Social Determinants of Health and Tobacco Use in Five Low - and Middle-Income Countries - Results from the Global Adult Tobacco Survey (GATS), 2011 - 2012
| Autor: | Sorina Irimie, James Rarick, Tahir Aris, Guat Hiong Tee |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Cancer Research Adolescent Social Determinants of Health Epidemiology Cross-sectional study Population Argentina Psychological intervention Nigeria Odds Young Adult 03 medical and health sciences 0302 clinical medicine Environmental health parasitic diseases Prevalence Humans Medicine 030212 general & internal medicine Social determinants of health education Aged education.field_of_study 030505 public health Romania business.industry Smoking Tobacco control Malaysia Public Health Environmental and Occupational Health Tobacco Use Disorder Odds ratio Middle Aged Cross-Sectional Studies Socioeconomic Factors Oncology Smokeless tobacco Indonesia Income Female 0305 other medical science business Follow-Up Studies |
| Zdroj: | Asian Pacific Journal of Cancer Prevention. 17:1269-1276 |
| ISSN: | 1513-7368 |
| Popis: | Background Tobacco consumption continues to be the leading cause of preventable deaths globally. The objective of this study was to examine the associaton of selected socio-demographic variables with current tobacco use in five countries that participated in the Phase II Global Adult Tobacco Survey in 2011 - 2012. Materials and methods We analysed internationally comparable representative household survey data from 33,482 respondents aged ≥ 15 years in Indonesia, Malaysia, Romania, Argentina and Nigeria for determinants of tobacco use within each country. Socio-demographic variables analysed included gender, age, residency, education, wealth index and awareness of smoking health consequences. Current tobacco use was defined as smoking or use of smokeless tobacco daily or occasionally. Results The overall prevalence of tobacco use varied from 5.5% in Nigeria to 35.7% in Indonesia and was significantly higher among males than females in all five countries. Odds ratios for current tobacco use were significantly higher among males for all countries [with the greatest odds among Indonesian men (OR=67.4, 95% CI: 51.2-88.7)] and among urban dwellers in Romania. The odds of current tobacco use decreased as age increased for all countries except Nigeria where. The reverse was true for Argentina and Nigeria. Significant trends for decreasing tobacco use with increasing educational levels and wealth index were seen in Indonesia, Malaysia and Romania. Significant negative associations between current tobacco use and awareness of adverse health consequences of smoking were found in all countries except Argentina. Conclusions Males and the socially and economically disadvantaged populations are at the greatest risk of tobacco use. Tobacco control interventions maybe tailored to this segment of population and incorporate educational interventions to increase knowledge of adverse health consequences of smoking. |
| Databáze: | OpenAIRE |
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