Differences by gender and education in responding to tobacco control measures implemented in Ukraine since 2005
Keywords:
smoking, smoking prevalence, exposure to secondhand smoke, tobacco advertising, tobacco-related knowledge, education gradient, UkraineAbstract
BACKGROUND: Socially disadvantaged population groups are known to be less responsive to tobacco control policies. The objective of the study was to consider changes in smoking prevalence, exposure to secondhand smoke and tobacco advertising, as well as tobacco-related knowledge by gender and education groups in Ukraine after the implementation of tobacco control policies since 2006.
METHODS: Prevalence of daily smoking was compared in 2000, 2005, and 2010. Data on tobacco awareness, exposure to SHS and tobacco advertising were available from the surveys conducted in 2005 and 2010.
RESULTS: The decline in smoking prevalence in 2005-2010 was similar for men and women with different levels of education. Men with university education have lower smoking rates than other men. Women with less than secondary education had the lowest smoking rates which keep consistently low over time. Secondhand smoke and tobacco advertising exposure declined similarly across gender and education. Knowledge about tobacco-related health hazards increased more substantially in lower educated groups.
CONCLUSIONS: All demographic groups in Ukraine revealed decline in smoking prevalence, exposure to SHS and the tobacco advertising as well as increase of tobacco-related health knowledge in response to tobacco control policies. Lower educated groups were more responsive to tobacco control policies than it was expected based on findings from high-income countries. In such countries as Ukraine comprehensive tobacco control measures are beneficial for all social groups and could lead to quick decline in prevalence of active and passive smoking.
KEYWORDS: smoking; smoking prevalence; exposure to secondhand smoke; tobacco advertising; tobacco-related knowledge; education gradient; Ukraine.
References
Alvarez-Dardet, C., Montahud, C., & Ruiz, M. T. (2001). The widening social class gap of preventive health behaviours in Spain. Eur J Public Health, 11(2), 225-226.
Andreeva, T. I. (2008). Socially disadvantaged groups and tobacco. Paper presented at the Summit of tobacco control leaders from Central and Eastern Europe and the Former Soviet Union countries.
Andreeva, T. I. (2010). Smoking cessation aid to Ukrainian smokers, results of 2010 population survey (in Ukrainian). Social Psychology, (6(44)), 149-156.
Andreeva, T. I. (2011a). Difficulties in quitting smoking: gender stereotypes impact (in Ukrainian). Social Psychology, (3(47)), 98-108.
Andreeva, T. I. (2011b). Who in Ukraine gets physician’s advice to quit smoking? Results of 2005 nationwide survey (in Ukrainian). Grani, (1 (75)), 131-136.
Andreeva, T. I., & Krasovsky, K. S. (2007). Changes in smoking prevalence in Ukraine in 2001-5. Tob Control, 16(3), 202-206.
Andreeva, T. I., & Krasovsky, K. S. (2010). Health awareness impact of tobacco pack health warnings in Ukraine (in Ukrainian). Naukovi zapysky. Sociology, (109), 72–77.
Andreeva, T. I., & Krasovsky, K. S. (2011). Recall of tobacco pack health warnings by the population in Ukraine and its association with the perceived tobacco health hazard. Int J Public Health, 56(3), 253-262.
Andreeva, T. I., Krasovsky, K. S., & Kharchenko, N. M. (2009). Correlates and recent changes of smoking prevalence among adults in Ukraine (in Ukrainian). East European Journal of Public Health, (1), 50-57.
Andreeva, T. I., Krasovsky, K. S., & Semenova, D. S. (2007). Correlates of smoking initiation among young adults in Ukraine: a cross-sectional study. BMC Public Health, 7, 106.
Cockerham, W. C. (2000). Health lifestyles in Russia. Soc Sci Med, 51(9), 1313-1324.
Cockerham, W. C., Hinote, B. P., Abbott, P., & Haerpfer, C. (2004). Health lifestyles in central Asia: the case of Kazakhstan and Kyrgyzstan. Soc Sci Med, 59(7), 1409-1421.
Cockerham, W. C., Hinote, B. P., Abbott, P., & Haerpfer, C. (2005). Health lifestyles in Ukraine. Soz Praventivmed, 50(4), 264-271.
Curtin, F., Morabia, A., & Bernstein, M. (1997). Smoking behavior in a Swiss urban population: the role of gender and education. Prev Med, 26(5 Pt 1), 658-663.
Fagan, P., King, G., Lawrence, D., Petrucci, S. A., Robinson, R. G., Banks, D., et al. (2004). Eliminating tobacco-related health disparities: directions for future research. Am J Public Health, 94(2), 211-217.
Fagan, P., Moolchan, E. T., Lawrence, D., Fernander, A., & Ponder, P. K. (2007). Identifying health disparities across the tobacco continuum. Addiction, 102, 5-29.
Fong, C. W., Bhalla, V., Heng, D., Chua, A. V., Chan, M. L., & Chew, S. K. (2007). Educational inequalities associated with health-related behaviours in the adult population of Singapore. Singapore Med J, 48(12), 1091-1099.
Global Tobacco Surveillance System Collaborative Group. (2011). Tobacco questions for surveys: a subset of key questions from the Global Adult Tobacco Survey (GATS) (2nd ed.). Atlanta Centers for Disease Control and Prevention.
Great Britain: Department of Health. (2010). Healthy lives, healthy people: our strategy for public health in England (Vol. 7985). London: Stationery Office.
Harman, J., Graham, H., Francis, B., & Inskip, H. M. (2006). Socioeconomic gradients in smoking among young women: A British survey. Soc Sci Med, 63(11), 2791-2800.
Houston, T. K., Scarinci, I. C., Person, S. D., & Greene, P. G. (2005). Patient smoking cessation advice by health care providers: the role of ethnicity, socioeconomic status, and health. Am J Public Health, 95(6), 1056-1061.
Hu, L., Sekine, M., Gaina, A., Nasermoaddeli, A., & Kagamimori, S. (2007). Association of smoking behavior and socio-demographic factors, work, lifestyle and mental health of Japanese civil servants. J Occup Health, 49(6), 443-452.
Jitnarin, N., Kosulwat, V., Rojroongwasinkul, N., Boonpraderm, A., Haddock, C. K., & Poston, W. S. (2010). Socioeconomic Status and Smoking Among Thai Adults: Results of the National Thai Food Consumption Survey. Asia Pac J Public Health.
Kasmel, A., Helasoja, V., Lipand, A., Prattala, R., Klumbiene, J., & Pudule, I. (2004). Association between health behaviour and self-reported health in Estonia, Finland, Latvia and Lithuania. Eur J Public Health, 14(1), 32-36.
Katainen, A. (2010). Social class differences in the accounts of smoking – striving for distinction? Sociology of Health & Illness, 32(7), 1087-1101.
Krasovsky, K. (2010). Impact of the economic crisis and alcohol consumption decline on Ukraine population mortality rate reduction in 2009 (in Ukrainian). Ukraine. Health of the nation, (3 (15)), 54-57.
Krasovsky, K., Andreeva, T., Krisanov, D., Mashliakivsky, M., & Rud, G. (2002). The Economics of tobacco control in Ukraine from the public health perspective. Kiev.
Link, B. G. (2008). Epidemiological Sociology and the Social Shaping of Population Health. Journal of Health and Social Behavior, 49(4), 367-384.
Link, B. G., Northridge, M. E., Phelan, J. C., & Ganz, M. L. (1998). Social epidemiology and the fundamental cause concept: on the structuring of effective cancer screens by socioeconomic status. Milbank Q, 76(3), 375-402, 304-375.
Link, B. G., & Phelan, J. (2009). The social shaping of health and smoking. Drug Alcohol Depend, 104 Suppl 1, S6-10.
Link, B. G., Phelan, J. C., Miech, R., & Westin, E. L. (2008). The resources that matter: fundamental social causes of health disparities and the challenge of intelligence. J Health Soc Behav, 49(1), 72-91.
Lopez, A. D., Collishaw, N. E., & Piha, T. (1994). A descriptive model of the cigarette epidemic in developed countries. Tob Control, 3(3), 242-247.
Lund, K. E., & Lund, M. (2005). Smoking and social inequality in Norway 1998-2000 (in Norwegian). Tidsskr Nor Laegeforen, 125(5), 560-563.
Mahalik, J. R., Burns, S. M., & Syzdek, M. (2007). Masculinity and perceived normative health behaviors as predictors of men's health behaviors. Social Science & Medicine, 64(11), 2201-2209.
Martinez, E., Kaplan, C. P., Guil, V., Gregorich, S. E., Mejia, R., & E, J. P.-S. (2006). Smoking Behavior and Demographic Risk Factors in Argentina: A Population-Based Survey. Prev Control, 2(4), 187-197.
McLellan, L., Rissel, C., Donnelly, N., & Bauman, A. (1999). Health behaviour and the school environment in New South Wales, Australia. Social Science & Medicine, 49(5), 611-619.
Ministry of Health and Social Development of the Russian Federation. (2009). Russian Federation Global Adult Tobacco Survey Country Report.
Ministry of Health of Ukraine. (2010). Ukraine Global Adult Tobacco Survey country report Kiev: Ministry of Health of Ukraine.
Pampel, F. C. (2001). Cigarette diffusion and sex differences in smoking. J Health Soc Behav, 42(4), 388-404.
Pampel, F. C. (2003a). Age and education patterns of smoking among women in high-income nations. Soc Sci Med, 57(8), 1505-1514.
Pampel, F. C. (2003b). Declining sex differences in mortality from lung cancer in high-income nations. Demography, 40(1), 45-65.
Pampel, F. C. (2008). Differences in the influence of family background and social activities on smoking of minority and white high school seniors, 1976-2004. J Immigr Minor Health, 10(6), 507-515.
Pampel, F. C., Krueger, P. M., & Denney, J. T. (2010). Socioeconomic Disparities in Health Behaviors. Annual Review of Sociology, 36(1), 349-370.
Phelan, J. C., & Link, B. G. (2005). Controlling disease and creating disparities: a fundamental cause perspective. J Gerontol B Psychol Sci Soc Sci, 60 Spec No 2, 27-33.
Phelan, J. C., Link, B. G., & Tehranifar, P. (2010). Social Conditions as Fundamental Causes of Health Inequalities. Journal of Health and Social Behavior, 51(1 suppl), S28-S40.
Ross, C. E., & Wu, C.-l. (1995). The Links Between Education and Health. American Sociological Review, 60(5), 719-745.
Ross, H., Stoklosa, M., & Krasovsky, K. (2012). Economic and public health impact of 2007-2010 tobacco tax increases in Ukraine. Tob Control, 21(4), 429-435.
Steptoe, A., & Wardle, J. (2001). Health behaviour, risk awareness and emotional well-being in students from Eastern Europe and Western Europe. Social Science & Medicine, 53(12), 1621-1630.
The International Centre for Policy Studies. (2005). Tobacco in Ukraine: national survey of knowledge, attitudes and behavior. A survey of Ukrainian population. Kiev: The International Centre for Policy Studies.
Thun, M., Peto, R., Boreham, J., & Lopez, A. D. (2012). Stages of the cigarette epidemic on entering its second century. Tob Control, 21(2), 96-101.
Verburg, J. A., Toet, J., & van Ameijden, E. J. (2005). Smoking, alcohol and drug use in Utrecht, The Netherlands, risk groups and socioeconomic differences in 1999 and 2003[In Dutch]. Ned Tijdschr Geneeskd, 149(38), 2113-2118.
WHO. (1998). Guidelines for controlling and monitoring the tobacco epidemic. Geneva, Switzerland: WHO.
