Evolution of socioeconomic inequalities in smoking

Detalhes bibliográficos
Autor(a) principal: Alves, Joana Rita Ramalho
Data de Publicação: 2015
Outros Autores: Kunst, Anton E., Perelman, Julian
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.1186/s12889-015-1664-y
Resumo: PMID: 25884673 WOS: 000352341800001
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spelling Evolution of socioeconomic inequalities in smokingresults from the Portuguese national health interview surveysInequalitiesPortugalSmokingSocioeconomic statusPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingPMID: 25884673 WOS: 000352341800001Background: Southern European countries were traditionally characterized by a higher prevalence of smoking among high socioeconomic groups. Though, recent studies show a reversal of inequalities in Italy and Spain, for example. We investigated whether this evolution also applied to Portugal by describing the evolution of socioeconomic inequalities in smoking between 1987 and 2006. Methods: We used data from the four Portuguese national health interview surveys (N∈=∈120,140) carried out so far. Socioeconomic status was measured by the educational and income levels of respondents. Socioeconomic inequalities were measured through Odds Ratios (OR), Relative Inequality Indexes (RII), and Concentration Indexes (CI) on being current, ever, and former smoker, adjusting for sex and age. Analyses were performed separately for men and women, and for different birth cohorts. Results: Among men, smoking was initially more concentrated in high-socioeconomic status individuals (RII∈=∈0.84, 95% Confidence Intervals [95% CI] 0.76-0.93, 1987) but this pattern reversed in the last survey (RII∈=∈1.49, 95% CI 1.34-1.65, 2005/6). Indeed, higher cessation rates were observed among high-socioeconomic groups among all respondents (RII∈=∈0.89, 95% CI 0.84-0.95), coupled with higher initiation rates among the worse-off in younger cohorts (RII∈=∈1.18, 95% CI 1.05-1.31, for youngest generation, 2005/6). Among women, the richer and more educated smoked more in all surveys (RII∈=∈0.21, 95% CI 0.16-0.27, 2005/6), despite being also more likely to quit (RII∈=∈0.41, 95% CI 0.30-0.55). The pattern among women evolved towards a reduction of inequality, which however remained favourable to the worse-off. Conclusions: Inequalities have been increasingly unfavourable to the worse-off in Portugal, although better-off women are still more likely to smoke. Worrisome inequality trends have been observed among the youngest generations, which call for the rapid implementation of equity-oriented tobacco control policies.Escola Nacional de Saúde Pública (ENSP)RUNAlves, Joana Rita RamalhoKunst, Anton E.Perelman, Julian2018-03-02T23:04:41Z2015-03-312015-03-31T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.1186/s12889-015-1664-yeng1471-2458PURE: 1676123http://www.scopus.com/inward/record.url?scp=84926466082&partnerID=8YFLogxKhttps://doi.org/10.1186/s12889-015-1664-yinfo: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:RCAAP2024-03-11T04:17:31Zoai:run.unl.pt:10362/31584Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:29:42.356969Repositório 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 Evolution of socioeconomic inequalities in smoking
results from the Portuguese national health interview surveys
title Evolution of socioeconomic inequalities in smoking
spellingShingle Evolution of socioeconomic inequalities in smoking
Alves, Joana Rita Ramalho
Inequalities
Portugal
Smoking
Socioeconomic status
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
title_short Evolution of socioeconomic inequalities in smoking
title_full Evolution of socioeconomic inequalities in smoking
title_fullStr Evolution of socioeconomic inequalities in smoking
title_full_unstemmed Evolution of socioeconomic inequalities in smoking
title_sort Evolution of socioeconomic inequalities in smoking
author Alves, Joana Rita Ramalho
author_facet Alves, Joana Rita Ramalho
Kunst, Anton E.
Perelman, Julian
author_role author
author2 Kunst, Anton E.
Perelman, Julian
author2_role author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
RUN
dc.contributor.author.fl_str_mv Alves, Joana Rita Ramalho
Kunst, Anton E.
Perelman, Julian
dc.subject.por.fl_str_mv Inequalities
Portugal
Smoking
Socioeconomic status
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
topic Inequalities
Portugal
Smoking
Socioeconomic status
Public Health, Environmental and Occupational Health
SDG 3 - Good Health and Well-being
description PMID: 25884673 WOS: 000352341800001
publishDate 2015
dc.date.none.fl_str_mv 2015-03-31
2015-03-31T00:00:00Z
2018-03-02T23:04:41Z
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 https://doi.org/10.1186/s12889-015-1664-y
url https://doi.org/10.1186/s12889-015-1664-y
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1471-2458
PURE: 1676123
http://www.scopus.com/inward/record.url?scp=84926466082&partnerID=8YFLogxK
https://doi.org/10.1186/s12889-015-1664-y
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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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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