Neighborhood Satisfaction and Smoking in France: A Cross-Sectional Analysis
Kate Dotsikas1, Emilie Lanoy2, Emmanuel Wiernik3
1Equipe en Epidémiologie Sociale, Santé Mentale et Addictions, Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris, France.
Substance Use & Misuse
|April 24, 2026
Summary
Lower neighborhood satisfaction is linked to higher odds of daily smoking in France. This finding highlights the importance of resident perceptions in smoking interventions, especially for men.
Area of Science:
- Public Health
- Epidemiology
- Social Determinants of Health
Background:
- Research links neighborhood characteristics to smoking, but often uses objective measures.
- Subjective neighborhood perceptions, particularly dissatisfaction, may increase smoking likelihood and decrease cessation success.
- This relationship remains understudied in France, a country with high smoking prevalence.
Purpose of the Study:
- To investigate the association between neighborhood satisfaction and daily smoking in a French adult population.
- To explore potential interactions with education level and gender.
Main Methods:
- Utilized a cross-sectional sample of 114,484 adults from the 2019 Constances French national cohort.
- Employed logistic regression to analyze the odds of daily smoking across five neighborhood satisfaction levels.
- Assessed interactions with education and gender through stratified analyses.
Main Results:
- A significant association was found between lower neighborhood satisfaction and increased odds of daily smoking.
- Residents reporting "Unsatisfied" neighborhood perceptions had 1.24 times higher odds of daily smoking compared to "Very satisfied" residents.
- The association between neighborhood dissatisfaction and smoking was more pronounced in men.
Conclusions:
- This study provides the first evidence in France linking subjective neighborhood perceptions to smoking status.
- Findings support the integration of resident perceptions into neighborhood-based smoking cessation interventions.
- Further longitudinal research is recommended to establish causality.
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