The relation between social cohesion and smoking cessation among black smokers, and the potential role of psychosocial mediators

Lorraine R. Reitzel, Darla E. Kendzor, Yessenia Castro, Yumei Cao, Micheal S. Businelle, Carlos A. Mazas, Ludmila Cofta-Woerpel, Yisheng Li, Paul M. Cinciripini, Jasjit S. Ahluwalia, David W. Wetter

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Background: Social cohesion, the self-reported trust and connectedness between neighbors, may affect health behaviors via psychosocial mechanisms. Purpose: Relations between individual perceptions of social cohesion and smoking cessation were examined among 397 Black treatment-seeking smokers. Methods: Continuation ratio logit models examined the relation of social cohesion and biochemically verified continuous smoking abstinence through 6 months post-quit. Indirect effects were examined in single mediator models using a nonparametric bootstrapping procedure. All analyses controlled for sociodemographics, tobacco dependence, and treatment. Results: The total effect of social cohesion on continuous abstinence was non-significant (β = 0.05, p = 0.10). However, social cohesion was associated with social support, positive affect, negative affect, and stress, which, in turn, were each associated with abstinence in adjusted models (ps < 0.05). Conclusions: Results suggest that social cohesion may facilitate smoking cessation among Black smokers through desirable effects on psychosocial mechanisms that can result from living in a community with strong interpersonal connections.

Original languageEnglish (US)
Pages (from-to)249-257
Number of pages9
JournalAnnals of Behavioral Medicine
Issue number2
StatePublished - Apr 2013

Bibliographical note

Funding Information:
Financial Support This research was supported by the National Cancer Institute (R01CA094826 and R25CA57730), the Centers for Disease Control and Prevention (K01DP001120), the American Cancer Society (MRSGT-10-104-01-CPHPS), the National Institute for Minority Health and Health Disparities (P60MD003422), and the National Institutes of Health through MD Anderson's Cancer Center Support Grant (CA016672). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the project supporters.

Funding Information:
Conflict of Interest Statement Dr. Paul M. Cinciripini has served on the scientific advisory board of Pfizer Pharmaceuticals, has received grant support from Pfizer, and has conducted educational talks sponsored by Pfizer. All other authors declare no conflicts of interest.


  • Mediation
  • Neighborhood trust
  • Smoking cessation
  • Social cohesion


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