Gender and tobacco epidemic in South Korea: implications from age-period-cohort analysis and the DPSEEA framework.
BMJ Open
; 12(4): e058903, 2022 04 12.
Article
en En
| MEDLINE
| ID: mdl-35414561
ABSTRACT
OBJECTIVES:
To understand a 20-year trend of gender-specific smoking prevalence among adults in South Korea.DESIGN:
Age-period-cohort analysis using the intrinsic estimator method was applied to examine the separate contribution of age, period and cohort effect on smoking prevalence. The Driving Force-Pressure-State-Exposure-Effect-Action (DPSEEA) framework was used to explain the observed smoking trends by mapping potential determinants and to address policy implications.SETTING:
General adult population in South Korea.PARTICIPANTS:
34 828 men and 43 632 women who aged 19-78 years, were not currently pregnant and were without a prior diagnosis of cardiovascular disease or cancer. OUTCOMEMEASURES:
Gender-specific current smoking prevalence using the 1998-2017 Korea National Health and Nutrition Examination Survey.RESULTS:
Our results showed gender-specific age and birth cohort effects. More specifically, the smoking prevalence peaked at their mid-20s (prevalence rate ratio (PRR) 1.54, 95% CI 1.49 to 1.59) and cohort born in 1959-1963 (PRR 1.63, 95% CI 1.57 to 1.70) and then decreased in men. On the other hand, in women, the smoking prevalence consistently increased until their mid-40s (PRR 1.53, 95% CI 1.27 to 1.84) and in recent birth cohort groups (PRR in 1994-1998 cohort 1.55, 95% CI 1.13 to 2.13). The period effects declined from 1998-2002 to 2003-2007, following increasing fluctuations in both genders. The smoking-DPSEEA framework showed the absence of policy actions to target female smokers and emphasised a proactive approach that tackles the upstream causes for smoking in women.CONCLUSIONS:
Men and women are clearly in different phases of the smoking epidemic in Korean population, and gender-tailored policies should be implemented.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Nicotiana
/
Productos de Tabaco
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
/
Pregnancy
País/Región como asunto:
Asia
Idioma:
En
Revista:
BMJ Open
Año:
2022
Tipo del documento:
Article