Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Socioeconomic Inequality in the Prevalence of Smoking and Smokeless Tobacco use in India

  • Published : 2013.11.30
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Abstract

Background: Tobacco consumption has been identified as the single biggest cause of inequality in morbidity and mortality. Understanding pattern of socioeconomic equalities in tobacco consumption in India will help in designing targeted public health control measures. Materials and Methods: Nationally representative data from the India Global Adult Tobacco Survey (GATS) conducted in 2009-2010 was analyzed. The survey provided information on 69,030 respondents aged 15 years and above. Data were analyzed according to regions for estimating prevalence of current tobacco consumption (both smoking and smokeless) across wealth quintiles. Multiple logistic regression analysis predicted the impact of socioeconomic determinants on both forms of current tobacco consumption adjusting for other socio-demographic variables. Results: Trends of smoking and smokeless tobacco consumption across wealth quintiles were significant in different regions of India. Higher prevalence of smoking and smokeless tobacco consumption was observed in the medium wealth quintiles. Risk of tobacco consumption among the poorest compared to the richest quintile was 1.6 times higher for smoking and 3.1 times higher for smokeless forms. Declining odds ratios of both forms of tobacco consumption with rising education were visible across regions. Poverty was a strong predictor in north and south Indian region for smoking and in all regions for smokeless tobacco use. Conclusions: Poverty and poor education are strong risk factors for both forms of tobacco consumption in India. Public health policies, therefore, need to be targeted towards the poor and uneducated.

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References

  1. Balarajan Y, Selvaraj S, Subramanian SV (2011). India: Towards Universal Health Coverage 4; Health care and equity in India. Lancet, 377, 505-15. https://doi.org/10.1016/S0140-6736(10)61894-6
  2. Bhawna G (2013). Burden of smoked and smokeless tobacco consumption in india - results from the global adult tobacco survey India (GATS-India)- 2009-201. Asian Pac J Cancer Prev, 14, 3323-9. https://doi.org/10.7314/APJCP.2013.14.5.3323
  3. Blas E, Sommerfeld J, Kurup AS (2011). Social determinants approaches to public health: from concept to practice.
  4. Bauld L, Judge K, Platt S (2007). Assessing the impact of smoking cessation services on reducing health inequalities in England: observational study. Tob Control, 16, 400-4. https://doi.org/10.1136/tc.2007.021626
  5. Eek F, Ostergren Per-Olof, Diderichsen Finn, et al (2010). Differences in socioeconomic and gender inequalities in tobacco smoking in Denmark and Sweden; a cross sectional comparison of the equity effect of different public health policies. BMC Public Health, 10, 9. https://doi.org/10.1186/1471-2458-10-9
  6. Global Tobacco Surveillance System (2013). Global adult tobacco survey: indicator guidelines: definitions and syntax. Atlanta: CDC (2009).
  7. Gupta R (2006). Smoking, educational status and health inequity in India. Indian J Med Res, 124, 15-22.
  8. Harper S, Kinnon Mc B (2012). Global socioeconomic inequalities in tobacco use: internationally comparable estimates from the World Health Surveys. Cancer Causes Control, 23, 11-25. https://doi.org/10.1007/s10552-012-9901-5
  9. Hosseinpoor AR, Parker LA, Tursan d'Espaignet E, Chatterji S (2012). Socioeconomic inequality in smoking in low-income and middle-income countries: results from the world health survey. PLoS ONE, 7, 42843. https://doi.org/10.1371/journal.pone.0042843
  10. Jarvis MJ, Wardle J (2006). Social patterning of health behaviours: the case of cigarette smoking. In: Marmot M, Wilkinson RG, editors. Social determinants of health, 2nd edition. Oxford: Oxford University Press, 224-37.
  11. Johnson NW, Warnakulasuriya S, Gupta PC, et al (2011). Global oral health inequalities in incidence and outcomes for oral cancer: causes and solutions. Adv Dental Res, 23, 237-46. https://doi.org/10.1177/0022034511402082
  12. Jha P, Peto R, Zatonski W, et al (2006). Social inequalities in male mortality, and in male mortality from smoking: indirect estimation from national death rates in England and Wales, Poland, and North America. Lancet, 368, 367-70. https://doi.org/10.1016/S0140-6736(06)68975-7
  13. John RM, Rao RK, Rao MG, et al (2010). The Economics of Tobacco and Tobacco Taxation in India. Paris: International Union Against Tuberculosis and Lung Disease.
  14. Kunst A, Giskes K, Mackenbach J (2004). Socio-economic inequalities in smoking in the European Union. Applying an equity lens to tobacco control policies.
  15. Mathur C, Stigler MH, Perry CL, Arora M, Reddy KS (2008). Differences in prevalence of tobacco use among Indian urban youth: the role of socioeconomic status. Nicotine Tob Res, 10, 109-16. https://doi.org/10.1080/14622200701767779
  16. McKenzie, David J (2005). Measuring inequality with asset indicators. J Population Economics, 18, 229-60. https://doi.org/10.1007/s00148-005-0224-7
  17. Ministry of Health and Family Welfare, Government of India. Global Adult Tobacco Survey Report, India 2009-10.
  18. Nagelhout GE, Korte-de Boer de Diane, Kunst AE, et al (2012). Trends in socioeconomic inequalities in smoking prevalence, consumption, initiation, and cessation between 2001 and 2008 in the Netherlands. Findings from a national population survey. BMC Public Health, 12, 303. https://doi.org/10.1186/1471-2458-12-303
  19. Pampel CF, Denney TJ, Krueger MP (2011). Cross-national sources of health inequality: education and tobacco use in the world health survey. Demography, 48, 653-74. https://doi.org/10.1007/s13524-011-0027-2
  20. Palipudi KM, Gupta PC, Sinha DN, et al (2012). Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from global adult tobacco survey. PLoS ONE, 7, 33466. https://doi.org/10.1371/journal.pone.0033466
  21. Prinja S, Kumar R (2009). Reducing health inequities in a generation: a dream or reality? Bull World Health Organization, 87, 84. https://doi.org/10.2471/BLT.08.062695
  22. Sarkar BK, Arora M, Gupta VK, et al (2013). Determinants of tobacco cessation behavior among smokers and smokeless tobacco users in the states of Gujarat and Andhra Pradesh, India. Asian Pac J Cancer Prev, 14, 1931-5 https://doi.org/10.7314/APJCP.2013.14.3.1931
  23. Subramanian SV, Shailen N, Kelly M, et al (2004). Patterns and distribution of tobacco consumption in India: cross sectional multilevel evidence from the 1998-9 national family health survey. BMJ, 328, 801-6. https://doi.org/10.1136/bmj.328.7443.801
  24. Thakur JS, Garg R, Narain JP, Menabde N (2011). Tobacco use: a major risk factor for non-communicable diseases in South East Asia Region. Indian J Public Health, 55, 155-61. https://doi.org/10.4103/0019-557X.89943
  25. Thakur JS, Prinja S, Garg C, Mendis S, Menabde N (2011). Social and Economic implications of Non-communicable diseases in India. Indian J Comm Med, 36, 13-22. https://doi.org/10.4103/0970-0218.94704
  26. Vyas S, Seema, Kumaranayake L (2006). Constructing socioeconomic status indexes: how to use principal component analysis. Health Policy Planning, 21, 459-68. https://doi.org/10.1093/heapol/czl029

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