Socioeconomic inequalities in youth smoking in Brazil
Socioeconomic inequalities in youth smoking in Brazil
复制标题
DOI：
10.1136/bmjopen-2013-003538
复制
发表时间：
2013-01-01
期刊：
影响因子：
2.9
通讯作者：
Giatti, Luana
中科院分区：
文献类型：
--
作者：
Barreto, Sandhi Maria;de Figueiredo, Roberta Carvalho;Giatti, Luana
目标：吸烟对健康方面的社会经济不平等的影响在全世界，包括在巴西日益增加。青少年吸烟可能在与吸烟有关的社会不平等日益加剧方面发挥重要作用。本研究探讨吸烟的社会决定因素之间的15岁至19岁individual.Design：横断面研究。设置：本研究使用的数据3536名参与者年龄在15-19岁的全球成人烟草调查（GATS）和全国家庭抽样调查（Pesquisa Nacional por Amostragem de Domicilio，PNAD）从家庭访谈中获得。吸烟被定义为目前吸烟烟草制品，无论频率如何。家庭社会经济指标包括人均收入、户主的教育水平和性别、是否实行吸烟限制以及吸烟者人数（不包括青少年）。青少年的社会因素包括推迟上学和社会地位（全日制学生，工作，既不工作也不学习）。分层Logistic回归分析考虑了复杂抽样设计的影响。结果：在3536名参与者中，吸烟者占6.2%（95%CI 5.4 - 7.1）。有吸烟习惯的男性多于女性（7.2%; 5.9至8.6% vs 3.6%; 2.7至4.6%）。男性和年龄较大的青少年吸烟的可能性明显更大。根据家中吸烟者的数量，吸烟的OR有上升趋势。生活在没有吸烟限制的家庭中的青少年更有可能成为吸烟者。吸烟的OR上升的延迟上学的年数增加，约三倍以上的青少年谁是工作和五倍以上的那些既不学习也不working.Conclusions：结果表明，吸烟的社会经济不平等是建立在较年轻的年龄和学校延迟以及弃学可能会增加吸烟相关的不平等。在家中限制吸烟可以防止青少年成为吸烟者。与其他吸烟者一起生活是青少年成为吸烟者的一个强有力的预测因素。
Objective: The contribution of smoking to socioeconomic inequalities in health is increasing worldwide, including in Brazil. Youth smoking may play an important role in the increasing social inequalities related to smoking. This study investigates social determinants of smoking among 15-year-old to 19-year-old individuals.Design: Cross-sectional study.Setting: The study uses data of 3536 participants aged 15-19 years of age of the Global Adult Tobacco Survey (GATS) and the National Household Sample Survey (Pesquisa Nacional por Amostragem de Domicilio, PNAD) obtained from household interviews. Smoking was defined as currently smoking tobacco products, regardless of frequency. Household socioeconomic indicators included per capita income, the educational level and sex of the head of the household, the presence of smoking restrictions and the number of smokers (excluding adolescents). Adolescent social factors included years of delaying school and social status (full-time student, working, and neither working nor studying). The hierarchical logistic regression analysis considered the effect of the complex sampling design.Results: From 3536 participants, 6.2% were smokers (95% CI 5.4 to 7.1). More men than women had the habit of smoking (7.2%; 5.9 to 8.6 vs 3.6%; 2.7 to 4.6). The likelihood of smoking was significantly greater for men and older teens. There was an upward trend in the OR of smoking according to the number of smokers in the house. Adolescents living in households with no smoking restrictions had a greater likelihood of being smokers. OR of smoking rose as the number of years of delaying school increased, being about three times greater among adolescents who were working and five times greater among those who were neither studying nor working.Conclusions: Results demonstrate that socioeconomic inequality in smoking is established at younger ages and that school delay as well as school abandonment may contribute to increased smoking-related inequalities. Smoking restrictions at home were protective against adolescents becoming smokers. Living with other smokers was a strong predictor of adolescents becoming smokers.