Lampert T, Thamm M
Robert Koch-Institut, Berlin.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2004 Nov;47(11):1033-42. doi: 10.1007/s00103-004-0934-0.
Data of the National Health Survey 1998 are used to analyze the impact of alternative indicators of social inequality on smoking of the 18- to 79-year-old population in Germany. The members of socially disadvantaged groups not only smoke more frequently, they show also lower rates in smoking cessation. This is most obvious in middle age while only small differences can be observed at older ages. Multivariate analyses evidence primarily education as a determinant of smoking among men and women. The effects of income and occupational status are fairly small. The results point out that health inequalities can partly be explained by different smoking habits and, therefore, underline the necessity of a differentiated and group-specific tobacco prevention and tobacco control policy.
1998年国民健康调查的数据被用于分析社会不平等的替代指标对德国18至79岁人群吸烟情况的影响。社会弱势群体的成员不仅吸烟更频繁,而且戒烟率也较低。这在中年人群中最为明显,而在老年人群中仅观察到细微差异。多变量分析主要证明教育是男性和女性吸烟的一个决定因素。收入和职业地位的影响相当小。结果指出,健康不平等部分可以由不同的吸烟习惯来解释,因此强调了制定差异化和针对特定群体的烟草预防和烟草控制政策的必要性。