Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis
Abstract
Background: To assess socio-economic inequality in the prevalence of tobacco smoking among Iranian adults in 2010. Methods: Data from the fifth national STEPS survey were analyzed. A blinder- Oaxaca decomposition model was applied to assess socio-economic inequality in the prevalence of daily cigarette and water-pipe smoking in men and women. Results: Overall, 4,203 participants appeared to be in the first and fifth quintiles of SES For men, the prevalence of daily cigarette smoking was higher among those with low SES (23.1%) than those with high SES (11.1%) (P<0.001), which was mainly related to educational level (8.6%), residential area (-2.7%) and being exposed to cigarette smoker at home/work (1.3%). Likewise, we found a higher prevalence of daily water-pipe use among low SES (4.4%) women than high SES women (1.3%), Education plays a significant role in this difference (P=0.003). Conclusion: In conclusion, our findings reflect a strong association of education and economic level with tobacco smoking. Such factors must be considered as a pivotal basis for the design of tobacco control program at national and sub-national scales.
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21. Baheiraei A, Mirghafourvand M, Charandabi SM-A, Nedjat S, Mohammadi E. A population-based survey on sociodemographic risk factors of cigarette smoking among Iranian women of reproductive age. Epidemiology, Biostatistics and Public Health. 2014;11(3).(doi 10.2427/9408)
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24. Tyas SL, Pederson LL. Psychosocial factors related to adolescent smoking: a critical review of the literature. Tobacco control. 1998;7(4):409-20.
25. Best D, Rawaf S, Rowley J, Floyd K, Manning V, Strang J. Drinking and smoking as concurrent predictors of illicit drug use and positive drug attitudes in adolescents. Drug and alcohol dependence. 2000;60(3):319-21.
26. Tavafian S-S, Aghamolaei T, Zare S. Water pipe smoking and health-related quality of life: a population-based study. Archives of Iranian Medicine (AIM). 2009;12(3): 232-37.
2. Organization WH. Global health risks: mortality and burden of disease attributable to selected major risks: World Health Organization; 2009.
3. Balia S, Jones AM. Mortality, lifestyle and socio-economic status. Journal of health economics. 2008;27(1):1-26.
4. Gulliford M. Low rates of detection and treatment of hypertension among current cigarette smokers. Journal of human hypertension. 2001;15(11):771.
5. Hosseinpoor AR, Parker LA, d'Espaignet ET, Chatterji S. Social determinants of smoking in low-and middle-income countries: results from the World Health Survey. PloS one. 2011;6(5):e20331.
6. Laaksonen M, Rahkonen O, Karvonen S, Lahelma E. Socioeconomic status and smoking. The European Journal of Public Health. 2005;15(3):262-9.
7. Palipudi KM, Gupta PC, Sinha DN, Andes LJ, Asma S, McAfee T, et al. Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey. PloS one. 2012;7(3):e33466.
8. Fiscella K, Williams DR. Health disparities based on socioeconomic inequities: implications for urban health care. Academic Medicine. 2004;79(12):1139-47.
9. Drewnowski A, Specter S. Poverty and obesity: the role of energy density and energy costs. The American journal of clinical nutrition. 2004;79(1):6-16.
10. Adler NE, Boyce T, Chesney MA, Cohen S, Folkman S, Kahn RL, et al. Socioeconomic status and health: the challenge of the gradient. American psychologist. 1994;49(1):15.
11. Menezes AMB, Wehrmeister FC, Horta BL, Szwarcwald CL, Vieira ML, Malta DC. Frequency of the use of hookah among adults and its distribution according to sociodemographic characteristics, urban or rural area and federative units: National Health Survey, 2013. Revista Brasileira de Epidemiologia. 2015;18:57-67.
12. Salloum RG, Thrasher JF, Kates FR, Maziak W. Water pipe tobacco smoking in the United States: findings from the National Adult Tobacco Survey. Preventive medicine. 2015;71:88-93.
13. Sugathan S, Daghir O, Swaysi M. Socio-economic correlates of shisha or waterpipe smoking in Misurata, Libya. The Internet Journal of Epidemiology. 2011;9(2).
14. Moradi-Lakeh M, El Bcheraoui C, Tuffaha M, Daoud F, Al Saeedi M, Basulaiman M, et al. Tobacco consumption in the Kingdom of Saudi Arabia, 2013: findings from a national survey. BMC public health. 2015;15(1):611.
15. Waked M, Salameh P, Aoun Z, editors. Aoun Z. Water-pipe (narguile) smokers in Lebanon: a pilot study. East Mediterr Health J; 2009: Citeseer.
16. Nemati S, Rafei A, Freedman ND, Fotouhi A, Asgary F, K. Z. Cigarette and Water-Pipe Use in Iran: Geographical Distribution and Time Trends among the Adult Population; A Pooled Analysis of National STEPS Surveys, 2006–2009. AIM. 2017;20(5):295-301.
17. Asgari F, Majidi A, Koohpayehzadeh J, Etemad K, Rafei A. Oral hygiene status in a general population of Iran, 2011: a key lifestyle marker in relation to common risk factors of non-communicable diseases. International journal of health policy and management. 2015;4(6):343.
18. Meysamie A, Ghaletaki R, Haghazali M, Asgari F, Rashidi A, Khalilzadeh O, et al. Pattern of tobacco use among the Iranian adult population: results of the national Survey of Risk Factors of Non-Communicable Diseases (SuRFNCD-2007). Tobacco control. 2010;19(2):125-8.
19. Wagstaff A, O'Donnell O, Van Doorslaer E, Lindelow M. Analyzing health equity using household survey data: a guide to techniques and their implementation: World Bank Publications; 2007.
20. Masjedi M, Azaripour Masouleh H, Heydari GR, Alinejad Taheri S, Velayati A. Smoking prevalence among universities students of Tehran. 2003.
21. Baheiraei A, Mirghafourvand M, Charandabi SM-A, Nedjat S, Mohammadi E. A population-based survey on sociodemographic risk factors of cigarette smoking among Iranian women of reproductive age. Epidemiology, Biostatistics and Public Health. 2014;11(3).(doi 10.2427/9408)
22. Hashemi H. The prevalence of cigarette smoking in residents of Tehran. Archives of Iranian medicine. 2009;12(4):358-64.
23. Mohammadpoor Asl A, Fakhari A, Rostami F, Pourafkary N. Cigarette smoking among Iranian adolescents. Iranian Journal of Psychiatry and Behavioral Sciences. 2007;1(1):30-5.
24. Tyas SL, Pederson LL. Psychosocial factors related to adolescent smoking: a critical review of the literature. Tobacco control. 1998;7(4):409-20.
25. Best D, Rawaf S, Rowley J, Floyd K, Manning V, Strang J. Drinking and smoking as concurrent predictors of illicit drug use and positive drug attitudes in adolescents. Drug and alcohol dependence. 2000;60(3):319-21.
26. Tavafian S-S, Aghamolaei T, Zare S. Water pipe smoking and health-related quality of life: a population-based study. Archives of Iranian Medicine (AIM). 2009;12(3): 232-37.
| Files | ||
| Issue | Vol 11 No 4 (2019) | |
| Section | Original Articles | |
| DOI | https://doi.org/10.18502/bccr.v11i4.5723 | |
| Keywords | ||
| Cigarette Smoking Water Pipe Smoking Socioeconomic Factors Discrimination Health Care Surveys | ||
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How to Cite
1.
Nemati S, Rafei A, Mehrtash H, Freedman ND, Fotouhi A, Zendehdel K. Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis. Basic Clin Cancer Res. 2020;11(4):156-165.
