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Socioeconomic Predictors of Smoking Behavior

 

Eman  Mahfouz1,3, Rehab  Abdel Rahman1,2, Ghada Radwan1,5; Eman Al Tahlawy1,5, Mostafa Mohamed1,2, Fatma Abdel-Aziz1,4 and Ebenezer Israel1,6
Egyptian Smoking Prevention Research Institute (ESPRI)1, Ain Shams University Faculty of Medicine 2, Mania University School of Medicine 3,
 Egyptian Ministry of Health and Population 4 , Cairo University Faculty of Medicine 5 and University of Maryland 6.

Abstract

To characterize the relationship between socioeconomic indicators and cigarette smoking. A household smoking health survey was carried out in rural Egypt. Four measures of socioeconomic status (SES) were used: four quartiles for income and material wealth, five groups of educational attainment and three occupational categories. Fagerstrom index was used to calculate dependency.

 Out of 4994 of adult male smokers, 36% were current smokers and 3.7% were highly dependent on nicotine. There is clear gradient in smoking behavior across various dimensions of SES.

Current smokers were significantly more likely to have low job status, income and literacy and nicotine dependency (p < 0.01). Quit attempts are associated with high income and education as well as with high working status (p< 0.01). Smokers of high working status are more likely to believe that smoking decreases life expectancy (p< 0.003), affects fetuses (p< 0.000), more likely to be exposed to anti-smoking messages (p < 0.04), less likely to have current chest problems (p< 0.000), and are more knowledgeable about the dangers of passive smoking (p <0.000). Material wealth in this study was found to be irrelevant to the smoking behavior.

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