Inequalities in Smoking and Quitting-Related Outcomes Among Adults With and Without Children in the Household 2013-2019: A Population Survey in England.
Inequalities in Smoking and Quitting-Related Outcomes Among Adults With and Without Children in the Household 2013-2019: A Population Survey in England.
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DOI：
10.1093/ntr/ntab211
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发表时间：
2022-03-26
期刊：
影响因子：
--
通讯作者：
Cox S
中科院分区：
文献类型：
--
作者：
Kock L;Brown J;Shahab L;Tattan-Birch H;Moore G;Cox S
与儿童一起生活的人吸烟对儿童开始吸烟有重要影响。这项研究评估了家庭中所有有孩子和没有孩子的成年人在吸烟和戒烟相关结果方面的社会经济不平等。2013-2019年英格兰成年人（16岁以上）每月重复横断面家庭调查（N = 133883）。我们评估了吸烟和戒烟相关结果与家中是否有孩子之间的关系，以及这些关系是否受到职业社会等级（从最有利到最不利的类别AB-E）的调节。研究了家庭中有孩子和没有孩子的成年人的吸烟流行趋势。在调整分析中，家庭中有孩子与吸烟率的关系取决于社会等级：在社会等级为AB-D的家庭中，有孩子的家庭吸烟率比没有孩子的家庭低0.71（95%置信区间为0.66-0.77）至0.93（0.88-0.98）倍。相反，社会等级e的患病率为1.11（1.05-1.16）倍。有孩子和没有孩子的人的年患病率下降相似（患病率比均为0.98,95%置信区间为0.97-0.99）。有孩子的人戒烟的动机比没有孩子的人高，但弱势群体的戒烟动机比优势群体低。社会等级D-E的重度吸烟者较多，但过去一个月尝试戒烟的比例较高。在英国最弱势的社会阶层中，有孩子的家庭吸烟率高于没有孩子的家庭。为了减少未来与吸烟有关的不平等，迫切需要有针对性地提供支持，解决戒烟障碍，并促进长期戒烟成功。在最不利的职业社会等级中，与没有孩子的家庭相比，有孩子的家庭吸烟率更高。这与所有其他社会阶层形成了对比，在这些社会阶层中，家庭中有孩子的人的吸烟率比没有孩子的人低。如果不加以注意，这种差距可能会加剧与吸烟有关的现有和未来的健康不平等。
Smoking among those who live with children is an important influence on smoking initiation among children. This study assessed socioeconomic inequalities in smoking and quitting-related outcomes among all adults with and without children in the household. Monthly repeat cross-sectional household survey of adults (16+) from 2013–2019 in England (N = 138 583). We assessed the association between cigarette smoking and quitting-related outcomes and having children in the household, and whether these relationships were moderated by occupational social grade (categories AB–E from most to least advantaged). Trends in smoking prevalence among adults with and without children in the household were explored. In adjusted analysis, the association of having children in the household with smoking prevalence depended on social grade: smoking prevalence was between 0.71 (95% confidence interval 0.66–0.77) and 0.93 (0.88–0.98) times lower among social grades AB–D with children in the household relative to those without. Conversely, it was 1.11 (1.05–1.16) times higher among social grade E. Yearly prevalence declined similarly among those with and without children (both prevalence ratio: 0.98, 95% confidence interval 0.97–0.99). Motivation to stop smoking was higher among those with children than those without, but lower among disadvantaged than more advantaged groups. Social grades D–E had greater heavy smoking, but higher prevalence of past-month quit attempts. Among the most disadvantaged social grade in England, smoking prevalence was higher in those with children in the household than without. To attenuate future smoking-related inequalities, there is an urgent need to target support and address barriers to quitting and promote longer-term quit success. In the most disadvantaged occupational social grade, having children in the household was associated with higher smoking prevalence compared with not having children. This contrasts with all other social grades in which there was lower comparative smoking prevalence among those with than without children in the household. Without attention this disparity could exacerbate existing and future health inequalities related to smoking.
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DOI：
10.1093/ntr/ntaa030
发表时间：
2021-01-07
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
--
作者：
Beard E;Brown J;Jackson SE;West R;Kock L;Boniface S;Shahab L
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DOI：
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2020-10-29
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
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作者：
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2012-01-01
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影响因子：
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