Working class matters: Socioeconomic disadvantage, race/ethnicity, gender, and smoking in NHIS 2000

Working class matters: Socioeconomic disadvantage, race/ethnicity, gender, and smoking in NHIS 2000
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DOI:
10.2105/ajph.94.2.269
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发表时间:
2004-02-01
影响因子:
12.7
通讯作者:
Soobader, MJ
Soobader, MJ
中科院分区:
医学2区
文献类型:
--
作者:
Barbeau, EM;Krieger, N;Soobader, MJ

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目标。我们试图使用多种社会经济指标来描述吸烟给美国人口带来的负担。我们分析了 2000 年全国健康访谈调查的数据。结果。总体而言,目前吸烟的流行率在工人阶级工作、低教育水平和低收入人群中最高。戒烟尝试没有显示出社会经济梯度,而那些拥有最多社会经济资源的人戒烟的成功率最高。这些模式存在于大多数但并非所有种族/民族-性别群体中。与美国研究中常用的基于技能的测量相比,使用英国相关职业测量获得了更精细的吸烟模式分辨率。结论。减少吸烟方面的社会差异需要关注阶级的复杂性以及种族/民族和性别。
Objectives. We sought to describe the burden of smoking on the US population, using diverse socioeconomic measures.Methods. We analyzed data from the 2000 National Health Interview Survey.Results. Overall, the prevalence of current smoking was greatest among persons in-and independently associated with-working class jobs, low educational level, and low income. Attempts to quit showed no socioeconomic gradient, while success in quitting was greatest among those with the most socioeconomic resources. These patterns held in most but not all race/ethnicity-gender groups. Finer resolution of smoking patterns was obtained using a relational UK occupational measure, compared to the skill-based measure commonly used in US studies.Conclusions. Reducing social disparities in smoking requires attention to the complexities of class along with race/ethnicity and gender.