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Trends in Inequality in Cigarette Smoking Prevalence by Income According to Recent Anti-smoking Policies in Korea: Use of Three National Surveys

  • Chang, Youngs (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Cho, Sanghyun (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Kim, Ikhan (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Bahk, Jinwook (Department of Public Health, Keimyung University) ;
  • Khang, Young-Ho (Department of Health Policy and Management, Seoul National University College of Medicine)
  • 투고 : 2018.09.27
  • 심사 : 2018.10.22
  • 발행 : 2018.11.30

초록

Objectives: This study examined trends in inequality in cigarette smoking prevalence by income according to recent anti-smoking policies in Korea. Methods: The data used in this study were drawn from three nationally representative surveys, the Korea National Health and Nutrition Examination Survey, the Korea Community Health Survey, and the Social Survey of Statistics Korea. We calculated the age-standardized smoking prevalence, the slope index of inequality, and the relative index of inequality by income level as a socioeconomic position indicator. Results: Smoking prevalence among men decreased during the study period, but the downward trend became especially pronounced in 2015, when the tobacco price was substantially increased. Inequalities in cigarette smoking by income were evident in both genders over the study period in all three national surveys examined. Absolute inequality tended to decrease between 2014 and 2015 among men. Absolute and relative inequality by income decreased between 2008 and 2016 in women aged 30-59, except between 2014 and 2015. Conclusions: The recent anti-smoking policies in Korea resulted in a downward trend in smoking prevalence among men, but not in relative inequality, throughout the study period. Absolute inequality decreased over the study period among men aged 30-59. A more aggressive tax policy is warranted to further reduce socioeconomic inequalities in smoking in young adults in Korea.

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참고문헌

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  3. Age- and cause-specific contributions to the life expectancy gap between Medical Aid recipients and National Health Insurance beneficiaries in Korea, 2008–2017 vol.15, pp.11, 2018, https://doi.org/10.1371/journal.pone.0241755
  4. Trends in Alcohol Consumption for Korean Adults from 1998 to 2018: Korea National Health and Nutritional Examination Survey vol.13, pp.2, 2021, https://doi.org/10.3390/nu13020609
  5. Tobacco price increases in Korea and their impact on socioeconomic inequalities in smoking and subsequent socioeconomic inequalities in mortality: a modelling study vol.30, pp.2, 2018, https://doi.org/10.1136/tobaccocontrol-2019-055348