Abstract：
:We evaluated the effects of socioeconomic status on the prevalence of current smoking, number of cigarettes smoked per day and pack-years, and the extent to which prevalence and consumption co-vary across communities, health regions, and provinces in Canada between 2001 and 2010. Current smoking, cigarettes per day, and pack-years were considered as outcomes within individuals using a multilevel analytical framework. Markers of SES were education, income, and occupation. Residual covariance estimated at the different levels of geography was used to determine if areas high in current smoking were also high on levels of consumption. A strong inverse gradient was found between education and current smoking and level of consumption with large variation found in levels of consumption between individual smokers. The co-variation between current smoking and level of consumption was positive and statistically significant at the level of communities and health regions. Our findings suggest that novel policy efforts may be needed to encourage smoking prevention/cessation among certain population groups and in places with high levels of smoking prevalence and tobacco use intensity.
journal_name
Health Placejournal_title
Health & placeauthors
Corsi DJ,Subramanian SV,Lear SA,Chow CK,Teo KK,Boyle MHdoi
10.1016/j.healthplace.2013.03.001subject
Has Abstractpub_date
2013-07-01 00:00:00pages
29-37eissn
1353-8292issn
1873-2054pii
S1353-8292(13)00036-1journal_volume
22pub_type
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