Ohlander Emma, Vikström Max, Lindström Martin, Sundquist Kristina
Karolinska Institutet, Family Medicine, Stockholm, Sweden.
Eur J Public Health. 2006 Feb;16(1):78-84. doi: 10.1093/eurpub/cki047.
To examine whether neighbourhood non-employment is associated with daily smoking after adjustment for individual characteristics, such as employment status.
Cross-sectional study of a simple, random sample of 31,164 women and men aged 25-64, representative of the entire population in Sweden. Data were collected from the years 1993-2000. The individual variables included age, sex, employment status, occupation and housing tenure. Logistic regression was used in the analysis with neighbourhood non-employment rates measured at small area market statistics level.
There was a significant association between neighbourhood non-employment rates and daily smoking for both women and men. After adjustment for employment status and housing tenure the odds ratios of daily smoking were 1.39 (95% CI = 1.22-1.58) for women and 1.41 (95% CI = 1.23-1.61) for men living in neighbourhoods with the highest non-employment rates. The individual variables of unemployment, low occupational level and renting were associated with daily smoking.
Neighbourhood non-employment is associated with daily smoking. Smoking prevention in primary health care should address both individuals and neighbourhoods.
在对个体特征（如就业状况）进行调整后，研究邻里非就业情况与每日吸烟之间是否存在关联。
对31164名年龄在25 - 64岁之间的男女进行简单随机抽样的横断面研究，这些样本代表了瑞典的全体人口。数据收集于1993年至2000年。个体变量包括年龄、性别、就业状况、职业和住房保有情况。分析采用逻辑回归，邻里非就业率以小区域市场统计水平衡量。
邻里非就业率与男女每日吸烟之间均存在显著关联。在对就业状况和住房保有情况进行调整后，居住在非就业率最高社区的女性每日吸烟的优势比为1.39（95%置信区间 = 1.22 - 1.58），男性为1.41（95%置信区间 = 1.23 - 1.61）。失业、低职业水平和租房等个体变量与每日吸烟有关。
邻里非就业与每日吸烟有关。初级卫生保健中的吸烟预防应兼顾个体和社区。
