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Social disparities in Tobacco use in Mumbai, India: The roles of occupation, education, and gender

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  • Sorensen, G.
  • Gupta, P.C.
  • Pednekar, M.S.

Abstract

Objectives. We assessed social disparities in the prevalence of overall tobacco use, smoking, and smokeless tobacco use in Mumbai, India, by examining occupation-, education-, and gender-specific patterns. Methods. Data were derived from a cross-sectional survey conducted between 1992 and 1994 as the baseline for the Mumbai Cohort Study (n=81837). Results. Odds ratios (ORs) for overall tobacco use according to education level (after adjustment for age and occupation) showed a strong gradient; risks were higher among illiterate participants (male OR = 7.38, female OR = 20.95) than among college educated participants. After age and education had been controlled, odds of tobacco use were also significant according to occupation; unskilled male workers (OR = 1.66), male service workers (OR = 1.32), and unemployed individuals (male OR = 1.84, female OR = 1.95) were more at risk than professionals. The steepest education- and occupation-specific gradients were observed among male bidi smokers and female smokeless tobacco users. Conclusions. The results of this study indicate that education and occupation have important simultaneous and independent relationships with tobacco use that require attention from policymakers and researchers alike.

Suggested Citation

  • Sorensen, G. & Gupta, P.C. & Pednekar, M.S., 2005. "Social disparities in Tobacco use in Mumbai, India: The roles of occupation, education, and gender," American Journal of Public Health, American Public Health Association, vol. 95(6), pages 1003-1008.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.045039_6
    DOI: 10.2105/AJPH.2004.045039
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    Cited by:

    1. Fred Pampel & Justin Denney, 2011. "Cross-National Sources of Health Inequality: Education and Tobacco Use in the World Health Survey," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 653-674, May.
    2. Rohini Ruhil, 2019. "Sociodemographic Determinants of Tobacco Use in India: Risks of Risk Factor—An Analysis of Global Adult Tobacco Survey India 2016-2017," SAGE Open, , vol. 9(2), pages 21582440198, April.
    3. Sawsan Abdulrahim & Mohammed Jawad, 2018. "Socioeconomic differences in smoking in Jordan, Lebanon, Syria, and Palestine: A cross-sectional analysis of national surveys," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-11, January.

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