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Social Determinants of Health and Tobacco Use in Five Low - and Middle-Income Countries - Results from the Global Adult Tobacco Survey (GATS), 2011 - 2012

  • Tee, Guat Hiong (Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia) ;
  • Aris, Tahir (Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia) ;
  • Rarick, James (Non-communicable Disease, WHO Office) ;
  • Irimie, Sorina (National Institute of Public Health, Regional Centre of Public Health)
  • Published : 2016.04.11

Abstract

Background: Tobacco consumption continues to be the leading cause of preventable deaths globally. The objective of this study was to examine the associaton of selected socio-demographic variables with current tobacco use in five countries that participated in the Phase II Global Adult Tobacco Survey in 2011 - 2012. Materials and Methods: We analysed internationally comparable representative household survey data from 33,482 respondents aged ${\geq}15years$ in Indonesia, Malaysia, Romania, Argentina and Nigeria for determinants of tobacco use within each country. Socio-demographic variables analysed included gender, age, residency, education, wealth index and awareness of smoking health consequences. Current tobacco use was defined as smoking or use of smokeless tobacco daily or occasionally. Results: The overall prevalence of tobacco use varied from 5.5% in Nigeria to 35.7% in Indonesia and was significantly higher among males than females in all five countries. Odds ratios for current tobacco use were significantly higher among males for all countries [with the greatest odds among Indonesian men (OR=67.4, 95% CI: 51.2-88.7)] and among urban dwellers in Romania. The odds of current tobacco use decreased as age increased for all countries except Nigeria where. The reverse was true for Argentina and Nigeria. Significant trends for decreasing tobacco use with increasing educational levels and wealth index were seen in Indonesia, Malaysia and Romania. Significant negative associations between current tobacco use and awareness of adverse health consequences of smoking were found in all countries except Argentina. Conclusions: Males and the socially and economically disadvantaged populations are at the greatest risk of tobacco use. Tobacco control interventions maybe tailored to this segment of population and incorporate educational interventions to increase knowledge of adverse health consequences of smoking.

Keywords

References

  1. An DTM, Minh HV, Huong LT, et al (2013). Knowledge of the health consequences of tobacco smoking: a cross-sectional survey of Vietnamese adults. Glob Health Action, 6:18707, http://dx.doi.org/10.3402/gha.v6i0.18707.
  2. Armour BS, Pitts MM, Lee CW (2008). Cigarette smoking and food insecurity among low-income families in the United States, 2001. Am J Health Promot, 22, 386-92. https://doi.org/10.4278/ajhp.22.6.386
  3. Barbeau E, Krieger N, Soobader M (2004). Working class matters: socioeconomic disadvantage, race/ethnicity, gender, and smoking in NHIS 2000. Am J Public Health, 94, 269-78. https://doi.org/10.2105/AJPH.94.2.269
  4. Bhawna G (2013). Burden of smoked and smokeless tobacco consumption in India - Resultsfrom the Global Adult Tobacco Survey India (GATS-India) - 2009-2010. Asian Pac J Cancer Prev, 14, 3323-29. https://doi.org/10.7314/APJCP.2013.14.5.3323
  5. CDC (2009). "Cigarette Smoking Among Adults - United States, 2008". MMWR, 58, 1227-32.
  6. CDC (2014). "Current Cigarette Smoking Among Adults - United States, 2005-2012". MMWR, 63, 29-34.
  7. Cuong NV (2012). Demographic and social-economic determinants of smoking behaviors: evidence from Vietnam. Econ Bull, 32, 2300-12.
  8. Gary A Giovino, Sara A Mirza, Jonathan M Samet, et al (2012). Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys. Lancet, 380, 668-79. https://doi.org/10.1016/S0140-6736(12)61085-X
  9. Global Adult Tobacco Survey Collaborative Group (2010a). Global Adult Tobacco Survey (GATS): Core Questionnaire with Optional Questions, Version 2.0. Atlanta, GA: Centres for Disease Control and Prevention.
  10. Global Adult Tobacco Survey Collaborative Group (2010b). Global Adult Tobacco Survey (GATS): Sample Design and Sample Weight manuals, Version 2.0. Atlanta, GA: Centres for Disease Control and Prevention, 2010.
  11. Global Adult Tobacco Survey Collaborative Group (2010c). Global Adult Tobacco Survey (GATS): Field Interviewer Manual, Version 2.0. Atlanta, GA: Centres for Disease Control and Prevention, 2010.
  12. Global Adult Tobacco Survey Collaborative Group (2010d). Global Adult Tobacco Survey (GATS): Field Supervisor Manual, Version 2.0. Atlanta, GA: Centres for Disease Control and Prevention, 2010.
  13. Global Adult Tobacco Survey Collaborative Group (2010e). Global Adult Tobacco Survey (GATS): Programmer's Guide to General Survey System Manual, Version 2.0. Atlanta, GA: Centres for Disease Control and Prevention, 2010.
  14. Global Adult Tobacco Survey, Argentina (2012). Available http://www.who.int/tobacco/surveillance/survey/gats/en. Accessed 2014 December 18.
  15. Global Adult Tobacco Survey: Indonesia Report 2011. Available http://www.who.int/tobacco/surveillance/survey/gats/indonesia_report.pdf. Accessed 2014 December 4.
  16. Global Adult Tobacco Survey: Nigeria Country Report (2012). Available http://nigerianstat.gov.ng/pages/download/157. Accessed 2014 December 18.
  17. Global Adult Tobacco Survey, Romania. Available http://www.ms.gov.ro/documente/Global Adult Tobacco Survey Romania 2011_9425_7779.pdf. Accessed 2014 December 18.
  18. GH Tee, Fadhli Y, GS Sukhvinver, et al (2012). Report of the global adult tobacco survey (GATS) Malaysia. Ministry of Health Malaysia.
  19. Gilani SL, DA Leon (2013). Prevalence and sociodemographic determinants of tobacco use among adults in Pakistan: findings of a nationwide survey conducted in 2012. Population Health Metrics, 11, 16. https://doi.org/10.1186/1478-7954-11-16
  20. Gilman SE, Martin LT, Abrams DB, et al (2008). Educational attainment and cigarette smoking: a causal association? Int J Epidemiol, 37, 615-24. https://doi.org/10.1093/ije/dym250
  21. Global Tobacco Surveillance System (2009). Global Adult Tobacco Survey (GATS): Indicator Guidelines: Definition and Syntax. Atlanta, USA.
  22. Hosseinpoor AR, Parker LA, Tursan d’Espaignet E, Chatterji S (2011). Social Determinants of Smoking in Low- and Middle-Income Countries: Results from the World Health Survey. PLoS One, 6, 20331. https://doi.org/10.1371/journal.pone.0020331
  23. Imhonde HO, Afolabi AO, Ehon A (2001). The influence of self-efficacy, duration of smoking and gender on perceived smoking cessation. Niger J Psychol, 18, 123-133.
  24. 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. The Lancet, 368, 367-70. https://doi.org/10.1016/S0140-6736(06)68975-7
  25. Kaleta D, Makwiec-Dabrowska T, Dziankowska-zaborszczyk E, Fronczak A (2012). Determinants of heavy smoking: results from the global adult tobacco survey in Poland (2009-2010). Int J Occup Med Environ Health, 25, 66-79.
  26. Koning P, Webbink D, Martin NG (2010). The effect of education on smoking behaviour. new evidence from smoking durations of a sample of twins. CPB Discussion Paper 139; 9 02 2010. CPB Netherlands Bureau for Economic Policy Analysis.
  27. Laaksonen M, Rahkonen O, Karvonen S, Lahelma E (2005). Socioeconomic status and smoking: Analysing inequalities with multiple indicators. Eur J Public Health, 15, 262-69. https://doi.org/10.1093/eurpub/cki115
  28. Lim HK, Mohd Ghazali S, Cheong CC, et al (2013). Epidemiology of smoking among Malaysian adult males: prevalence and associated factors. BMC Public Health, 13, 8. https://doi.org/10.1186/1471-2458-13-8
  29. Mackenbach JP, Huisman M, Andersen O, et al (2004). Inequalities in lung cancer mortality by the educational level in 10 European populations. Eur J Cancer, 40, 126-35. https://doi.org/10.1016/j.ejca.2003.10.018
  30. Marmot M (2006). Smoking and inequalities. The Lancet, 368, 341-42. https://doi.org/10.1016/S0140-6736(06)68976-9
  31. Ministry of Health Malaysia (2003). Clinical practice guideline of tobacco use and dependence 2003. Ministry of Health Malaysia.
  32. Mirowsky J, Ross CE (1998). Education, personal control, lifestyle and health: a human capital hypothesis. Res Aging, 20, 415-49. https://doi.org/10.1177/0164027598204003
  33. 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
  34. Palipudi K, Rizwan SA, Sinha DN, et al (2014). Prevalence and sociademographic determinants of tobacco use in four countries of the World Health Organisation: South-East Asia region: findings from global adult tobacco survey. Indian J Cancer, 51, 24-32.
  35. Pampel F (2008) Tobacco use in sub-Sahara Africa: estimates from the demographic health surveys. Soc Sci Med, 66, 1772-83. https://doi.org/10.1016/j.socscimed.2007.12.003
  36. Patrick DL, Cheadle A, Thompson DC, et al (1994). The validity of self-reported smoking: a review and meta-analysis. Am J Public Health, 84, 1086-93. https://doi.org/10.2105/AJPH.84.7.1086
  37. Reimondos A, Utomo ID, McDonald P, et al (2010). The 2010 greater jakarta transition to adulthood survey, policy background No. 2 smoking and Young Adults in Indonesia.
  38. Richardson K, Crosier A. Smoking and health inequalities. Health Development Agency, London; ISBN 1-84279-065-X.
  39. Sansone GC, Raute LJ, Fong GT, et al (2012). Knowledge of health effects and intentions to quit among smokers in india: findings from the tobacco control policy (TCP) india pilot survey. Int J Environ Res Public Health, 9, 564-78. https://doi.org/10.3390/ijerph9020564
  40. Siahpush M, Heller G, Singh G (2005). Lower levels of occupation, income and education are strongly associated with a longer smoking duration: multivariate results from the 2001 australian national drug strategy survey. Public Health, 119, 1105-10. https://doi.org/10.1016/j.puhe.2005.03.004
  41. Sreeramareddy CT, Pradhan PM, Mir IA, Sin S (2014). Smoking and smokeless tobacco use in nine South and Southeast Asian countries: prevalence estimates and social determinants from Demographic and Health Surveys. Population Health Metrics, 12, 22. https://doi.org/10.1186/s12963-014-0022-0
  42. Tee GH, Hairi NN, Hairi F (2012). Attitudes towards smoking and tobacco control among pre-clinical medical students in Malaysia. Int J Tuber Lung Dis, 16, 1126-8. https://doi.org/10.5588/ijtld.11.0254
  43. Thakur JS, Prinja S, Bhatnagar N, et al (2013). Socioeconomic inequality in the prevalence of smoking and smokeless tobacco use in India. Asian Pac J Cancer Prev, 14, 6965-69. https://doi.org/10.7314/APJCP.2013.14.11.6965
  44. Vartiainen E, Seppala T, Lillsunde P, Puska P (2002). Validation of self-reported smoking by serum cotinine measurement in a community-based study. J Epidemiol Community Health, 56, 167-70. https://doi.org/10.1136/jech.56.3.167
  45. World Health Organisation (2005). WHO Framework Convention on Tobacco Control. Geneva: World Health Organisation.
  46. WHO Report on the global tobacco epidemic, 2008: the MPOWER package (2008). Geneva: World Health Organization. Available http://www.who.int/tobacco/mpower/mpower_report_full_2008.pdf. Accessed 2014 December 4.
  47. World Health Organisation (2009). Global health risk: mortality and burden of disease attributable to selected major risks. Available http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf. Accessed 2014 December 4.
  48. World Health Organisation (2011). WHO report on the global Tobacco epidemic, 2011: warning about the dangers of tobacco. Geneva: World Health Organisation.
  49. World Health Organization (2013a). WHO Report on the Global Tobacco Epidemic, 2013: Enforcing Bans on Tobacco Advertising, Promotion and Sponsorship. Geneva: World Health Organization.
  50. World Health Organisation (2013b). Global action plan for the prevention and control of noncommunicable diseases 2013-2020. World Health Organisation. http://apps.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf?ua=1. Accessed 2015 February 18.
  51. World Bank. Countries and Economies. Available http://data.worldbank.org/country. Accessed December 4, 2014.
  52. Xiao F, Robson P, Ashbury F, Hatcher J, Bryant H (2009). Smoking frequency, prevalence and trends, and their sociodemographic associations in Alberta, Canada. Can J Public Health, 100, 453-58.
  53. Yang J, Hammond D, Driezen P, Fong GT, Jiang Y (2010). Health knowledge and perception of risks among Chinese smokers and non-smokers: findings from the Wave 1 ITC China Survey. Tob Control, 19, 18-23. https://doi.org/10.1136/tc.2009.029710
  54. Zhu SH, Hebert K, Wong S, Cummins S, Gamst A (2010). Disparity in smoking prevalence by education: can we reduce it? Glob Health Promot, 17, 29-39.s

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