Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation

Detalhes bibliográficos
Autor(a) principal: Sandoval, José Luis
Data de Publicação: 2018
Outros Autores: Leão, Teresa, Cullati, Stéphane, Theler, Jean-Marc, Joost, Stéphane, Humair, Jean-Paul, Gaspoz, Jean-Michel, Guessous, Idris
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/37209
Resumo: © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
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spelling Public smoking ban and socioeconomic inequalities in smoking prevalence and cessationa cross-sectional population-based study in Geneva, Switzerland (1995-2014)Journal Article© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.INTRODUCTION: Smoking bans were suggested to reduce smoking prevalence and increase quit ratio but their equity impact remains unclear. We aimed to characterise the socioeconomic status (SES)-related inequalities in smoking prevalence and quit ratio before and after the implementation of a public smoking ban. METHODS: We included data from 17 544 participants in the population-based cross-sectional Bus Santé study in Geneva, Switzerland, between 1995 and 2014. We considered educational attainment (primary, secondary and tertiary) as a SES indicator. Outcomes were smoking prevalence (proportion of current smokers) and quit ratio (ex-smokers to ever-smokers ratio). We used segmented linear regression to assess the overall impact of smoking ban on outcome trends. We calculated the relative (RII) and slope (SII, absolute difference) indexes of inequality, quantifying disparities between educational groups in outcomes overall (1995-2014), before and after ban implementation (November 2009). RESULTS: Least educated participants displayed higher smoking prevalence (RII=2.04, P<0.001; SII=0.15, P<0.001) and lower quit ratio (RII=0.73, P<0.001; SII=-0.18, P<0.001). As in other studies, smoking ban implementation coincided with a temporary reduction of smoking prevalence (P=0.003) and increase in quit ratio (P=0.02), with a progressive return to preban levels. Inequalities increased (P<0.05) in relative terms for smoking prevalence (RIIbefore=1.84, P<0.001 and RIIafter=3.01, P<0.001) and absolute terms for both outcomes (smoking prevalence: SIIbefore=0.14, P<0.001 and SIIafter=0.19, P<0.001; quit ratio: SIIbefore=-0.15, P<0.001 and SIIafter=-0.27, P<0.001). CONCLUSIONS: Implementation of a public smoking ban coincided with a short-lived decrease in smoking prevalence and increase in quit ratio but also with a widening in SES inequalities in smoking-related outcomes.Centro de Investigação em Saúde Pública (CISP/PHRC)RUNSandoval, José LuisLeão, TeresaCullati, StéphaneTheler, Jean-MarcJoost, StéphaneHumair, Jean-PaulGaspoz, Jean-MichelGuessous, Idris2018-05-16T22:08:43Z20182018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/37209eng0964-4563PURE: 4174880https://doi.org/10.1136/tobaccocontrol-2017-053986info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:20:45Zoai:run.unl.pt:10362/37209Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:30:50.306583Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation
a cross-sectional population-based study in Geneva, Switzerland (1995-2014)
title Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation
spellingShingle Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation
Sandoval, José Luis
Journal Article
title_short Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation
title_full Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation
title_fullStr Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation
title_full_unstemmed Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation
title_sort Public smoking ban and socioeconomic inequalities in smoking prevalence and cessation
author Sandoval, José Luis
author_facet Sandoval, José Luis
Leão, Teresa
Cullati, Stéphane
Theler, Jean-Marc
Joost, Stéphane
Humair, Jean-Paul
Gaspoz, Jean-Michel
Guessous, Idris
author_role author
author2 Leão, Teresa
Cullati, Stéphane
Theler, Jean-Marc
Joost, Stéphane
Humair, Jean-Paul
Gaspoz, Jean-Michel
Guessous, Idris
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Sandoval, José Luis
Leão, Teresa
Cullati, Stéphane
Theler, Jean-Marc
Joost, Stéphane
Humair, Jean-Paul
Gaspoz, Jean-Michel
Guessous, Idris
dc.subject.por.fl_str_mv Journal Article
topic Journal Article
description © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
publishDate 2018
dc.date.none.fl_str_mv 2018-05-16T22:08:43Z
2018
2018-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/37209
url http://hdl.handle.net/10362/37209
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 0964-4563
PURE: 4174880
https://doi.org/10.1136/tobaccocontrol-2017-053986
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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