3189–200.PubMedCrossRef Malec D, Davis WW, Cao X. Model-based small area estimates of overweight prevalence using sample selection adjustment. Stat Med. 1999; 18(23): 3189–200.PubMedCrossRef
20.
go back to reference Li W, Kelsey JL, Zhang Z, et al. Small-area estimation and prioritizing communities for obesity control in Massachusetts. Am J Public Health. 2009; 99(3): 511–9.PubMedCrossRef Li W, Kelsey JL, Zhang Z, et al. Small-area estimation and prioritizing communities for obesity control in Massachusetts. Am J Public Health. 2009; 99(3): 511–9.PubMedCrossRef
21.
go back to reference Li W, Land T, Zhang Z, Keithly L, Kelsey JL. Small-area estimation and prioritizing communities for tobacco control efforts in Massachusetts. Am J Public Health. 2009; 99(3): 470–9.PubMedCrossRef Li W, Land T, Zhang Z, Keithly L, Kelsey JL. Small-area estimation and prioritizing communities for tobacco control efforts in Massachusetts. Am J Public Health. 2009; 99(3): 470–9.PubMedCrossRef
22.
go back to reference Knutson K, Zhang W, Tabnak F. Applying the small-area estimation method to estimate a population eligible for breast cancer detection services. Prev Chronic Dis. 2008; 5(1): A10.PubMed Knutson K, Zhang W, Tabnak F. Applying the small-area estimation method to estimate a population eligible for breast cancer detection services. Prev Chronic Dis. 2008; 5(1): A10.PubMed
23.
go back to reference Twigg L, Moon G. Predicting small area health-related behaviour: a comparison of multilevel synthetic estimation and local survey data. Soc Sci Med. 2002; 54(6): 931–7.PubMedCrossRef Twigg L, Moon G. Predicting small area health-related behaviour: a comparison of multilevel synthetic estimation and local survey data. Soc Sci Med. 2002; 54(6): 931–7.PubMedCrossRef
24.
go back to reference Twigg L, Moon G, Jones K. Predicting small-area health-related behaviour: a comparison of smoking and drinking indicators. Soc Sci Med. 2000; 50(7–8): 1109–20.PubMedCrossRef Twigg L, Moon G, Jones K. Predicting small-area health-related behaviour: a comparison of smoking and drinking indicators. Soc Sci Med. 2000; 50(7–8): 1109–20.PubMedCrossRef
25.
go back to reference Blumberg SJ, Luke JV. Wireless Substitution: Early Release of Estimates from the National Health Interview Survey, July–December 2009. Hyattsville, MD: Division of Health Interview Statistics, National Center for Health Statistics; 2010. Blumberg SJ, Luke JV. Wireless Substitution: Early Release of Estimates from the National Health Interview Survey, July–December 2009. Hyattsville, MD: Division of Health Interview Statistics, National Center for Health Statistics; 2010.
26.
go back to reference Keeter S, Kennedy C, Dimock M, Best J, Graighill P. Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Q. 2006; 70(5): 759–79.CrossRef Keeter S, Kennedy C, Dimock M, Best J, Graighill P. Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Q. 2006; 70(5): 759–79.CrossRef
27.
go back to reference Keeter S, Miller C, Kohut A, Groves RM, Presser S. Consequences of reducing nonresponse in a national telephone survey. Public Opin Q. 2000; 64(2): 125–48.PubMedCrossRef Keeter S, Miller C, Kohut A, Groves RM, Presser S. Consequences of reducing nonresponse in a national telephone survey. Public Opin Q. 2000; 64(2): 125–48.PubMedCrossRef
28.
go back to reference Murray RP, Connett JE, Istvan JA, Nides MA, Rempel-Rossum S. Relations of cotinine and carbon monoxide to self-reported smoking in a cohort of smokers and ex-smokers followed over 5 years. Nicotine Tob Res. 2002; 4(3): 287–94.PubMedCrossRef Murray RP, Connett JE, Istvan JA, Nides MA, Rempel-Rossum S. Relations of cotinine and carbon monoxide to self-reported smoking in a cohort of smokers and ex-smokers followed over 5 years. Nicotine Tob Res. 2002; 4(3): 287–94.PubMedCrossRef
29.
go back to reference Pell JP, Haw SJ, Cobbe SM, et al. Validity of self-reported smoking status: comparison of patients admitted to hospital with acute coronary syndrome and the general population. Nicotine Tob Res. 2008; 10(5): 861–6.PubMedCrossRef Pell JP, Haw SJ, Cobbe SM, et al. Validity of self-reported smoking status: comparison of patients admitted to hospital with acute coronary syndrome and the general population. Nicotine Tob Res. 2008; 10(5): 861–6.PubMedCrossRef
Metadata
Title
Small Area Estimates Reveal High Cigarette Smoking Prevalence in Low-Income Cities of Los Angeles County
Authors
Yan Cui
Susie B. Baldwin
Amy S. Lightstone
Margaret Shih
Hongjian Yu
Steven Teutsch
Publication date
01-06-2012
Publisher
Springer US
Published in
Journal of Urban Health / Issue 3/2012
Print ISSN: 1099-3460
Electronic ISSN: 1468-2869
DOI
https://doi.org/10.1007/s11524-011-9615-0

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