Changes Over Time in Absolute and Relative Socioeconomic Differences in Smoking: A Comparison of Cohort Studies From Britain, Finland, and Japan.

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
E LahelmaTea Lallukka

Abstract

Socioeconomic differences in smoking over time and across national contexts are poorly understood. We assessed the magnitude of relative and absolute social class differences in smoking in cohorts from Britain, Finland, and Japan over 5-7 years. The British Whitehall II study (n = 4350), Finnish Helsinki Health Study (n = 6328), and Japanese Civil Servants Study (n = 1993) all included employed men and women aged 35-68 at baseline in 1997-2002. Follow-up was in 2003-2007 (mean follow-up 5.1, 6.5, and 3.6 years, respectively). Occupational social class (managers, professionals and clerical employees) was measured at baseline. Current smoking and covariates (age, marital status, body mass index, and self-rated health) were measured at baseline and follow-up. We assessed relative social class differences using the Relative Index of Inequality and absolute differences using the Slope Index of Inequality. Social class differences in smoking were found in Britain and Finland, but not in Japan. Age-adjusted relative differences at baseline ranged from Relative Index of Inequality 3.08 (95% confidence interval 1.99-4.78) among Finnish men to 2.32 (1.24-4.32) among British women, with differences at follow-up greater by 8%-58%. Absolute...Continue Reading

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Citations

Apr 22, 2017·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Jens HoebelThomas Lampert
Nov 20, 2016·Occupational and Environmental Medicine·Petteri OuraJaro Karppinen
Mar 8, 2018·Revista Da Sociedade Brasileira De Medicina Tropical·Aletheia Soares SampaioSílvia Maria Lucena Montenegro
Jun 10, 2017·International Journal of Environmental Research and Public Health·Hilla SumanenOssi Rahkonen
Feb 1, 2018·International Journal of Public Health·Isabel Aguilar-PalacioMª José Rabanaque
Mar 1, 2019·Scandinavian Journal of Public Health·Reetta LehtoCarola Ray
Apr 17, 2019·International Journal of Environmental Research and Public Health·Shervin AssariMohsen Bazargan
Mar 25, 2019·International Journal of Public Health·Otto RuokolainenPekka Puska
Jun 1, 2018·Nordisk alkohol- & narkotikatidskrift : NAT·Otto RuokolainenTellervo Korhonen
Jul 1, 2020·Journal of Epidemiology·Hirokazu TanakaYasuki Kobayashi
Feb 2, 2021·Frontiers in Public Health·Somtip WatanapongvanichYoshihiko Kadoya

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