Document Detail

Trends in educational inequalities in smoking in northern, mid and southern Italy, 1980-2000.
MedLine Citation:
PMID:  15475024     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We aimed to determine the direction and magnitude of socioeconomic inequality in smoking in Italy over the last two decades, focusing on both national and macro-regional patterns. METHODS: We used data from six National Health Interview Surveys from 1980 to 2000, whose sample size ranged between 60,000 and 140,000. We calculated age-adjusted prevalence rates of current smoking and estimated odds ratios (OR) and relative indexes of inequality (with 95% confidence intervals) using logistic regression analysis. RESULTS: In men aged 25-49, the OR of current smoking of low compared to high educated was 1.26 (95% CI: 1.16, 1.37) in 1980 and 1.71 (95% CI: 1.62, 1.80) in 2000. A reversal of the association between education and tobacco use from positive (OR = 0.43) to negative (OR = 1.12) was found for women of the same age group. Changes in educational inequalities in smoking were similar between different macro-regions for men, whereas among women, smaller differentials over all the study period were found in southern regions compared to central and northern regions, despite similar direction in trends. CONCLUSIONS: The gap between high- and low-educated groups has widened, especially in the youngest generations. Southern regions lag behind central and northern Italy in the progression of the smoking epidemic.
B Federico; A E Kunst; F Vannoni; G Damiani; G Costa
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Preventive medicine     Volume:  39     ISSN:  0091-7435     ISO Abbreviation:  Prev Med     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-10-11     Completed Date:  2005-03-08     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0322116     Medline TA:  Prev Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  919-26     Citation Subset:  IM    
Department of Public Health, Erasmus Medical Center Rotterdam, Netherlands.
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MeSH Terms
Age Distribution
Confidence Intervals
Educational Status
Health Surveys
Italy / epidemiology
Middle Aged
Sex Distribution
Smoking / epidemiology,  trends*

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