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Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.

Palipudi KM, Gupta PC, Sinha DN, Andes LJ, Asma S, McAfee T, GATS Collaborative Gro - PLoS ONE (2012)

Bottom Line: For educational level, the trend was significant in Bangladesh, Egypt, India, Philippines and Thailand demonstrating decreasing prevalence of tobacco use with increasing levels of education.For wealth index, the trend of decreasing prevalence of tobacco use with increasing wealth was significant for Bangladesh, India, Philippines, Thailand, Turkey, Ukraine, Uruguay and Viet Nam.These findings demonstrate a significant but varied role of social determinants on current tobacco use within and across countries.

View Article: PubMed Central - PubMed

Affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America. kpalipudi@cdc.gov

ABSTRACT

Background: Tobacco use has been identified as the single biggest cause of inequality in morbidity. The objective of this study is to examine the role of social determinants on current tobacco use in thirteen low-and-middle income countries.

Methodology/principal findings: We used nationally representative data from the Global Adult Tobacco Survey (GATS) conducted during 2008-2010 in 13 low-and-middle income countries: Bangladesh, China, Egypt, India, Mexico, Philippines, Poland, Russian Federation, Thailand, Turkey, Ukraine, Uruguay, and Viet Nam. These surveys provided information on 209,027 respondent's aged 15 years and above and the country datasets were analyzed individually for estimating current tobacco use across various socio-demographic factors (gender, age, place of residence, education, wealth index, and knowledge on harmful effects of smoking). Multiple logistic regression analysis was used to predict the impact of these determinants on current tobacco use status. Current tobacco use was defined as current smoking or use of smokeless tobacco, either daily or occasionally. Former smokers were excluded from the analysis. Adjusted odds ratios for current tobacco use after controlling other cofactors, was significantly higher for males across all countries and for urban areas in eight of the 13 countries. For educational level, the trend was significant in Bangladesh, Egypt, India, Philippines and Thailand demonstrating decreasing prevalence of tobacco use with increasing levels of education. For wealth index, the trend of decreasing prevalence of tobacco use with increasing wealth was significant for Bangladesh, India, Philippines, Thailand, Turkey, Ukraine, Uruguay and Viet Nam. The trend of decreasing prevalence with increasing levels of knowledge on harmful effects of smoking was significant in China, India, Philippines, Poland, Russian Federation, Thailand, Ukraine and Viet Nam.

Conclusions/significance: These findings demonstrate a significant but varied role of social determinants on current tobacco use within and across countries.

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Related in: MedlinePlus

Type of current tobacco use among adults aged 15 years and above in 13 low-and-middle income countries, Global Adult Tobacco Survey, 2008–2010.
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Related In: Results  -  Collection


getmorefigures.php?uid=PMC3306395&req=5

pone-0033466-g001: Type of current tobacco use among adults aged 15 years and above in 13 low-and-middle income countries, Global Adult Tobacco Survey, 2008–2010.

Mentions: Tobacco use included smoking, smokeless tobacco use and dual use (using both smoked and smokeless). Figure 1 shows the type of tobacco use. It is clear that in Bangladesh and India, smokeless tobacco use constitutes a major part of overall tobacco use. In Thailand, Philippines and Viet Nam smokeless tobacco use also makes some contribution to overall tobacco use. In addition, in the countries where smokeless tobacco use prevalence is high along with smoking, dual use (use of both smoking and smokeless tobacco products) also contributes to a noticeable proportion and somewhat more likely in those countries (e.g. Bangladesh (8.7%) and India (5.3%)).


Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.

Palipudi KM, Gupta PC, Sinha DN, Andes LJ, Asma S, McAfee T, GATS Collaborative Gro - PLoS ONE (2012)

Type of current tobacco use among adults aged 15 years and above in 13 low-and-middle income countries, Global Adult Tobacco Survey, 2008–2010.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3306395&req=5

pone-0033466-g001: Type of current tobacco use among adults aged 15 years and above in 13 low-and-middle income countries, Global Adult Tobacco Survey, 2008–2010.
Mentions: Tobacco use included smoking, smokeless tobacco use and dual use (using both smoked and smokeless). Figure 1 shows the type of tobacco use. It is clear that in Bangladesh and India, smokeless tobacco use constitutes a major part of overall tobacco use. In Thailand, Philippines and Viet Nam smokeless tobacco use also makes some contribution to overall tobacco use. In addition, in the countries where smokeless tobacco use prevalence is high along with smoking, dual use (use of both smoking and smokeless tobacco products) also contributes to a noticeable proportion and somewhat more likely in those countries (e.g. Bangladesh (8.7%) and India (5.3%)).

Bottom Line: For educational level, the trend was significant in Bangladesh, Egypt, India, Philippines and Thailand demonstrating decreasing prevalence of tobacco use with increasing levels of education.For wealth index, the trend of decreasing prevalence of tobacco use with increasing wealth was significant for Bangladesh, India, Philippines, Thailand, Turkey, Ukraine, Uruguay and Viet Nam.These findings demonstrate a significant but varied role of social determinants on current tobacco use within and across countries.

View Article: PubMed Central - PubMed

Affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America. kpalipudi@cdc.gov

ABSTRACT

Background: Tobacco use has been identified as the single biggest cause of inequality in morbidity. The objective of this study is to examine the role of social determinants on current tobacco use in thirteen low-and-middle income countries.

Methodology/principal findings: We used nationally representative data from the Global Adult Tobacco Survey (GATS) conducted during 2008-2010 in 13 low-and-middle income countries: Bangladesh, China, Egypt, India, Mexico, Philippines, Poland, Russian Federation, Thailand, Turkey, Ukraine, Uruguay, and Viet Nam. These surveys provided information on 209,027 respondent's aged 15 years and above and the country datasets were analyzed individually for estimating current tobacco use across various socio-demographic factors (gender, age, place of residence, education, wealth index, and knowledge on harmful effects of smoking). Multiple logistic regression analysis was used to predict the impact of these determinants on current tobacco use status. Current tobacco use was defined as current smoking or use of smokeless tobacco, either daily or occasionally. Former smokers were excluded from the analysis. Adjusted odds ratios for current tobacco use after controlling other cofactors, was significantly higher for males across all countries and for urban areas in eight of the 13 countries. For educational level, the trend was significant in Bangladesh, Egypt, India, Philippines and Thailand demonstrating decreasing prevalence of tobacco use with increasing levels of education. For wealth index, the trend of decreasing prevalence of tobacco use with increasing wealth was significant for Bangladesh, India, Philippines, Thailand, Turkey, Ukraine, Uruguay and Viet Nam. The trend of decreasing prevalence with increasing levels of knowledge on harmful effects of smoking was significant in China, India, Philippines, Poland, Russian Federation, Thailand, Ukraine and Viet Nam.

Conclusions/significance: These findings demonstrate a significant but varied role of social determinants on current tobacco use within and across countries.

Show MeSH
Related in: MedlinePlus