F Faggiano1, E Versino, P Lemma. 1. Department of Public Health, University of Torino, Italy. fabrizio-faggiano@unito.it
Abstract
OBJECTIVE: To present social trends of smoking habits in Italy during the period 1980-1994. METHODS: Data from five national health surveys (1980, 1983, 1986-1987, 1990-1991, 1994) were analyzed in order to calculate smoking prevalences. Education attained was used as social class indicator. MAIN MEASURES: SDPs (prevalence rate standardized on the 1981 Italian population) and PRs (prevalence ratios primary school/degree). Confidence intervals and p-values were calculated as indicators of statistical significance. RESULTS: Among men SDP decreased from 59.5% in 1980 to 37.3% in 1994 and PRs for social classes varied from 1.21 in 1980 to 1.47 in 1994. Corresponding results for women were 17.9% to 20.0% and 0.36 to 0.73. CONCLUSIONS: Lower-educated men smoke more than those in higher social categories, and data collected during 1980-1994 in Italy show a tendency to increase such differentials. Among women this pattern was the opposite in 1980, with a tendency to reduce differences over time. Therefore, for both genders data show a progressive disadvantage for the low-educated categories. The greater compliance of better-educated groups with anti-smoking interventions must be taken into account, and should suggest "unequal" interventions that can be more effective among disadvantaged social groups.
OBJECTIVE: To present social trends of smoking habits in Italy during the period 1980-1994. METHODS: Data from five national health surveys (1980, 1983, 1986-1987, 1990-1991, 1994) were analyzed in order to calculate smoking prevalences. Education attained was used as social class indicator. MAIN MEASURES: SDPs (prevalence rate standardized on the 1981 Italian population) and PRs (prevalence ratios primary school/degree). Confidence intervals and p-values were calculated as indicators of statistical significance. RESULTS: Among men SDP decreased from 59.5% in 1980 to 37.3% in 1994 and PRs for social classes varied from 1.21 in 1980 to 1.47 in 1994. Corresponding results for women were 17.9% to 20.0% and 0.36 to 0.73. CONCLUSIONS: Lower-educated men smoke more than those in higher social categories, and data collected during 1980-1994 in Italy show a tendency to increase such differentials. Among women this pattern was the opposite in 1980, with a tendency to reduce differences over time. Therefore, for both genders data show a progressive disadvantage for the low-educated categories. The greater compliance of better-educated groups with anti-smoking interventions must be taken into account, and should suggest "unequal" interventions that can be more effective among disadvantaged social groups.
Authors: K Giskes; A E Kunst; J Benach; C Borrell; G Costa; E Dahl; J A A Dalstra; B Federico; U Helmert; K Judge; E Lahelma; K Moussa; P O Ostergren; S Platt; R Prattala; N K Rasmussen; J P Mackenbach Journal: J Epidemiol Community Health Date: 2005-05 Impact factor: 3.710
Authors: Bruna Galobardes; Michael C Costanza; Martine S Bernstein; Cecile Delhumeau; Alfredo Morabia Journal: Am J Public Health Date: 2003-08 Impact factor: 9.308