Socioeconomic status over the life course and stages of cigarette use: initiation, regular use, and cessation
Socioeconomic status over the life course and stages of cigarette use: initiation, regular use, and cessation
复制标题
DOI：
10.1136/jech.57.10.802
复制
发表时间：
2003-10-01
影响因子：
6.3
通讯作者：
Buka, SL
中科院分区：
文献类型：
--
作者：
Gilman, SE;Abrams, DB;Buka, SL
研究目的：调查生命过程中社会经济地位（SES）的多个指标与香烟用途：开始、经常使用和停止使用三个阶段之间的关系。设计：前瞻性出生队列研究。地点：罗得岛的普罗维登斯。参与者：受试者（n = 657）年龄在30 - 39岁之间，是美国国家围产期合作项目布朗大学队列参与者的后代。1959.主要结果：在社会经济背景较低的人群中观察到吸烟开始的风险显着增加。儿童时期的低SES也增加了发展为经常吸烟的风险，并与戒烟的可能性降低有关。进展到经常吸烟和吸烟的持久性也与较低的成年SES.Conclusions：社会经济条件在生命过程中积累产生吸烟的吸收率增加和戒烟率降低SES的人。解决吸烟中的SES梯度需要在多个生命阶段进行持续和延长的干预。
Study objective: To investigate the association between multiple indicators of socioeconomic status (SES) over the life course and three stages of cigarette use: initiation, regular use, and cessation.Design: Prospective birth cohort study.Setting: Providence, Rhode Island.Participants: Subjects (n = 657) aged 30 to 39 were offspring of participants in the Brown University cohort of the United States National Collaborative Perinatal Project started in 1959.Main results: A significantly increased risk of smoking initiation was observed among people from lower socioeconomic backgrounds. Low SES in childhood also increased the risk for progression to regular smoking, and was associated with a reduced likelihood of smoking cessation. Progression to regular smoking and smoking persistence were also associated with lower adult SES.Conclusions: Socioeconomic conditions over the life course accumulate to produce increased rates of smoking uptake and reduced rates of cessation among lower SES people. Addressing SES gradients in smoking will require persistent and extended intervention over multiple life stages.