Trends in socioeconomic inequalities in smoking prevalence, consumption, initiation, and cessation between 2001 and 2008 in the Netherlands Findings from a national population survey
| Autor: | Anton E. Kunst, Dianne de Korte-de Boer, Gera E. Nagelhout, Boukje M van Gelder, Marc C. Willemsen, Hein de Vries, Regina M van der Meer |
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| Přispěvatelé: | APH - Amsterdam Public Health, Public and occupational health, Graduate School, Health promotion, Epidemiologie, RS: CAPHRI School for Public Health and Primary Care |
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cross-sectional study medicine.medical_treatment Population Health Behavior Environmental health Surveys and Questionnaires Epidemiology medicine Prevalence Humans education Child Socioeconomic status Aged Netherlands education.field_of_study business.industry lcsh:Public aspects of medicine Tobacco control Smoking Public Health Environmental and Occupational Health lcsh:RA1-1270 Middle Aged Former Smoker Social class Cross-Sectional Studies Socioeconomic Factors Population Surveillance Income Linear Models Smoking cessation Female Smoking Cessation Biostatistics Trends business Research Article |
| Zdroj: | BMC public health, 12(1). BioMed Central BMC Public Health BMC Public Health, Vol 12, Iss 1, p 303 (2012) BMC Public Health, 12. BioMed Central Ltd |
| ISSN: | 1471-2458 |
| Popis: | Background Widening of socioeconomic status (SES) inequalities in smoking prevalence has occurred in several Western countries from the mid 1970’s onwards. However, little is known about a widening of SES inequalities in smoking consumption, initiation and cessation. Methods Repeated cross-sectional population surveys from 2001 to 2008 (n ≈ 18,000 per year) were used to examine changes in smoking prevalence, smoking consumption (number of cigarettes per day), initiation ratios (ratio of ever smokers to all respondents), and quit ratios (ratio of former smokers to ever smokers) in the Netherlands. Education level and income level were used as indicators of SES and results were reported separately for men and women. Results Lower educated respondents were significantly more likely to be smokers, smoked more cigarettes per day, had higher initiation ratios, and had lower quit ratios than higher educated respondents. Income inequalities were smaller than educational inequalities and were not all significant, but were in the same direction as educational inequalities. Among women, educational inequalities widened significantly between 2001 and 2008 for smoking prevalence, smoking initiation, and smoking cessation. Among low educated women, smoking prevalence remained stable between 2001 and 2008 because both the initiation and quit ratio increased significantly. Among moderate and high educated women, smoking prevalence decreased significantly because initiation ratios remained constant, while quit ratios increased significantly. Among men, educational inequalities widened significantly between 2001 and 2008 for smoking consumption only. Conclusions While inequalities in smoking prevalence were stable among Dutch men, they increased among women, due to widening inequalities in both smoking cessation and initiation. Both components should be addressed in equity-oriented tobacco control policies. |
| Databáze: | OpenAIRE |
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