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Educational inequalities in initiation, cessation, and prevalence of smoking among 3 Italian birth cohorts

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  • Federico, B.
  • Costa, G.
  • Kunst, A.E.

Abstract

Objectives. We examined socioeconomic inequalities in initiation and cessation rates of smoking and the resultant inequality in smoking prevalence among 3 consecutive Italian birth cohorts. Methods. We used data from the 1999-2000 Italian National Health Interview Survey, which included 28958 men and 29769 women who were born between 1940 and 1969. The association between smoking variables and level of education was assessed with logistic regression and life table analyses. Results. Inequalities in the lifetime prevalence of smoking increased across the 3 birth cohorts in Italy. At age 40, lower-educated persons in the youngest cohort reported on average 1 to 5 years of additional exposure to regular smoking compared with higher-educated persons. Inequalities in smoking prevalence increased among both men and women because of widening inequalities in initiation rates. Among women, growing inequalities in cessation rates also played a role. Conclusions. The relative contribution of initiation and cessation to socioeconomic inequalities in smoking rates varied by both gender and birth cohort. For the youngest birth cohort, policies that address inequalities in smoking should focus on both initiation and cessation.

Suggested Citation

  • Federico, B. & Costa, G. & Kunst, A.E., 2007. "Educational inequalities in initiation, cessation, and prevalence of smoking among 3 Italian birth cohorts," American Journal of Public Health, American Public Health Association, vol. 97(5), pages 838-845.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.067082_4
    DOI: 10.2105/AJPH.2005.067082
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    Cited by:

    1. Quirmbach, Diana & Gerry, Christopher J., 2016. "Gender, education and Russia’s tobacco epidemic: A life-course approach," Social Science & Medicine, Elsevier, vol. 160(C), pages 54-66.
    2. Rebekka Christopoulou & Dean Lillard & Josè Balmori de la Miyar, 2013. "Smoking behavior of Mexicans: patterns by birth-cohort, gender, and education," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(3), pages 335-343, June.
    3. Ren, Yanjun & Castro Campos, Bente & Loy, Jens-Peter & Wang, Xiaobing, 2020. "Start Smoking Earlier, Smoke More: Does Education Matter?," 2020 Annual Meeting, July 26-28, Kansas City, Missouri 304237, Agricultural and Applied Economics Association.
    4. Damien Bricard & Florence Jusot & François Beck & Myriam Khlat & Stéphane Legleye, 2016. "Educational inequalities in smoking over the life cycle: an analysis by cohort and gender," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(1), pages 101-109, January.
    5. Anastase Tchicaya & Nathalie Lorentz & Stefaan Demarest, 2016. "Socioeconomic Inequalities in Smoking and Smoking Cessation Due to a Smoking Ban: General Population-Based Cross-Sectional Study in Luxembourg," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-15, April.
    6. Mohammad Siahpush & Ron Borland & Geoffrey T. Fong & Tara Elton-Marshall & Hua-Hie Yong & Charamporn Holumyong, 2011. "Socioeconomic Differences in the Effectiveness of the Removal of the “Light” Descriptor on Cigarette Packs: Findings from the International Tobacco Control (ITC) Thailand Survey," IJERPH, MDPI, vol. 8(6), pages 1-11, June.
    7. Valeria Glorioso & Maurizio Pisati, 2014. "Socioeconomic inequality in health-related behaviors: a lifestyle approach," Quality & Quantity: International Journal of Methodology, Springer, vol. 48(5), pages 2859-2879, September.

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