Differences in tobacco smoking status in segments of the Australian population

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Julian de Meyrick ◽  
Farhat Yusuf
Keyword(s):  
Tobacco Smoking ◽  
Multinomial Logistic Regression ◽  
Smoking Status ◽  
Age Groups ◽  
Smoking Behaviour ◽  
Australian Population ◽  
Disadvantaged Area ◽  
Cross Sectional ◽  
Content Type ◽  
Never Smokers

PurposeThe purpose of this study is to identify correlates of tobacco smoking behaviour across various socio-demographic segments of the Australian population.Design/methodology/approachData from two nationally representative, probability samples of persons 18 and over, surveyed by the Australian Bureau of Statistics in 2001 and 2017–2018 were analysed using multinomial logistic regression.FindingsOverall, the prevalence of current smokers declined from 24.3 to 15%. More than half of the population had never smoked. The prevalence of ex-smokers increased slightly to 30%. Prevalence of current smoking was higher among older age groups and among those with lower educational achievement, lower income, living in a disadvantaged area and experiencing increasing stress. Females were more likely than males to be never-smokers. Males were more likely than females to be current smokers.Research limitations/implicationsThe findings are based on two cross-sectional surveys conducted 17 years apart. It is not possible to draw any conclusions about the actual trajectories of the changes in the values reported or any correlations between those trajectories. Nor is it possible to make any meaningful forecasts about likely future trends in smoking status in these various segments based on these data sets. The classifications used in the surveys generate some heterogeneous groups, which can obscure important differences among respondents within groups. Data are all self-reported, and there is no validation of the self-reported smoking status. This might lead to under-reporting, especially in a community where tobacco smoking is no longer a majority or even a popular habit. Because the surveys are so large, virtually, all the findings are statistically significant. However, the increasing preponderance of never-smokers in many categories might mean that never-smokers could come to dominate the data.Practical implicationsThe findings from this paper will help tobacco-control policy-makers to augment whole-of-community initiatives with individual campaigns designed to be more effective with particular socio-demographic segments. They will also assist in ensuring better alignment between initiatives addressing mental health and tobacco smoking problems facing the community.Originality/valueThe examination of smoking behaviour among individual population sub-groups, chosen by the authors, is commonplace in the literature. This paper uses data from two large surveys to model the whole, heterogeneous population, measured at two different points in time.

Determinants of late adolescent nutritional status in Indonesia: a nation-wide cross-sectional survey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ni Ny Wedarthani Achintya Amrita ◽  
Ni Wayan Arya Utami ◽  
Kadek Tresna Adhi
Keyword(s):  
Nutritional Status ◽  
Urban Areas ◽  
Multinomial Logistic Regression ◽  
Age Groups ◽  
Late Adolescents ◽  
Late Adolescent ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Study Results

Purpose This study aims to examine determinants of underweight and overweight nutritional status among late adolescents in Indonesia. Design/methodology/approach A cross-sectional analysis of the 2015 Indonesian Family Life Survey 5 (IFLS-5) was conducted. Respondents for this study were selected through stratified and multistage random sampling. Of all IFLS-5 respondents, 2,791 were adolescents 18–24 years old. Multinomial logistic regression was applied to identify major determinants of nutritional status among late adolescents. Findings The prevalence of underweight and overweight nutritional status was 19.10% and 12.79%, respectively. Underweight status among late adolescents was strongly associated with smoking (adjusted odds ratio [AOR] = 1.72, 95% confidence interval [CI] = 1.29–2.33). Moreover, living in urban areas showed the strongest association with overweight status among the same group (AOR = 1.77, 95%CI = 1.29–2.44). Research limitations/implications This study gained the advantage from the use of national data that are collected by trained enumerators. Therefore, the possibility of bias is very small, and the study results can be generalized to a late adolescent group in Indonesia. However, this study also has limitations in the types of data available, as it uses secondary data. The lack of detailed data regarding food security, frequency of food consumption in a month and sources of income of the adolescents limit the interpretation of the study. Further studies should consider using a retrospective cohort approach in all adolescent age groups using data from the IFLS-1 to IFLS-5 so that the temporal relationship of the multifactorial nutrition variables can be identified. Practical implications Provide input and advice to policymakers in all sectors related to adolescent health and educational curricula for consideration in making interventions that focus on improving nutrition by taking into account the characteristics of adolescents, such as smoking habits, area of residence, income and age of adolescents because nutritional problems are multifactorial. Social implications This study can provide education to adolescents to create healthier consumption habits to reduce non-communicable diseases (NCDs) in the adult phase, ideal body weight, reduce unhealthy lifestyles (smoking, drinking alcohol and drugs) and increase self-esteem and reduce depression. Originality/value This study brings significant findings on the dominant determinant of nutritional status among late adolescents in Indonesia and their vulnerability to NCDs. To address the high prevalence of underweight and overweight nutritional status in Indonesia, a collaboration between smoking cessation, community nutrition and reproductive health programs is required for preventing the underweight nutritional status in adolescents, with a focus on obesity prevention for adolescents living in urban areas. It is expected that this collaboration will support the early prevention of NCD risks.

scholarly journals Support for Local Tobacco Policy in a Preemptive State

2019 ◽  
Vol 16 (18) ◽  
pp. 3378
Author(s):  
Rebekah R Rhoades ◽  
Laura A Beebe ◽  
Nasir Mushtaq
Keyword(s):  
Tobacco Control ◽  
Social Factors ◽  
Multinomial Logistic Regression ◽  
Smoking Status ◽  
Local Level ◽  
Female Gender ◽  
Theory Of Change ◽  
Cross Sectional ◽  
Control Programs ◽  
Never Smokers

Policy at the local level is a critical component of comprehensive tobacco control programs. This study examined the relationships of individual and social factors with support for tobacco-related public policy using cross-sectional data (n = 4461) from adults participating in a statewide survey. Weighted multivariate, multinomial logistic regression examined associations between individual and social factors and support for tobacco-free city properties and support for limiting the number of stores that sell tobacco near schools. Oklahomans were more likely to favor policies that create tobacco-free city properties than policies that limit the number of stores that sell tobacco near schools. While non-smokers were most likely to favor both policies, support for both policies was greater than 50% among current smokers. Knowledge of secondhand smoke (SHS) exposure harm and female gender were predictors of support for both policies and among current, former, and never smokers. Rural-urban status was a predictor of support among former smokers and never smokers. Tobacco use among friends and family was only a predictor among never smokers’ support for limiting the sale of tobacco near schools. This study demonstrates that level of support differs by policy type, individual smoking status, as well as among subpopulations, and identifies critical elements in the theory of change for tobacco control programs.

scholarly journals Waterpipe and cigarette tobacco smoking and depressive symptoms among public school students in central Jordan

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sukaina Alzyoud ◽  
Farah Massoud
Keyword(s):  
Depressive Symptoms ◽  
Tobacco Smoking ◽  
Smoking Status ◽  
Depression Symptoms ◽  
School Students ◽  
Cigarette Tobacco ◽  
Cross Sectional ◽  
Content Type ◽  
Significant Difference ◽  
The Relationship

PurposeTobacco is the most widely used substance in the world that has been linked to several psychological problems. Few studies have assessed the relationship between dual (waterpipe and cigarette) tobacco smoking. This study aims to examine the relationship between dual tobacco use and symptoms of depression amongst its users.Design/methodology/approachA cross-sectional study using a random sample of school students was conducted to assess youth tobacco smoking in the central region of Jordan. A self-reported questionnaire including biographical information, smoking status and experience of depression symptoms was used with a sample of 9th to 12th-grade students. χ2 and regression test were used to analyze the data.FindingsThe final sample comprised 576 school students, of whom 60% were males. The age range was between 16 and 18 years (mean = 15.84 years, SD ± 0.97). 30% of the participants were dual tobacco smokers. A significant difference was found between males and females, with males being more likely to be dual tobacco smokers compared to females. Two depressive symptoms (“feeling sad” and “having crying spells”) had a significant likelihood amongst the youth who were dual smokers.Originality/valueTo the best of the authors' knowledge, this is the first study that aims to report the relationship between dual tobacco smoking and depressive symptoms. Prevention programs are crucial for raising awareness of the harmful effects of dual tobacco smoking and smoking cessation amongst the youth

scholarly journals Associations between smoking and blood-group, and the risk of dyslipidaemia amongst French women

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
C. J. MacDonald ◽  
A. L. Madika ◽  
G. Severi ◽  
A. Fournier ◽  
M. C. Boutron-Ruault
Keyword(s):  
Blood Group ◽  
Smoking Status ◽  
Effect Modification ◽  
Blood Groups ◽  
Cross Sectional ◽  
Increased Risk ◽  
Cardio Vascular Disease ◽  
Never Smokers ◽  
Cardio Vascular ◽  
Incident Cases

AbstractDyslipidaemia is a major risk factor for cardio-vascular disease, as it promotes atherosclerosis. While cross-sectional studies have identified higher serum cholesterol amongst individuals with the A blood group, there is less evidence from prospective studies whether this translates into a higher risk of dyslipidaemia that requires treatment, nor if this genetic factor interacts with smoking status. This study aimed to prospectively determine potential associations between smoking, ABO blood groups, and risk of incident dyslipidaemia requiring treatment, and to assess associations over strata of blood ABO group. We assessed associations between blood ABO group, smoking and dyslipidaemia in 74,206 women participating in the E3N cohort. We included women who did not have cardiovascular disease at baseline. Logistic regression was used to determine associations between ABO group, smoking and prevalent dyslipidaemia at baseline. Cox proportional hazard models were then used to determine if blood ABO group and smoking were associated with the risk of incident dyslipidaemia, amongst women free of dyslipidaemia at baseline. At baseline 28,281 women with prevalent dyslipidaemia were identified. Compared to the O-blood group, the non-O blood group was associated higher odds of with prevalent dyslipidaemia (ORnon-O = 1.09 [1.06: 1.13]). Amongst the women free of dyslipidaemia at baseline, 6041 incident cases of treated dyslipidaemia were identified during 454,951 person-years of follow-up. The non-O blood groups were associated with an increased risk of dyslipidaemia when compared to the O-group (HRnon-O = 1.16 [1.11: 1.22]), specifically the A blood-group (HRA = 1.18 [1.12: 1.25]). Current smokers were associated with an increased risk of incident dyslipidaemia (HR smokers = 1.27 [1.16: 1.37]), compared to never-smokers. No evidence for effect modification between smoking and ABO blood group was observed (p-effect modification = 0.45), although the highest risk was observed among AB blood group women who smoked (HR = 1.76 [1.22: 2.55]). In conclusion, the non-O blood groups, specifically the A group were associated with an increased risk of dyslipidaemia. Current smokers were associated with a 30% increased risk of dyslipidaemia. These results could aid in personalised approaches to the prevention of cardiovascular risk-factors.

scholarly journals Cigarette smoking and e-cigarette use among university students in Queensland, Australia and New Zealand: results of two cross-sectional surveys

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041705
Author(s):  
Ben Wamamili ◽  
Sheleigh Lawler ◽  
Mark Wallace-Bell ◽  
Coral Gartner ◽  
David Sellars ◽  
...  
Keyword(s):  
New Zealand ◽  
Cigarette Smoking ◽  
University Students ◽  
Multinomial Logistic Regression ◽  
Smoking Status ◽  
Cigarette Use ◽  
Dual Use ◽  
Cross Sectional ◽  
Free Spaces ◽  
And Gender

ObjectivesExamine the patterns of cigarette smoking and e-cigarette use (vaping), the perceived harm of e-cigarettes compared with tobacco cigarettes, and associations between smoking and vaping with student characteristics.DesignCross-sectional studies.SettingThe University of Queensland (UQ), Australia and eight New Zealand (NZ) universities.ParticipantsStudents at UQ: 4957 (70.8% aged <25 years, 63.0% women) and NZ: 1854 (82.5% aged <25 years, 60.1% women).MethodsΧ2 tests compared smoking by age and gender, and vaping by age, gender and smoking status. Two-sided p<0.05 was considered significant and 95% CIs reported where appropriate. Multinomial logistic regression examined associations between smoking and vaping (exclusive smoking, exclusive vaping, dual use and non-use) with age, gender and student type (domestic vs international).ResultsSmoking (UQ vs NZ, 95% CI): ever 45.2% (43.8% to 46.6%) vs 50.0% (47.7% to 52.3%), current 8.9% (8.1% to 9.7%) vs 10.4% (9.1% to 11.9%) and daily 5.2% (4.6% to 5.8%) vs 5.6% (4.6% to 6.7%), and not smoking in indoor 98.3% vs 87.7% or outdoor smoke-free spaces 83.8% vs 65.3%.Vaping (UQ vs NZ, 95% CI): ever 20.9% (19.8% to 22.1%) vs 37.6% (35.4% to 39.9%), current 1.8% (1.5% to 2.2%) vs 6.5% (5.4% to 7.7%) and daily 0.7% (0.5% to 1.0%) vs 2.5% (1.9% to 3.4%), and not vaping in indoor 91.4% vs 79.6% or outdoor smoke-free spaces 84.4% vs 71.3%. Of respondents, 71.7% (70.3% to 73.2%) vs 75.3% (72.9% to 77.6%) perceived e-cigarettes as less harmful than tobacco cigarettes.Men were more likely than women to smoke and vape, and to believe that e-cigarettes are less harmful. Regression models containing all predictors for smoking and vaping were significant and the effect of gender was significant for dual use, exclusive smoking and exclusive vaping (all p<0.01). Men had higher odds for smoking, vaping or dual use.ConclusionsResults suggest significant differences in patterns of smoking and vaping of university students in Australia and NZ, and a strong influence of gender on smoking and vaping.

scholarly journals Economic implications of polypharmacy in Nepal: Multicenter community-based study

2020 ◽  
Author(s):  
Binaya Sapkota ◽  
Suraj Shakya ◽  
Saroj Sah ◽  
Narendra Chaudhary ◽  
Bijendra Tamang ◽  
...  
Keyword(s):  
Drug Interactions ◽  
Multinomial Logistic Regression ◽  
Statistical Significance ◽  
Age Groups ◽  
Pharmacoeconomic Evaluation ◽  
Secondary Outcome ◽  
P Value ◽  
Cross Sectional ◽  
Economic Implications ◽  
Total Cost

Objective:Improper management of polypharmacy in community and hospital pharmacies may lead to adverse effects and drug interactions in patients of all age groups, especially children and the elderly. This study aimed to determine the scenario of polypharmacy in multiple communities in Nepal and the costs associated with them. Design: Cross-sectional study Setting:Local communities of nine districts in Nepal Participants:Total 400 patients of all age groups, who were consuming medicines and who fulfilled inclusion criteria from May 2017 to August 2018 Primary and secondary outcome measures:A semi-structured questionnaire, based on the prescription optimization method, was used for data collection. Multinomial logistic regression was performed to analyze the statistical significance of polypharmacy with the predictor variables (e.g., age, education level, occupation, diagnosis, total cost of medicines). The p-value <0.05 was considered statistically significant at 95% confidence interval. Polypharmacy cases and their economic implications were reported. Results:Eighty-one patients (20.3%) with an age group of 22-31 years with female patients (219, 54.8%) reported more polypharmacy events. There were 216 patients (54%) with prescriptions of five medicines i.e., moderate polypharmacy. Total number of medicines consumed by all 400 patients was 2269, with a mean, SD 5.67, 1.08. Total expenditure by all 400 patients was USD 3409.54 during the study period, with a mean, SD 8.66, 6.04. Both moderate and severe polypharmacy cases were non-significantly related with age, gender and total cost of medications. They had significant relationship in almost all levels of education and occupation and showed mixed type of significance and non-significance with the diagnosis of the respondents. Conclusion: Polypharmacy cases can be minimized, considering adverse drug reactions and drug interactions. Further studies are warranted in medication utilization and avoidable polypharmacy along with detailed pharmacoeconomic evaluation.

scholarly journals Perceptions towards a healthy diet among a sample of university people in Portugal

2018 ◽  
Vol 48 (4) ◽  
pp. 669-688 ◽  
Author(s):  
Ana Cristina Ferrão ◽  
Raquel P.F. Guiné ◽  
Paula Correia ◽  
Manuela Ferreira ◽  
Ana Paula Cardoso ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Healthy Diet ◽  
Average Score ◽  
Eating Behaviours ◽  
Cross Sectional ◽  
Content Type ◽  
University Degree ◽  
Probabilistic Sample

PurposeA healthy diet has been recognized as one of the most important factors associated with maintaining human health and helping in preventing the development of some chronic diseases. Therefore, this paper aims to study the perceptions of a sample of university people regarding a healthy diet.Design/methodology/approachIt was undertaken a descriptive cross-sectional study on a non-probabilistic sample of 382 participants. The data were collected among a sample of Portuguese university people and measured whether people’s perceptions were compliant with a healthy diet.FindingsThe results revealed that the participants’ perceptions were, in general, compliant with a healthy diet (scores between 0.5 and 1.5, on a scale from −2 to +2). However, significant differences were found between age groups (p= 0.004), with a higher average score for young adults, and also between groups with different levels of education (p= 0.025), with a higher score for university degree. The variable chronic diseases also showed significant differences (p= 0.017), so that people who did not have any chronic diseases obtained a higher score.Originality/valueThis study is considered important because it provides evidences about the relation between nutrition knowledge and the perceptions towards a healthy diet. The study allowed concluding that the participants were aware about some nutritional aspects of their diets and, therefore, their perceptions were compliant with a healthy diet. This finding is very relevant because it could be a support for health policy initiatives directed at promoting healthy eating behaviours.

The role of age structure and occupational choices in the Indian labour market

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dhananjay Kumar ◽  
Nitin Bisht ◽  
Indrajeet Kumar
Keyword(s):  
Labour Market ◽  
Age Structure ◽  
Multinomial Logistic Regression ◽  
Age Groups ◽  
Economic Factors ◽  
Occupational Choices ◽  
Occupational Classification ◽  
Content Type

PurposeThis study aims to identify the role of age structure in occupational choices and the classification of the occupations based on the age structure of individuals in the Indian labour market.Design/methodology/approachThis study uses the first Periodic Labour Force Survey, 2017–18. The occupational classifications are based on the standardised scores for age groups and their occupations. Further, a multinomial logistic regression model has been used to estimate social and economic factors in determining the age-based occupational classifications.FindingsThe authors found age structure an essential factor in determining occupational choices. Hence, occupations in the Indian labour market have been grouped into seven categories, accordingly. In addition, social and economic factors of individuals and households do have a significant influence on the selection of age-based occupational classifications.Research limitations/implicationsThe study is limited to the occupational classification based on the age structure of individuals without any industry effects. The findings suggest that policymakers must adopt occupation-specific policies considering the age structure of individuals.Originality/valueEarlier studies are limited to the dynamics of age either on the basis of specific age groups (younger or older) or on the industrial classification in a disaggregated way. They also lack a rich approach in analysing the occupational classification considering age structure, especially in the Indian labour market. The study adds value when the role of age structure is identified in occupational choices in the Indian labour market, and hence, a novel classification of occupations into seven categories is proposed.

scholarly journals Prostate specific antigen (PSA) screening rates and factors associated with screening in Eastern Canadian men: Findings from cross-sectional survey data

2020 ◽  
Vol 14 (7) ◽  
Author(s):  
Devan Tchir ◽  
Marwa Farag ◽  
Michael Szafron
Keyword(s):  
Prostate Specific Antigen ◽  
Smoking Status ◽  
Specific Antigen ◽  
Age Groups ◽  
Canadian Community Health Survey ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Psa Screening

Introduction: The prostate-specific antigen (PSA) test is used in Canada to detect prostate cancer (PCa) despite mixed recommendations. Complications arising from false-positives are common, posing as a cancer-screening concern. This work estimates some Canadian rates of PSA screening and identifies men at increased odds for PSA screening. Methods: The Canadian Community Health Survey (CCHS) from 2009/10 (Atlantic Canada; ATL), 2011/2012 (Ontario; ON), and 2013/2014 (Quebec; QC) were used. Lifetime and recent PSA screening with confidence intervals were constructed to estimate PSA screening in ATL, ON, and QC. Two logistic regression models (for men <50 and ≥50 years of age) were used to determine associations between factors and lifetime PSA screening. Results: PSA screening rates have increased in most age groups for ATL, ON, and QC since 2000/2001. Factors positively associated with lifetime PSA screening in men of all ages were: having a digital rectal exam, having a regular doctor, and having a colorectal exam. Fruit and vegetables consumption and non-smoking status were positively associated with lifetime PSA screening in men <50 years of age. High income and the presence of chronic health conditions were positively associated with lifetime PSA screening in men ≥50 years of age. Conclusions: PSA screening rates have generally increased since 2000/2001 in Canada. Physician-related factors play a role in men at all ages, while different factors are associated in men <50 years of age and men ≥50 years of age. Limitations include the generalizability to all of Canada and the potential for recall bias.

scholarly journals Associations of tobacco smoking with body mass distribution; a population-based study of 65,875 men and women in midlife

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sidsel Graff-Iversen ◽  
Stephen Hewitt ◽  
Lisa Forsén ◽  
Liv Grøtvedt ◽  
Inger Ariansen
Keyword(s):  
Cardiovascular Risk ◽  
Smoking Status ◽  
Health Indicators ◽  
Population Based ◽  
Lower Percentage ◽  
Body Region ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Men And Women ◽  
Never Smokers

Abstract Background Studies indicate an effect of smoking toward abdominal obesity, but few assess hip and waist circumferences (HC and WC) independently. The present study aimed to assess the associations of smoking status and volume smoked with HC and WC and their ratio in a population with low prevalence of obesity together with high prevalence of smoking. Methods We used cross-sectional survey data from 11 of a total 19 Norwegian counties examined in 1997–99 including 65,875 men and women aged 39–44 years. Analysis of associations were adjusted for confounding by socioeconomic position, health indicators, and additionally for BMI. Results Compared with never-smokers, when adjusting for confounders and in addition for BMI, mean HC remained lower while mean WC and waist-hip-ratio (WHR) were higher in current smokers. The finding of a lower HC and higher WHR level among smokers was consistent by sex and in strata by levels of education and physical activity, while the finding of higher WC by smoking was less consistent. Among current smokers, BMI-adjusted mean HC decreased whereas WC and WHR increased by volume smoked. Compared with current smokers, former smokers had higher BMI-adjusted HC, lower WHR and among women WC was lower. Conclusions The main finding in this study was the consistent negative associations of smoking with HC. In line with the hypothesis that lower percentage gluteofemoral fat is linked with higher cardiovascular risk, our results suggest that smoking impacts cardiovascular risk through mechanisms that reduce the capacity of fat storage in the lower body region.

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