Increasing socioeconomic disparities in tobacco smoking decline among French adolescents (2000-2017)
Increasing socioeconomic disparities in tobacco smoking decline among French adolescents (2000-2017)
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DOI：
10.1093/pubmed/fdz135
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发表时间：
2020-12-01
影响因子：
4.4
通讯作者：
Spilka, Stanislas
中科院分区：
文献类型：
--
作者：
Janssen, Eric;Le Nezet, Olivier;Spilka, Stanislas
背景本文研究了在烟草使用率下降的背景下，法国青少年从第一次吸烟到日常使用的社会经济地位（SES）的演变，在17年的过程中，共有182 266名青少年参加了全国代表性的ESCAPAD调查，在2000年至2017年的9个不同时间点。离散时间-事件分析被用来模拟转换到日常吸烟作为SES，性别，发病年龄和使用其他精神活性物质的功能。结果虽然一生吸烟和每日吸烟显着下降，在研究的时间跨度，这表明预防政策的积极影响，弱势青少年始终更倾向于从事日常吸烟，2017年比15年前更是如此。在同一时间跨度内，从启动到日常吸烟的过渡缩短，贫困青少年之间的步伐加快。结论从启动到日常吸烟的加速过渡是一个普遍的趋势，在法国处于不利地位的青少年。应努力减轻营销战略的影响，促进卫生知识普及，以减少卫生方面的社会不平等现象。
Background This paper studies the evolution of transitions from first cigarette use to daily use by socioeconomic status (SES) among French adolescents over the course of 17 years, in a context of decreasing prevalence of tobacco use.Methods A total of 182 266 adolescents participated in the nationally representative ESCAPAD survey at nine different time points between 2000 and 2017. Discrete time-event analysis was used to model the transition to daily cigarette use as a function of SES, gender, age at onset and the use of other psychoactive substances.Results Although lifetime cigarette smoking and daily cigarette smoking decreased significantly over the studied time span, suggesting a positive impact of prevention policies, disadvantaged adolescents were consistently more prone to engage in daily cigarette smoking, more so in 2017 than 15 years earlier. In the same time span, transitions from initiation to daily cigarette smoking have shortened, with an accelerated pace among underprivileged adolescents.Conclusions Accelerated transitions from initiation to daily cigarette use are a prevalent trend among disadvantaged adolescents in France. Efforts to mitigate the impact of marketing strategies and to promote health literacy should be pursued to reduce social inequalities in health.