Inequalities in the prevalence of smoking in the European Union: comparing education and income

Inequalities in the prevalence of smoking in the European Union: comparing education and income
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DOI:
10.1016/j.ypmed.2004.09.022
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发表时间:
2005-06-01
影响因子:
5.1
通讯作者:
Mackenbach, JP
Mackenbach, JP
中科院分区:
医学2区
文献类型:
--
作者:
Huisman, M;Kunst, AE;Mackenbach, JP

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背景这项研究的目的是确定是否教育或收入更强烈地与吸烟在整个欧盟,并在欧盟的个别国家,在20世纪90年代末。我们通过分析1998年来自欧盟11个国家的16岁及以上的48,694名男性和52,618名女性的横截面数据,将吸烟率与教育和收入水平联系起来。在整个欧洲联盟内,教育和收入都与吸烟有关。在调整其他社会经济指标后,在整个欧盟,教育仍然与吸烟有关,但收入只在男子中保持这种关系。在青年和中年男女中,教育不平等大于与收入有关的不平等。在所有个别国家,教育不平等现象大于男子之间与收入有关的不平等现象,在北方,也大于妇女之间的不平等现象。对于来自南欧国家的妇女来说,与教育和收入有关的不平等程度是相似的。在欧洲,教育是吸烟的一个强有力的预测因素。干预措施的目标应该是通过价格政策、以学校为基础的项目和对年轻人的戒烟支持来防止受教育程度较低的人吸烟成瘾。(c)2004年爱思唯尔公司All rights reserved.
Background. The aim of the study was to determine whether education or income was more strongly related to smoking in the European Union at large, and within the individual countries of the EU, at the end of the 1990s.Methods. We related smoking prevalence to education and income level by analyzing cross-sectional data on a total of 48,694 men and 52,618 women aged 16 and over from 11 countries of the European Union in 1998.Results. Both education and income were related to smoking within the European Union at large. After adjustment of the other socioeconomic indicator, education remained related to smoking in the EU at large, but income only remained so among men. Educational inequalities were larger than income-related inequalities among Younger and middle-aged men and women. Educational inequalities were larger than income-related inequalities among men in all individual countries, and among women in Northern Europe. For women from Southern European countries, the magnitude of education- and income-related inequalities was similar.Conclusions. Education is a strong predictor of smoking in Europe. Interventions should aim to prevent addiction to smoking among the lower educated, by price policies, school-based programs, and smoking cessation support for young adults. (c) 2004 Elsevier Inc. All rights reserved.