Trends in the Relationship Between Cigarette Smoking and Socioeconomic Status in Taiwan, 2004 -2013
Date Issued
2016
Date
2016
Author(s)
Yu, Cheng-Lee
Abstract
Aim: This study aims to examine the change of smoking behavior and to examine the effect of tobacco control policies implementation among Taiwanese adults by socioeconomic status from 2004 to 2013. Methods: This study used 「adult smoking behavior telephone survey」, repeated cross-sectional from 2004 to 2013, for second hand data analysis which collected from Health Promotion Administration, Ministry of Health and Welfare. This study (sample around16,500 per year) examine the trends in never smoking, former smoking and current smoking among 18 years old and above. Education level and home income level were used as indicators of socioeconomic status (SES) and results were reported separately for men and women. Using logistic regression to examine the relationship between smoking behaviors and SES, and the interaction between ‘years’ and education/income level, and between‘ tobacco control policies implementation’ and education/income level.Using weighted and sex, age, and living area standardized according to the population of 2000 year of Taiwan. Results: The trends in never smoking, former smoking prevalence increased and current smoking decreased in Taiwanese adults from 2004 to 2013. Between 2004and 2013, the prevalence of current smoking decreased from 39.05% to 23.3% for men and from 3.97% to 2.64% for women. There were more current smokers for the 25~44years old in both men and women. Lower educated male respondents were significantly less likely to be never smokers , and more likely to be current smokers than higher educated male respondents, but not for female. During this 10 years, different SES in current smoking behavior didn’t change for male, while it was enlarge for female. The tobacco control policies implementation had a limited impact in different SES in current smokers both male and female. Conclusions: Although the prevalence of smoking decreased and never smoking increased from 2004 to 2013, the inequalities in smoking behavior in different SES. This result suggested interventions specifically designed for those of lower SES and should be addressed in equity-oriented tobacco control policies.
Subjects
smoking behaviors
socioeconomic status
health inequalities
tobacco control policies
SDGs
Type
thesis
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