Smoking behaviour can be predicted by neighbourhood deprivation measures
Smoking behaviour can be predicted by neighbourhood deprivation measures
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DOI：
10.1136/jech.49.suppl_2.s72
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发表时间：
1995-12-01
影响因子：
6.3
通讯作者：
Elliott, P
中科院分区：
文献类型：
--
作者：
Kleinschmidt, I;Hills, M;Elliott, P
研究目的：评估社会经济剥夺的小范围测量是否能预测个体吸烟行为的变化。审查个人层面的统计模型是否足以分析居住在同一地理区域的个人群体的数据。设计——对来自区域健康调查的个人吸烟数据和根据1991年人口普查数据计算的1991年人口普查病房的邻里剥夺得分进行个人水平和二级逻辑回归分析。环境-西北泰晤士地区卫生管理局区域。参与者-在西北泰晤士地区随机抽取8251名成年人。主要结果：吸烟者与居住地区的邻里剥夺得分之间存在高度显著的关联。在考虑了年龄和性别因素后，在两水平模型中，最严重的五分位数吸烟者与最严重的五分位数吸烟者的比值比估计为1.52（95%可信区间1.33,1.74）。使用个体水平模型得到的结果相似。在考虑到病房邻里剥夺后，病房之间的差异约占吸烟行为总差异的6%。即使考虑到个人的社会经济群体，居住区域的剥夺仍然是吸烟状况的重要预测因素。结论-居住区域的邻里剥夺是个体吸烟状况的预测因子。在这个例子中，两层模型被个人层模型很好地近似了。
Study objective - To assess whether small area measures of socioeconomic deprivation predict variation in individual smoking behaviour. To examine the adequacy of an individual level statistical model for the analysis of data on groups of individuals who live in the same geographical area.Design - Individual level and two level logistic regression analysis of data on individual smoking from a regional health survey, and neighbourhood deprivation scores for 1991 census wards calculated from 1991 census data.Setting - The North West Thames Regional Health Authority area.Participants - Random sample of 8251 adults in North West Thames Region.Main results - There was a highly significant association between being a smoker and the neighbourhood deprivation score of the area of residence. With the two level model, after allowing for age and sex, the estimated odds ratio of being a smoker for an individual in the highest quintile of deprivation compared with someone in the lowest quintile was 1.52 (95% confidence interval 1.33, 1.74). Results obtained using the individual level model were similar. Variation between wards accounted for around 6% of the total variation in smoking behaviour after neighbourhood deprivation of the ward had been taken into account. Deprivation of the area of residence remained a significant predictor of smoking status even after the socioeconomic group of the individual had been taken into account.Conclusions - Neighbourhood deprivation of the area of residence is a predictor of smoking status of individuals. In this example the two level model was reasonably well approximated by the individual level model.