Trends in Smoking Behaviour Between 1985 and 2000 in Nine European countries by Education

Giskes, Katrina M., Kunst, Anton E., Benach, Joan, Borrell, Carme, Costa, Guiseppe, Dahl, Espen, Dalstra, Jetty A., Federico, Bruno, Helmert, Uwe, Judge, Ken, Lahelma, Eero, Moussa, Kontie, Ostergren, Per-Olof, Platt, Steve, Prattala, Ritva, Rasmussen, Niels Kr., & Mackenbach, Johan P. (2005) Trends in Smoking Behaviour Between 1985 and 2000 in Nine European countries by Education. Journal of Epidemiology and Community Health, 59(5), pp. 395-401.

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Objective: To examine whether trends in smoking behaviour in Western Europe between 1985 and 2000 differed by education group.
Design: Data of smoking behaviour and education level were obtained from national cross-sectional surveys conducted between 1985 and 2000 (a period characterised by intense tobacco-control policies) and analysed for countries combined and each country separately. Annual trends in smoking prevalence and the quantity of cigarettes consumed by smokers were summarised for each education level. Education inequalities in smoking were examined at four time points.
Setting: Data were obtained from nine European countries: Norway, Sweden, Denmark, Finland, the United Kingdom, the Netherlands, Germany, Italy and Spain. Participants: 451386 non-institutionalised men and women 25-79 years old.
Main outcome measures: Smoking status, daily quantity of cigarettes consumed by smokers. Results: Combined-country analyses showed greater declines in smoking and tobacco consumption among tertiary-educated men and women compared to their less-educated counterparts. In country-specific analyses, elementary-educated British men and women, and elementary-educated Italian men demonstrated greater declines in smoking than their more-educated counterparts. Among Swedish, Finnish, Danish, German, Italian and Spanish women, greater declines were seen among more-educated groups.
Conclusions: Widening education inequalities in smoking–related diseases may be seen in several European countries in the future. More insight into effective strategies specifically targeting the smoking behaviour of low-educated groups may be gained from examining the tobacco-control policies of the UK and Italy over this period.

Impact and interest:

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ID Code: 7801
Item Type: Journal Article
Refereed: Yes
Keywords: Smoking, Education, Europe
DOI: 10.1136/jech.2004.025684
ISSN: 0143-005X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2005 BMJ Publishing Group
Copyright Statement: Reproduced in accordance with the copyright policy of the publisher.
Deposited On: 23 May 2007 00:00
Last Modified: 29 Feb 2012 13:28

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