Relative and absolute socioeconomic inequality in smoking: time trends in Germany from 1995 to 2013
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Contributors
Abstract
Purpose: This study aimed to investigate time trends in relative and absolute socioeconomic inequality in smoking prevalence in Germany using several indicators for socioeconomic position. Methods: We conducted a repeated cross-sectional study using representative samples of the German population aged between 25 and 64 years in 1995, 1999, 2005, 2009, and 2013 (n = 857,264). Socioeconomic position was measured by indicators for income, education, and occupation. Relative and absolute socioeconomic inequalities were estimated with the regression-based relative index of inequality and the slope index of inequality, respectively. Trends in inequalities were estimated with interaction terms for time and relative index of inequality/slope index of inequality. Results: Highest and increasing smoking prevalence was observed among long-term unemployed and people with less than 60% of the median household income. Between 1995 and 2013, relative increases in inequalities in smoking prevalence ranged from 31% (95% confidence interval, 26%–36%; men, occupation) to 94% (95% confidence interval, 84%–104%; women, education). Absolute increases ranged from 6.2 (95% confidence interval, 4.7–7.6) percentage points (men, occupation) to 20.3 (95% confidence interval, 18.9–21.7) percentage points (women, education). Conclusions: Relative and absolute socioeconomic inequalities in smoking prevalence increased in Germany between 1995 and 2013, with regard to income, education, and occupation, particularly among women.
Details
Original language | English |
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Pages (from-to) | 89-94.e2 |
Journal | Annals of epidemiology |
Volume | 53 |
Publication status | Published - Jan 2021 |
Peer-reviewed | Yes |
External IDs
PubMed | 32920099 |
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ORCID | /0000-0001-9654-2207/work/142254147 |
Keywords
ASJC Scopus subject areas
Keywords
- Education, Germany, Health disparities, Health inequalities, Income, Occupation, Smoking epidemic, Smoking prevalence