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Study breakdown

Deprived Neighborhoods Had Higher Rates of Cannabis, Cigarette, and E-Cigarette Use in Canada

Cross SectionalModerate evidence
The takeaway

Neighborhood deprivation and gentrification predicted higher cannabis, cigarette, and e-cigarette use, while immigrant neighborhoods showed lower rates.

Urban health researchers; public health policymakers; prevention planners.

Neighborhood deprivation and gentrification both predicted higher substance use

What the researchers found

Material deprivation, social deprivation, and household insecurity were positively associated with all three substances. Gentrified neighborhoods also had higher use. High immigrant/visible minority neighborhoods had lower use.

Why it matters

Most prevention targets individuals, but neighborhood characteristics independently predict use, supporting environmental interventions.

The numbers in context

All three deprivation measures positively associated with cannabis, cigarette, and e-cigarette use. Gentrified: higher odds. High immigrant/minority: lower odds.

How the study worked

Canadian Partnership for Tomorrow's Health cohort. Neighborhood-level measures linked via postal codes. Regression models adjusted for individual factors.

What this study cannot tell us

Cross-sectional. Self-reported. Postal code-level measures. Canadian context.

How to read the evidence

Large population-based cohort with geospatial data, but cross-sectional.

When this study was published

2025 study

The bigger picture

Gentrification increasing substance use challenges assumptions that neighborhood improvement automatically improves health.

Questions still open

  • What connects gentrification to substance use? Do immigrant neighborhoods provide protective structures?

Common questions

Why does gentrification increase substance use?
Possible mechanisms include displacement stress, disrupted social networks, and changing norms.
Why do immigrant neighborhoods have lower use?
Cultural norms, stronger community ties, and the "healthy immigrant effect" may contribute.

Read the original research

Neighborhood level factors and use of cigarettes, cannabis and e-cigarettes: A population-based study among Canadian adults.

PloS one, 20(11), e0320035

Citation

Fraser Wood, Truman; Dummer, Trevor J B; Peters, Cheryl E; Murphy, Rachel A. (2025). Neighborhood level factors and use of cigarettes, cannabis and e-cigarettes: A population-based study among Canadian adults.. PloS one, 20(11), e0320035. https://doi.org/10.1371/journal.pone.0320035