Trends in socioeconomic inequalities in smoking prevalence, consumption, initiation, and cessation between 2001 and 2008 in the Netherlands. Findings from a national population survey.
Trends in socioeconomic inequalities in smoking prevalence, consumption, initiation, and cessation between 2001 and 2008 in the Netherlands. Findings from a national population survey.
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DOI：
10.1186/1471-2458-12-303
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发表时间：
2012-05-18
影响因子：
4.5
通讯作者：
Willemsen MC
中科院分区：
文献类型：
--
作者：
Nagelhout GE;de Korte-de Boer D;Kunst AE;van der Meer RM;de Vries H;van Gelder BM;Willemsen MC
自20世纪70年代中期S以来，几个西方国家的吸烟率出现了社会经济地位不平等的扩大。然而，关于SES在吸烟消费、开始和戒烟方面不平等的扩大，人们知之甚少。2001年至2008年(n ≈ 每年18,000人)的重复人口横断面调查被用来检查荷兰吸烟流行率、吸烟消费(每天吸烟数量)、开始吸烟率(吸烟者与所有受访者的比率)和戒烟率(戒烟者与吸烟者的比率)的变化。教育水平和收入水平被用作社会保障体系的指标，男性和女性的结果分别报告。与受教育程度较高的受访者相比，受教育程度较低的受访者吸烟者的可能性明显更大，每天吸烟更多，戒烟率更高，戒烟率更低。收入不平等比教育不平等小，并不都很显著，但与教育不平等的方向是一致的。在妇女中，在2001年至2008年期间，在吸烟率、开始吸烟和戒烟方面，教育不平等显著扩大。在受教育程度较低的女性中，吸烟流行率在2001至2008年间保持稳定，因为开始吸烟和戒烟的比率都显著增加。在中等和高学历女性中，吸烟流行率显著下降，因为开始吸烟的比例保持不变，而戒烟比例显著上升。在男性中，教育不平等在2001年至2008年期间显著扩大，仅在吸烟消费方面。虽然荷兰男性吸烟率的不平等是稳定的，但由于戒烟和戒烟开始方面的不平等日益扩大，女性的吸烟率上升。这两个组成部分都应在注重公平的烟草控制政策中加以解决。
Widening of socioeconomic status (SES) inequalities in smoking prevalence has occurred in several Western countries from the mid 1970’s onwards. However, little is known about a widening of SES inequalities in smoking consumption, initiation and cessation. Repeated cross-sectional population surveys from 2001 to 2008 (n ≈ 18,000 per year) were used to examine changes in smoking prevalence, smoking consumption (number of cigarettes per day), initiation ratios (ratio of ever smokers to all respondents), and quit ratios (ratio of former smokers to ever smokers) in the Netherlands. Education level and income level were used as indicators of SES and results were reported separately for men and women. Lower educated respondents were significantly more likely to be smokers, smoked more cigarettes per day, had higher initiation ratios, and had lower quit ratios than higher educated respondents. Income inequalities were smaller than educational inequalities and were not all significant, but were in the same direction as educational inequalities. Among women, educational inequalities widened significantly between 2001 and 2008 for smoking prevalence, smoking initiation, and smoking cessation. Among low educated women, smoking prevalence remained stable between 2001 and 2008 because both the initiation and quit ratio increased significantly. Among moderate and high educated women, smoking prevalence decreased significantly because initiation ratios remained constant, while quit ratios increased significantly. Among men, educational inequalities widened significantly between 2001 and 2008 for smoking consumption only. While inequalities in smoking prevalence were stable among Dutch men, they increased among women, due to widening inequalities in both smoking cessation and initiation. Both components should be addressed in equity-oriented tobacco control policies.
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影响因子：
6.2
作者：
Blais, Claudia;Hamel, Denis;Rinfret, Stephane
通讯作者：
Rinfret, Stephane
影响因子：
6.3
作者：
Giskes, K;Kunst, AE;Mackenbach, JP
通讯作者：
Mackenbach, JP
影响因子：
6.3
作者：
Gilman, SE;Abrams, DB;Buka, SL
通讯作者：
Buka, SL
影响因子：
6.3
作者：
Osler, M;Gerdes, LU;Schroll, M
通讯作者：
Schroll, M
影响因子：
4.4
作者：
Willemsen, MC;Hoogenveen, RT;van der Lucht, F
通讯作者：
van der Lucht, F