Thirty-eight-year trends of educational differences in smoking in Finland

Otto Ruokolainen, Antero Heloma, Pekka Jousilahti, Jouni Lahti, Oona Pentala-Nikulainen, Ossi Rahkonen, Pekka Puska

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

Sammanfattning

Objectives
Smoking is declining, but it is unevenly distributed among population groups. Our aim was to examine the socio-economic differences in smoking during 1978–2016 in Finland, a country with a history of strict tobacco control policy.

Methods
Annual population-based random sample data of 25–64-year-olds from 1978 to 2016 (N = 104,315) were used. Response rate varied between 84 and 40%. In addition to logistic regression analysis, absolute and relative educational differences in smoking were examined.

Results
Smoking was more prevalent among the less educated but declined in all educational groups during the study period. Both absolute and relative differences in smoking between the less and highly educated were larger at the end of the study period than at the beginning. Cigarette price seemed to have a larger effect on the smoking among the less educated.

Conclusions
Socio-economic differences in smoking among the Finnish adult population have increased since the 1970s until 2016. Further actions are needed, especially focusing on lower socio-economic positions, to tackle inequalities in health. They should include support for smoking cessation and larger cigarette tax increases.
Originalspråkengelska
TidskriftInternational Journal of Public Health
Volym64
Utgåva6
Sidor (från-till)853–860
Antal sidor8
ISSN1661-8564
DOI
StatusPublicerad - jul 2019
MoE-publikationstypA1 Tidskriftsartikel-refererad

Vetenskapsgrenar

  • 3142 Folkhälsovetenskap, miljö och arbetshälsa

Citera det här

Ruokolainen, Otto ; Heloma, Antero ; Jousilahti, Pekka ; Lahti, Jouni ; Pentala-Nikulainen, Oona ; Rahkonen, Ossi ; Puska, Pekka. / Thirty-eight-year trends of educational differences in smoking in Finland. I: International Journal of Public Health . 2019 ; Vol. 64, Nr. 6. s. 853–860.
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abstract = "ObjectivesSmoking is declining, but it is unevenly distributed among population groups. Our aim was to examine the socio-economic differences in smoking during 1978–2016 in Finland, a country with a history of strict tobacco control policy.MethodsAnnual population-based random sample data of 25–64-year-olds from 1978 to 2016 (N = 104,315) were used. Response rate varied between 84 and 40{\%}. In addition to logistic regression analysis, absolute and relative educational differences in smoking were examined.ResultsSmoking was more prevalent among the less educated but declined in all educational groups during the study period. Both absolute and relative differences in smoking between the less and highly educated were larger at the end of the study period than at the beginning. Cigarette price seemed to have a larger effect on the smoking among the less educated.ConclusionsSocio-economic differences in smoking among the Finnish adult population have increased since the 1970s until 2016. Further actions are needed, especially focusing on lower socio-economic positions, to tackle inequalities in health. They should include support for smoking cessation and larger cigarette tax increases.",
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Thirty-eight-year trends of educational differences in smoking in Finland. / Ruokolainen, Otto; Heloma, Antero; Jousilahti, Pekka; Lahti, Jouni; Pentala-Nikulainen, Oona; Rahkonen, Ossi; Puska, Pekka.

I: International Journal of Public Health , Vol. 64, Nr. 6, 07.2019, s. 853–860.

Forskningsoutput: TidskriftsbidragArtikelVetenskapligPeer review

TY - JOUR

T1 - Thirty-eight-year trends of educational differences in smoking in Finland

AU - Ruokolainen, Otto

AU - Heloma, Antero

AU - Jousilahti, Pekka

AU - Lahti, Jouni

AU - Pentala-Nikulainen, Oona

AU - Rahkonen, Ossi

AU - Puska, Pekka

PY - 2019/7

Y1 - 2019/7

N2 - ObjectivesSmoking is declining, but it is unevenly distributed among population groups. Our aim was to examine the socio-economic differences in smoking during 1978–2016 in Finland, a country with a history of strict tobacco control policy.MethodsAnnual population-based random sample data of 25–64-year-olds from 1978 to 2016 (N = 104,315) were used. Response rate varied between 84 and 40%. In addition to logistic regression analysis, absolute and relative educational differences in smoking were examined.ResultsSmoking was more prevalent among the less educated but declined in all educational groups during the study period. Both absolute and relative differences in smoking between the less and highly educated were larger at the end of the study period than at the beginning. Cigarette price seemed to have a larger effect on the smoking among the less educated.ConclusionsSocio-economic differences in smoking among the Finnish adult population have increased since the 1970s until 2016. Further actions are needed, especially focusing on lower socio-economic positions, to tackle inequalities in health. They should include support for smoking cessation and larger cigarette tax increases.

AB - ObjectivesSmoking is declining, but it is unevenly distributed among population groups. Our aim was to examine the socio-economic differences in smoking during 1978–2016 in Finland, a country with a history of strict tobacco control policy.MethodsAnnual population-based random sample data of 25–64-year-olds from 1978 to 2016 (N = 104,315) were used. Response rate varied between 84 and 40%. In addition to logistic regression analysis, absolute and relative educational differences in smoking were examined.ResultsSmoking was more prevalent among the less educated but declined in all educational groups during the study period. Both absolute and relative differences in smoking between the less and highly educated were larger at the end of the study period than at the beginning. Cigarette price seemed to have a larger effect on the smoking among the less educated.ConclusionsSocio-economic differences in smoking among the Finnish adult population have increased since the 1970s until 2016. Further actions are needed, especially focusing on lower socio-economic positions, to tackle inequalities in health. They should include support for smoking cessation and larger cigarette tax increases.

KW - 3142 Public health care science, environmental and occupational health

KW - Smoking

KW - Socio-economic position

KW - Inequalities

KW - Population-based survey

KW - Price

KW - Trends

U2 - 10.1007/s00038-019-01228-x

DO - 10.1007/s00038-019-01228-x

M3 - Article

VL - 64

SP - 853

EP - 860

JO - International Journal of Public Health

JF - International Journal of Public Health

SN - 1661-8556

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