Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.

<h4>Background</h4>Tobacco use has been identified as the single biggest cause of inequality in morbidity. The objective of this study is to examine the role of social determinants on current tobacco use in thirteen low-and-middle income countries.<h4>Methodology/principal findings...

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Autores principales:	Krishna M Palipudi, Prakash C Gupta, Dhirendra N Sinha, Linda J Andes, Samira Asma, Tim McAfee, GATS Collaborative Group
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d3d556c256fe49fcb27ae4cce3fe09c5
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spelling	oai:doaj.org-article:d3d556c256fe49fcb27ae4cce3fe09c52021-11-18T07:24:52ZSocial determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.1932-620310.1371/journal.pone.0033466https://doaj.org/article/d3d556c256fe49fcb27ae4cce3fe09c52012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22438937/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Tobacco use has been identified as the single biggest cause of inequality in morbidity. The objective of this study is to examine the role of social determinants on current tobacco use in thirteen low-and-middle income countries.<h4>Methodology/principal findings</h4>We used nationally representative data from the Global Adult Tobacco Survey (GATS) conducted during 2008-2010 in 13 low-and-middle income countries: Bangladesh, China, Egypt, India, Mexico, Philippines, Poland, Russian Federation, Thailand, Turkey, Ukraine, Uruguay, and Viet Nam. These surveys provided information on 209,027 respondent's aged 15 years and above and the country datasets were analyzed individually for estimating current tobacco use across various socio-demographic factors (gender, age, place of residence, education, wealth index, and knowledge on harmful effects of smoking). Multiple logistic regression analysis was used to predict the impact of these determinants on current tobacco use status. Current tobacco use was defined as current smoking or use of smokeless tobacco, either daily or occasionally. Former smokers were excluded from the analysis. Adjusted odds ratios for current tobacco use after controlling other cofactors, was significantly higher for males across all countries and for urban areas in eight of the 13 countries. For educational level, the trend was significant in Bangladesh, Egypt, India, Philippines and Thailand demonstrating decreasing prevalence of tobacco use with increasing levels of education. For wealth index, the trend of decreasing prevalence of tobacco use with increasing wealth was significant for Bangladesh, India, Philippines, Thailand, Turkey, Ukraine, Uruguay and Viet Nam. The trend of decreasing prevalence with increasing levels of knowledge on harmful effects of smoking was significant in China, India, Philippines, Poland, Russian Federation, Thailand, Ukraine and Viet Nam.<h4>Conclusions/significance</h4>These findings demonstrate a significant but varied role of social determinants on current tobacco use within and across countries.Krishna M PalipudiPrakash C GuptaDhirendra N SinhaLinda J AndesSamira AsmaTim McAfeeGATS Collaborative GroupPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 3, p e33466 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Krishna M Palipudi Prakash C Gupta Dhirendra N Sinha Linda J Andes Samira Asma Tim McAfee GATS Collaborative Group Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.
description	<h4>Background</h4>Tobacco use has been identified as the single biggest cause of inequality in morbidity. The objective of this study is to examine the role of social determinants on current tobacco use in thirteen low-and-middle income countries.<h4>Methodology/principal findings</h4>We used nationally representative data from the Global Adult Tobacco Survey (GATS) conducted during 2008-2010 in 13 low-and-middle income countries: Bangladesh, China, Egypt, India, Mexico, Philippines, Poland, Russian Federation, Thailand, Turkey, Ukraine, Uruguay, and Viet Nam. These surveys provided information on 209,027 respondent's aged 15 years and above and the country datasets were analyzed individually for estimating current tobacco use across various socio-demographic factors (gender, age, place of residence, education, wealth index, and knowledge on harmful effects of smoking). Multiple logistic regression analysis was used to predict the impact of these determinants on current tobacco use status. Current tobacco use was defined as current smoking or use of smokeless tobacco, either daily or occasionally. Former smokers were excluded from the analysis. Adjusted odds ratios for current tobacco use after controlling other cofactors, was significantly higher for males across all countries and for urban areas in eight of the 13 countries. For educational level, the trend was significant in Bangladesh, Egypt, India, Philippines and Thailand demonstrating decreasing prevalence of tobacco use with increasing levels of education. For wealth index, the trend of decreasing prevalence of tobacco use with increasing wealth was significant for Bangladesh, India, Philippines, Thailand, Turkey, Ukraine, Uruguay and Viet Nam. The trend of decreasing prevalence with increasing levels of knowledge on harmful effects of smoking was significant in China, India, Philippines, Poland, Russian Federation, Thailand, Ukraine and Viet Nam.<h4>Conclusions/significance</h4>These findings demonstrate a significant but varied role of social determinants on current tobacco use within and across countries.
format	article
author	Krishna M Palipudi Prakash C Gupta Dhirendra N Sinha Linda J Andes Samira Asma Tim McAfee GATS Collaborative Group
author_facet	Krishna M Palipudi Prakash C Gupta Dhirendra N Sinha Linda J Andes Samira Asma Tim McAfee GATS Collaborative Group
author_sort	Krishna M Palipudi
title	Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.
title_short	Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.
title_full	Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.
title_fullStr	Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.
title_full_unstemmed	Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.
title_sort	social determinants of health and tobacco use in thirteen low and middle income countries: evidence from global adult tobacco survey.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/d3d556c256fe49fcb27ae4cce3fe09c5
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Social determinants of health and tobacco use in thirteen low and middle income countries: evidence from Global Adult Tobacco Survey.

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