Lower levels of occupation, income and education are strongly associated with a longer smoking duration: Multivariate results from the 2001 Australian National Drug Strategy Survey

Mohammad Siahpush, G. Heller, G. Singh

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

Objective: Our aim was to investigate the association of socio-economic status (SES) with duration of smoking among ever smokers. Study design: We used a subsample of ever smokers (n = 9973) aged 18 + years from the 2001 National Drug Strategy Household Survey (conducted by the Australian Institute of Health and Welfare), which involved a multistage area sample and mainly self-administered questionnaires. Methods: The outcome was smoking duration from onset to cessation. We used survival analysis to predict smoking duration. Results: Results showed that smoking duration from onset to cessation was 14% longer for blue-collar workers than for professionals. Respondents who earned under $300/week smoked for 38% longer than those earning $800+/week. Individuals with less than 10 years of education smoked for 13% longer than those with 12 + years of education. Conclusions: Smokers from lower social strata smoke for much longer durations. This finding and the fact that smoking increases the likelihood of financial stress suggest that lower SES smokers who experience financial stress are more likely to suffer a longer period of compromised living standards than their counterparts in the higher strata. The financial and health burdens of smoking coupled with social inequalities in smoking behaviour suggest that smoking may exacerbate social class differences in health and standards of living. Thus, targeting smoking among disadvantaged groups would not only represent a public health policy but also a social policy to reduce social inequalities.

Original languageEnglish (US)
Pages (from-to)1105-1110
Number of pages6
JournalPublic Health
Volume119
Issue number12
DOIs
StatePublished - Dec 1 2005

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Occupations
smoking
occupation
Smoking
drug
Education
income
Pharmaceutical Preparations
education
standard of living
Public Policy
social inequality
social stratum
Health
health
Economics
Surveys and Questionnaires
Vulnerable Populations
Survival Analysis
household survey

Keywords

  • Australia
  • Smoking cessation
  • Socio-economic status

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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title = "Lower levels of occupation, income and education are strongly associated with a longer smoking duration: Multivariate results from the 2001 Australian National Drug Strategy Survey",
abstract = "Objective: Our aim was to investigate the association of socio-economic status (SES) with duration of smoking among ever smokers. Study design: We used a subsample of ever smokers (n = 9973) aged 18 + years from the 2001 National Drug Strategy Household Survey (conducted by the Australian Institute of Health and Welfare), which involved a multistage area sample and mainly self-administered questionnaires. Methods: The outcome was smoking duration from onset to cessation. We used survival analysis to predict smoking duration. Results: Results showed that smoking duration from onset to cessation was 14{\%} longer for blue-collar workers than for professionals. Respondents who earned under $300/week smoked for 38{\%} longer than those earning $800+/week. Individuals with less than 10 years of education smoked for 13{\%} longer than those with 12 + years of education. Conclusions: Smokers from lower social strata smoke for much longer durations. This finding and the fact that smoking increases the likelihood of financial stress suggest that lower SES smokers who experience financial stress are more likely to suffer a longer period of compromised living standards than their counterparts in the higher strata. The financial and health burdens of smoking coupled with social inequalities in smoking behaviour suggest that smoking may exacerbate social class differences in health and standards of living. Thus, targeting smoking among disadvantaged groups would not only represent a public health policy but also a social policy to reduce social inequalities.",
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