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Socioeconomic patterns of smoking cessation behavior in low and middle-income countries: Emerging evidence from the Global Adult Tobacco Surveys and International Tobacco Control Surveys

Author

Listed:
  • Nigar Nargis
  • Hua-Hie Yong
  • Pete Driezen
  • Lazarous Mbulo
  • Luhua Zhao
  • Geoffrey T Fong
  • Mary E Thompson
  • Ron Borland
  • Krishna M Palipudi
  • Gary A Giovino
  • James F Thrasher
  • Mohammad Siahpush

Abstract

Introduction: Tobacco smoking is often more prevalent among those with lower socio-economic status (SES) in high-income countries, which can be driven by the inequalities in initiation and cessation of smoking. Smoking is a leading contributor to socio-economic disparities in health. To date, the evidence for any socio-economic inequality in smoking cessation is lacking, especially in low- and middle-income countries (LMICs). This study examined the association between cessation behaviours and SES of smokers from eight LMICs. Methods: Data among former and current adult smokers aged 18 and older came from contemporaneous Global Adult Tobacco Surveys (2008–2011) and the International Tobacco Control Surveys (2009–2013) conducted in eight LMICs (Bangladesh, Brazil, China, India, Mexico, Malaysia, Thailand and Uruguay). Adjusted odds ratios (AORs) of successful quitting in the past year by SES indicators (household income/wealth, education, employment status, and rural-urban residence) were estimated using multivariable logistic regression controlling for socio-demographics and average tobacco product prices. A random effects meta-analysis was used to combine the estimates of AORs pooled across countries and two concurrent surveys for each country. Results: Estimated quit rates among smokers (both daily and occasional) varied widely across countries. Meta-analysis of pooled AORs across countries and data sources indicated that there was no clear evidence of an association between SES indicators and successful quitting. The only exception was employed smokers, who were less likely to quit than their non-employed counterparts, which included students, homemakers, retirees, and the unemployed (pooled AOR≈0.8, p

Suggested Citation

  • Nigar Nargis & Hua-Hie Yong & Pete Driezen & Lazarous Mbulo & Luhua Zhao & Geoffrey T Fong & Mary E Thompson & Ron Borland & Krishna M Palipudi & Gary A Giovino & James F Thrasher & Mohammad Siahpush, 2019. "Socioeconomic patterns of smoking cessation behavior in low and middle-income countries: Emerging evidence from the Global Adult Tobacco Surveys and International Tobacco Control Surveys," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-24, September.
    • Handle: RePEc:plo:pone00:0220223
    DOI: 10.1371/journal.pone.0220223
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    References listed on IDEAS

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    1. Matthew C Farrelly & James M Nonnemaker & Kimberly A Watson, 2012. "The Consequences of High Cigarette Excise Taxes for Low-Income Smokers," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-7, September.
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    4. Lee, C.-W. & Kahende, J., 2007. "Factors associated with successful smoking cessation in the United States, 2000," American Journal of Public Health, American Public Health Association, vol. 97(8), pages 1503-1509.
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    3. Rula Sa & Seung Chun Paek, 2024. "Changes in the Socioeconomic Pattern of Smoking Among Male Adults in Thailand from 2001 to 2021," SAGE Open, , vol. 14(2), pages 21582440241, May.

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