Socioeconomic disparities in quit intentions, quit attempts, and smoking abstinence among smokers in four western countries: Findings from the International Tobacco Control Four Country Survey
Socioeconomic disparities in quit intentions, quit attempts, and smoking abstinence among smokers in four western countries: Findings from the International Tobacco Control Four Country Survey
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DOI：
10.1093/ntr/ntq051
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发表时间：
2010-10-01
影响因子：
4.7
通讯作者：
Siahpush, Mohammad
中科院分区：
文献类型：
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作者：
Reid, Jessica L.;Hammond, David;Siahpush, Mohammad
社会经济地位(SES)较低的人群吸烟率较高，成功戒烟的可能性较小，也可能不太打算或试图戒烟。然而，对于某些结果，结果是不一致的，而且对于社会经济差异如何在不同国家和时间变化知之甚少。这项研究使用了国际烟草控制四国调查(来自16,458名受访者的35,532项观察)的前五波(2002-2006/2007)数据，调查了加拿大、美国、英国和澳大利亚具有代表性的吸烟者样本中社会经济地位和戒烟相关行为之间的关联。使用广义估计方程模型来检验教育和收入是否与戒烟意向、戒烟尝试的发生率和戒烟有关。研究还考虑了不同时间和不同国家之间的潜在差异。受过高等教育的吸烟者更有可能打算戒烟，尝试戒烟至少1个月和6个月；收入更高的吸烟者更有可能打算戒烟并戒烟至少1个月。研究还发现了一些国家间的差异：英国和美国的吸烟者比澳大利亚和加拿大的吸烟者更不打算戒烟；尽管英国的受访者最不可能尝试戒烟，但那些尝试戒烟的人更有可能戒烟。结果表明，在戒烟的道路上，社会经济差异存在于多个阶段。在实施戒烟干预措施时，应考虑对社会经济差异的潜在影响。
Lower socioeconomic status (SES) groups have higher rates of tobacco use, are less likely to successfully quit, and may also be less likely to intend or attempt to quit. However, results are inconsistent for some outcomes, and little is known about how socioeconomic disparities vary across countries and over time.This study examined the associations between SES and quitting-related behaviors among representative samples of smokers in Canada, the United States, the United Kingdom, and Australia, using data from the first five waves (2002-2006/2007) of the International Tobacco Control Four Country Survey (35,532 observations from 16,458 respondents). Generalized estimating equations modeling was used to examine whether education and income were related to intentions to quit, incidence of quit attempts, and smoking abstinence. Potential differences in the associations over time and across countries were also considered.Smokers with higher education were more likely to intend to quit, to make a quit attempt, and to be abstinent for at least 1 and 6 months; smokers with higher income were more likely to intend to quit and to be abstinent for at least 1 month. Some between-country differences were observed: U.K. and U.S. smokers were less likely to intend to quit than Australians and Canadians; and, although U.K. respondents were least likely to attempt to quit, those that did were more likely to be abstinent.The results suggest that socioeconomic disparities exist at multiple stages in the path to smoking cessation. Potential effects on socioeconomic disparities should be considered when implementing cessation interventions.