The educational gap in tar and nicotine content in purchases of cigarettes: An observational study using large-scale representative survey data from Japan
The educational gap in tar and nicotine content in purchases of cigarettes: An observational study using large-scale representative survey data from Japan
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购买香烟时焦油和尼古丁含量的教育差距：利用日本大规模代表性调查数据进行的观察性研究
DOI：
10.1016/j.ypmed.2019.105828
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发表时间：
2019
影响因子：
5.1
通讯作者：
Nazmi Sari
中科院分区：
文献类型：
--
作者：
Ying Yao;Ryota Nakamura;Nazmi Sari
烟草使用的强度通常以香烟的数量来衡量，这是不准确的，因为它掩盖了烟草中所含的异质性和物质。与现有的研究不同，这项研究采用了购买的香烟的焦油和尼古丁含量作为吸烟强度的代理，并引起了参与者在烟草使用方面的社会经济差异。我们使用2010年至2014年日本全国代表性消费者小组调查发现，当考虑香烟中的焦油和尼古丁含量时，吸烟的社会经济差异更加明显。大学毕业生购买的香烟比中学毕业生少26%，焦油或尼古丁少40%。教育程度低的群体购买更多焦油含量高的香烟，这些香烟的价格低于低焦油香烟。减少社会经济健康不平等的公共卫生建议可能被低估，因为它们是根据吸烟数量得出的证据。
The intensity of tobacco use is commonly measured by the number of cigarettes, which is inaccurate because it masks the heterogeneity and substances contained in tobacco. Unlike existing studies, this study adopted the tar and nicotine content of purchased cigarettes as proxies for smoking intensity and elicited socioeconomic disparities from the participants regarding tobacco use. Using a nationally representative consumer panel survey of Japan from 2010 to 2014, we found that socioeconomic disparities in smoking are more pronounced when tar and nicotine content in cigarettes is considered. University graduates purchased 26% fewer cigarettes, and 40% less tar or nicotine than their secondary school-educated counterparts. Low education groups purchased more tar-rich cigarettes, which cost less than low-tar cigarettes. The public health recommendations for reducing socioeconomic health inequalities might be understated because they are drawn from evidence based on the number of cigarettes smoked.