Neighbourhood deprivation and smoking and quit behaviour among smokers in Mexico: findings from the ITC Mexico Survey.
Neighbourhood deprivation and smoking and quit behaviour among smokers in Mexico: findings from the ITC Mexico Survey.
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DOI：
10.1136/tobaccocontrol-2013-051495
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发表时间：
2015-07
期刊：
影响因子：
5.2
通讯作者：
Fong GT
中科院分区：
文献类型：
--
作者：
Fleischer NL;Thrasher JF;Sáenz de Miera Juárez B;Reynales-Shigematsu LM;Arillo-Santillán E;Osman A;Siahpush M;Fong GT
在高收入国家（HIC），较高的社区社会经济剥夺与较高的吸烟水平有关。在低收入和中等收入国家（LMICs），很少有研究调查社区环境对吸烟行为的作用。确定2010-2012年墨西哥一组吸烟者的社区社会经济剥夺是否与吸烟强度、戒烟尝试、戒烟成功和吸烟复吸有关。数据分析来自成年吸烟者和最近参加国际烟草控制（ITC）墨西哥调查第4-6波的戒烟者。数据与墨西哥政府的社区社会经济贫困综合指数有关，该指数基于2010年墨西哥人口普查数据。我们使用广义估计方程来确定邻里剥夺与个人吸烟行为之间的关联。与过去在HIC中的发现相反，较高的社区社会经济剥夺与较低的吸烟强度相关。戒烟尝试呈U形模式，即生活在高/非常高剥夺社区的吸烟者和生活在非常低剥夺社区的吸烟者比生活在其他社区的吸烟者更有可能尝试戒烟。我们没有发现社区剥夺复发或成功戒烟的显着差异，可能的例外是生活在中等剥夺社区的人比生活在非常低的剥夺社区的人成功戒烟的可能性更高（p=0.06）。墨西哥的社区社会经济环境似乎与高收入国家相反。进一步的研究应调查在低收入国家迅速实施强有力的烟草控制政策是否能避免社会经济弱势群体之间与烟草有关的差异集中，就像墨西哥在后续阶段所做的那样。
In high-income countries (HICs), higher neighborhood socioeconomic deprivation is associated with higher levels of smoking. Few studies in low- and middle-income countries (LMICs) have investigated the role of the neighborhood environment on smoking behavior. To determine whether neighborhood socioeconomic deprivation is related to smoking intensity, quit attempts, quit success, and smoking relapse among a cohort of smokers in Mexico from 2010–2012. Data were analyzed from adult smokers and recent ex-smokers who participated in Waves 4–6 of the International Tobacco Control (ITC) Mexico Survey. Data were linked to the Mexican government’s composite index of neighborhood socioeconomic deprivation, which is based on 2010 Mexican Census data. We used generalized estimating equations to determine associations between neighborhood deprivation and individual smoking behaviors. Contrary to past findings in HICs, higher neighborhood socioeconomic deprivation was associated with lower smoking intensity. Quit attempts showed a U-shaped pattern whereby smokers living in high/very high deprivation neighborhoods and smokers living in very low deprivation neighborhoods were more likely to make a quit attempt than smokers living in other neighborhoods. We did not find significant differences in neighborhood deprivation on relapse or successful quitting, with the possible exception of people living in medium-deprivation neighborhoods having a higher likelihood of successful quitting than people living in very low deprivation neighborhoods (p=0.06). Neighborhood socioeconomic environments in Mexico appear to operate in an opposing manner to those in HICs. Further research should investigate whether rapid implementation of strong tobacco control policies in LMICs, as occurred in Mexico during the follow-up period, avoids the concentration of tobacco-related disparities among socioeconomically disadvantaged groups.
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影响因子：
4.8
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