Securing the health of disadvantaged women: a critical investigation of tobacco-control policy effects on women worldwide.
Securing the health of disadvantaged women: a critical investigation of tobacco-control policy effects on women worldwide.
复制标题
确保弱势妇女的健康:对烟草控制政策对全世界妇女影响的严格调查。
DOI:
10.1016/j.amepre.2009.05.015
复制
发表时间:
2009
影响因子:
5.5
通讯作者:
Fagan,Pebbles
中科院分区:
文献类型:
--
作者:
Moore,RolandS;McLellan,DeborahL;Tauras,JohnA;Fagan,Pebbles
Tobacco, directly or indirectly, affects almost ev-ery aspect of the lives of disadvantaged women and girls. For example, in many low-and middleincome countries such as Cambodia, China, the Philippines, and Viet Nam, 1, 2 smoking is high among men and low among women. The diversion of income toward tobacco by male smokers in households contributes to malnutrition 3 and secondhand smoke exposure among women and children. 4, 5 Tobacco accounts for 2.8% of the average household expenditures in poor countries like Bangladesh 6 and 15% of total household expenditures among the lowest-income groups in Indonesia. 7 Because of the high tobacco use rates among men, women in low-income countries are more likely to care for partners suffering from tobacco-related illnesses. Among women working in service and manual labor positions, 5 secondhand smoke exposure is high, and low-income women who manufacture tobacco in places like Southeast Asia and Brazil suffer from green tobacco sickness caused by transdermal exposure to tobacco. 8 Further, with changes in social norms and increased female autonomy, tobacco use is increasing among women in low-and middle-income countries. 9 This growing epidemic, which affects every aspect of the lives of women and girls, will ultimately increase lung cancer, other tobacco-related illnesses, secondhand smoke exposure, malnutrition, family economic disadvantage, and care-giving burden, as well as threaten food and financial security.Global efforts to reduce the public health consequences of smoking among disadvantaged women call for the careful examination of how evidence-based interventions not only reduce tobacco use and exposure, but also affect the social context of their lives. Through the Framework Convention on Tobacco Con-