Thirty-eight-year trends of educational differences in smoking in Finland
Thirty-eight-year trends of educational differences in smoking in Finland
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DOI：
10.1007/s00038-019-01228-x
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发表时间：
2019-07-01
影响因子：
4.6
通讯作者：
Puska, Pekka
中科院分区：
文献类型：
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作者：
Ruokolainen, Otto;Heloma, Antero;Puska, Pekka
目的吸烟正在减少，但在人口群体中分布不均。我们的目的是调查1978年至2016年芬兰吸烟的社会经济差异。芬兰是一个有着严格控烟政策历史的国家。方法使用1978年至2016年25岁的(N=104,315)的年度基于人口的随机抽样数据。应答率在84%到40%之间。除Logistic回归分析外，还检验了绝对和相对教育程度在吸烟方面的差异。结果在研究期间，吸烟在受教育程度较低的人群中更为普遍，但在所有受教育人群中都有所下降。在研究结束时，受教育程度较低的人和受教育程度较高的人在吸烟方面的绝对和相对差异都比研究开始时大。在受教育程度较低的人群中，香烟价格似乎对吸烟的影响更大。结论芬兰成年人吸烟的社会经济差异自20世纪70年代以来一直在扩大，直到2016年。需要采取进一步的行动，特别是侧重于较低的社会经济地位，以解决卫生方面的不平等问题。它们应该包括支持戒烟和更大规模的卷烟增税。
ObjectivesSmoking is declining, but it is unevenly distributed among population groups. Our aim was to examine the socio-economic differences in smoking during 1978-2016 in Finland, a country with a history of strict tobacco control policy.MethodsAnnual population-based random sample data of 25-64-year-olds from 1978 to 2016 (N=104,315) were used. Response rate varied between 84 and 40%. In addition to logistic regression analysis, absolute and relative educational differences in smoking were examined.ResultsSmoking was more prevalent among the less educated but declined in all educational groups during the study period. Both absolute and relative differences in smoking between the less and highly educated were larger at the end of the study period than at the beginning. Cigarette price seemed to have a larger effect on the smoking among the less educated.ConclusionsSocio-economic differences in smoking among the Finnish adult population have increased since the 1970s until 2016. Further actions are needed, especially focusing on lower socio-economic positions, to tackle inequalities in health. They should include support for smoking cessation and larger cigarette tax increases.