Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis

Background: To assess socio-economic inequality in the prevalence of tobacco smoking among Iranian adults in 2010. Methods: Data from the fifth national STEPS survey were analyzed. A blinder- Oaxaca decomposition model was applied to assess socio-economic inequality in the prevalence of daily cig...

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Main Authors: Saeed Nemati, Ali Rafei, Hedieh Mehrtash, Neal D. Freedman, Akbar Fotouhi, Kazem Zendehdel
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2020-04-01
Series:Basic & Clinical Cancer Research
Subjects:
Online Access:https://bccr.tums.ac.ir/index.php/bccrj/article/view/331
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author Saeed Nemati
Ali Rafei
Hedieh Mehrtash
Neal D. Freedman
Akbar Fotouhi
Kazem Zendehdel
author_facet Saeed Nemati
Ali Rafei
Hedieh Mehrtash
Neal D. Freedman
Akbar Fotouhi
Kazem Zendehdel
author_sort Saeed Nemati
collection DOAJ
description Background: To assess socio-economic inequality in the prevalence of tobacco smoking among Iranian adults in 2010. Methods: Data from the fifth national STEPS survey were analyzed. A blinder- Oaxaca decomposition model was applied to assess socio-economic inequality in the prevalence of daily cigarette and water-pipe smoking in men and women. Results: Overall, 4,203 participants appeared to be in the first and fifth quintiles of SES For men, the prevalence of daily cigarette smoking was higher among those with low SES  (23.1%) than those with high SES (11.1%) (P<0.001), which was mainly related to educational level (8.6%), residential area (-2.7%) and being exposed to cigarette smoker at home/work (1.3%). Likewise, we found a higher prevalence of daily water-pipe use among low SES (4.4%) women than high SES women (1.3%), Education plays a significant role in this difference (P=0.003). Conclusion: In conclusion, our findings reflect a strong association of education and economic level with tobacco smoking. Such factors must be considered as a pivotal basis for the design of tobacco control program at national and sub-national scales.
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spelling doaj.art-d34d9ea6e5f648c89f7d15d87ae9d5da2022-12-21T21:14:18ZengTehran University of Medical SciencesBasic & Clinical Cancer Research2228-65272228-54662020-04-0111410.18502/bccr.v11i4.5723Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition AnalysisSaeed Nemati0Ali Rafei1Hedieh Mehrtash2Neal D. Freedman3Akbar Fotouhi4Kazem Zendehdel5Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, I.R. Iran. AND Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, I.R. Iran.Cancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, I.R. Iran.Center for Global Health, National Cancer Institute, National Institutes of Health, Rockville, Maryland, United States of America.Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, Maryland, United States of America.Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, I.R. IranCancer Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, Tehran, I.R. Iran. AND Cancer Biology Research Center, Cancer Institute of Iran, Tehran University of Medical Sciences, I.R. Iran .Background: To assess socio-economic inequality in the prevalence of tobacco smoking among Iranian adults in 2010. Methods: Data from the fifth national STEPS survey were analyzed. A blinder- Oaxaca decomposition model was applied to assess socio-economic inequality in the prevalence of daily cigarette and water-pipe smoking in men and women. Results: Overall, 4,203 participants appeared to be in the first and fifth quintiles of SES For men, the prevalence of daily cigarette smoking was higher among those with low SES  (23.1%) than those with high SES (11.1%) (P<0.001), which was mainly related to educational level (8.6%), residential area (-2.7%) and being exposed to cigarette smoker at home/work (1.3%). Likewise, we found a higher prevalence of daily water-pipe use among low SES (4.4%) women than high SES women (1.3%), Education plays a significant role in this difference (P=0.003). Conclusion: In conclusion, our findings reflect a strong association of education and economic level with tobacco smoking. Such factors must be considered as a pivotal basis for the design of tobacco control program at national and sub-national scales.https://bccr.tums.ac.ir/index.php/bccrj/article/view/331Cigarette SmokingWater Pipe SmokingSocioeconomic FactorsDiscriminationHealth Care Surveys
spellingShingle Saeed Nemati
Ali Rafei
Hedieh Mehrtash
Neal D. Freedman
Akbar Fotouhi
Kazem Zendehdel
Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis
Basic & Clinical Cancer Research
Cigarette Smoking
Water Pipe Smoking
Socioeconomic Factors
Discrimination
Health Care Surveys
title Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis
title_full Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis
title_fullStr Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis
title_full_unstemmed Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis
title_short Socioeconomic inequality in prevalence of cigarette and Water-pipe smoking among Iranian adults: A blinder- Oaxaca decomposition Analysis
title_sort socioeconomic inequality in prevalence of cigarette and water pipe smoking among iranian adults a blinder oaxaca decomposition analysis
topic Cigarette Smoking
Water Pipe Smoking
Socioeconomic Factors
Discrimination
Health Care Surveys
url https://bccr.tums.ac.ir/index.php/bccrj/article/view/331
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