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Identification of socioeconomic groups at increased risk for smoking in European countries: looking beyond educational level.
Nicotine Tob Res. 2008 Feb; 10(2):359-69.NT

Abstract

Educational level is most often used to identify social groups with increased prevalence of smoking. Other indicators of socioeconomic position (SEP) might, however, be equally or even more discriminatory. This study examined the extent to which smoking behavior is related to other socioeconomic indicators in addition to educational level. Data were derived from the European Household Panel. We selected data for 45,765 respondents aged 25-60 years from nine European countries. The association between six different SEP indicators and smoking prevalence was examined using prevalence rate ratios (RRs) estimated through log linear regression analyses. In univariate analyses, most selected SEP indicators were associated with smoking. In multivariate analyses, educational level, occupational class, accumulated wealth (measured by household assets), and housing tenure retained independent effects on smoking (RRs about 1.20). The effects observed for activity status and household income were small and insignificant in nearly all populations. In northern Europe, educational level had the greatest predictive value in the younger age groups; occupational class and housing tenure predicted most of smoking prevalence in the older age groups. The results showed a less pronounced and more varied pattern in southern Europe. Our results indicate that smoking prevalence is related not only to educational level but also to occupational class and measures of accumulated wealth (other than income). These measures should be used in addition to educational level to identify groups at increased risk for smoking.

Authors+Show Affiliations

Department of Public Health, Erasmus Medical Centre, Rotterdam, The Netherlands. m.m.schaap@erasmusmc.nlNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18236301

Citation

Schaap, Maartje M., et al. "Identification of Socioeconomic Groups at Increased Risk for Smoking in European Countries: Looking Beyond Educational Level." Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, vol. 10, no. 2, 2008, pp. 359-69.
Schaap MM, van Agt HM, Kunst AE. Identification of socioeconomic groups at increased risk for smoking in European countries: looking beyond educational level. Nicotine Tob Res. 2008;10(2):359-69.
Schaap, M. M., van Agt, H. M., & Kunst, A. E. (2008). Identification of socioeconomic groups at increased risk for smoking in European countries: looking beyond educational level. Nicotine & Tobacco Research : Official Journal of the Society for Research On Nicotine and Tobacco, 10(2), 359-69. https://doi.org/10.1080/14622200701825098
Schaap MM, van Agt HM, Kunst AE. Identification of Socioeconomic Groups at Increased Risk for Smoking in European Countries: Looking Beyond Educational Level. Nicotine Tob Res. 2008;10(2):359-69. PubMed PMID: 18236301.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Identification of socioeconomic groups at increased risk for smoking in European countries: looking beyond educational level. AU - Schaap,Maartje M, AU - van Agt,Heleen M E, AU - Kunst,Anton E, PY - 2008/2/1/pubmed PY - 2008/6/5/medline PY - 2008/2/1/entrez SP - 359 EP - 69 JF - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco JO - Nicotine Tob. Res. VL - 10 IS - 2 N2 - Educational level is most often used to identify social groups with increased prevalence of smoking. Other indicators of socioeconomic position (SEP) might, however, be equally or even more discriminatory. This study examined the extent to which smoking behavior is related to other socioeconomic indicators in addition to educational level. Data were derived from the European Household Panel. We selected data for 45,765 respondents aged 25-60 years from nine European countries. The association between six different SEP indicators and smoking prevalence was examined using prevalence rate ratios (RRs) estimated through log linear regression analyses. In univariate analyses, most selected SEP indicators were associated with smoking. In multivariate analyses, educational level, occupational class, accumulated wealth (measured by household assets), and housing tenure retained independent effects on smoking (RRs about 1.20). The effects observed for activity status and household income were small and insignificant in nearly all populations. In northern Europe, educational level had the greatest predictive value in the younger age groups; occupational class and housing tenure predicted most of smoking prevalence in the older age groups. The results showed a less pronounced and more varied pattern in southern Europe. Our results indicate that smoking prevalence is related not only to educational level but also to occupational class and measures of accumulated wealth (other than income). These measures should be used in addition to educational level to identify groups at increased risk for smoking. SN - 1462-2203 UR - https://www.unboundmedicine.com/medline/citation/18236301/Identification_of_socioeconomic_groups_at_increased_risk_for_smoking_in_European_countries:_looking_beyond_educational_level_ L2 - https://academic.oup.com/ntr/article-lookup/doi/10.1080/14622200701825098 DB - PRIME DP - Unbound Medicine ER -