Socio-economic health disparities in tobacco smoking among Afro-Caribbean adults: Findings from the Jamaica Health and Lifestyle Survey 20072008
West Indian med. j
; 65(Supp. 3): [44], 2016.
Article
in English
| MedCarib
| ID: med-18127
Responsible library:
TT2.1
Localization: TT5; W1, WE389
ABSTRACT
OBJECTIVES:
To evaluate whether education attainment oroccupation class was associated with the prevalence of tobacco smoking among Jamaican adults. SUBJECTS ANDMETHODS:
This study was a secondary analysis of data collected from the Jamaica Health and Lifestyle Survey 20072008 (JHLS-II) and included participants who were 2574 years old. Data on current tobacco smoking, highest educational attainment and usual occupation were collected using an interviewer-administered questionnaire. Poisson regression models were used to estimate sex-specific, age-adjusted prevalence and prevalence ratios (PR).RESULTS:
Analyses included 2299 participants (696 men,1603 women) with mean age of 42.9 years. Prevalence of current smoking among men and women was 25.8% and 7.8%, respectively (p < 0.001). Age-adjusted prevalence of current smoking in men was highest in the primary education group (36.5%) and lowest in the post-secondary education group (10.2%), p (trend) = 0.003. Among women, prevalence was highest among those with junior secondary education (10.2%) and lowest among those with primary education (4.7%), p (trend) = 0.014. Using post secondary education as the reference category, age adjusted PR showed statistically significant two- to three fold higher prevalence of current smoking for all the lower education groups among men. Prevalence ratios for women were lower and not statistically significant. Disparity patterns for occupation were similar, with statistically significant higher age-adjusted prevalence among men in the lower occupational categories, but not among women.CONCLUSION:
There are large socio-economic disparities in tobacco smoking among men, but less so among women in Jamaica. Interventions to reduce smoking should consider these socio-economic disparities.
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Collection:
International databases
Health context:
Sustainable Health Agenda for the Americas
Health problem:
Goal 1 Equitable access to health services
/
Goal 11: Inequalities and inequities in health
Database:
MedCarib
Main subject:
Tobacco
/
Smoking
/
Jamaica
Type of study:
Diagnostic study
/
Health economic evaluation
/
Prognostic study
/
Risk factors
Aspects:
Social determinants of health
/
Equity and inequality
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
English Caribbean
/
Jamaica
Language:
English
Journal:
West Indian med. j
Year:
2016
Document type:
Article
/
Congress and conference
Institution/Affiliation country:
The University of the West Indies/Jamaica