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Socioeconomic inequality in tobacco use in Kenya: a concentration analysis

Author

Listed:
  • Hermann Pythagore Pierre Donfouet

    (APHRC Campus - African Population and Health Research Center, Inc)

  • Shukri F. Mohamed

    (APHRC Campus - African Population and Health Research Center, Inc)

  • Eric Malin

    (CREM - Centre de recherche en économie et management - UNICAEN - Université de Caen Normandie - NU - Normandie Université - UR - Université de Rennes - CNRS - Centre National de la Recherche Scientifique)

Abstract

This paper aims at assessing and exploring socioeconomic inequalities in tobacco use in Kenya. Using the theory of fundamental causes, and concentration index, we investigate the determinants of tobacco use, and whether it disproportionately affects the poor. All data used in this study emanated from the 2014 Global Adult Tobacco Survey implemented in Kenya on a nationally representative sample of men and women aged 15 years and older. Our results suggest a link between tobacco use and socioeconomic inequality. Overall, poorer households are more affected by tobacco use than richer households. This socioeconomic inequality is more evident among men and households living in urban areas. The decomposition of the concentration index indicates that the overall socioeconomic inequality for current tobacco smokers is explained by 69.11% of household wealth. To reduce the prevalence rate of smoking in Kenya, policymakers could design and implement tobacco control programs through the equity lens. Community health workers could be used to promote non-smoking behaviors among the poor.

Suggested Citation

  • Hermann Pythagore Pierre Donfouet & Shukri F. Mohamed & Eric Malin, 2021. "Socioeconomic inequality in tobacco use in Kenya: a concentration analysis," Post-Print hal-03127785, HAL.
    • Handle: RePEc:hal:journl:hal-03127785
    DOI: 10.1007/s10754-020-09292-0
    Note: View the original document on HAL open archive server: https://hal.science/hal-03127785v1
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    Cited by:

    1. Nguyen, Duyen Thuy & Donnelly, Michael & Van Hoang, Minh & O'Neill, Ciaran, 2023. "The case for individualised public health interventions: Smoking prevalence and inequalities in Northern Ireland 1985-2015," Health Policy, Elsevier, vol. 135(C).
    2. Aristides Dos Santos, Anderson Moreira & Triaca, Lívia Madeira & Leivas, Pedro Henrique Soares, 2023. "How is smoking distributed in relation to socioeconomic status? Evidence from Brazil in the years 2013 and 2019," Economics & Human Biology, Elsevier, vol. 49(C).

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    Keywords

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    JEL classification:

    • D - Microeconomics
    • C2 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • L66 - Industrial Organization - - Industry Studies: Manufacturing - - - Food; Beverages; Cosmetics; Tobacco

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