Charles University in Prague, Faculty of Science, Department of Social Geography and Regional Development, Albertov 6, 128 43 Prague 2, Czech Republic.
Health Place. 2011 Jan;17(1):215-21. doi: 10.1016/j.healthplace.2010.10.003. Epub 2010 Oct 14.
Smoking constitutes one of the main public health problems worldwide. In the Czech Republic, one of the post-communist countries undergoing societal transition, there was a significant decrease in smoking prevalence during 1985-1997, followed by certain stagnation in prevalence of smokers. The most serious problem is the smoking among young population and socially disadvantaged groups. This paper examines social inequalities in smoking in the Czech population using multilevel approach. Data were analysed by multilevel modelling using smoking in the past, current smoking and current moderate/heavy smoking as outcomes of interest. Men were significantly more likely to be smokers than women. Further, the analysis confirmed that current smoking is the most common among young people. Education was strongly inversely related to all smoking outcomes. Smoking was also significantly more reported by divorced and unemployed individuals. While the association between small-area characteristics and smoking was limited, smoking was more common in the areas with higher unemployment and higher proportion of non-Czech nationals.
吸烟是全球主要的公共卫生问题之一。在捷克共和国，作为经历社会转型的前共产主义国家之一，1985 年至 1997 年期间吸烟率显著下降，随后吸烟者的比例出现了一定程度的停滞。最严重的问题是年轻人和社会弱势群体中的吸烟现象。本文使用多水平方法研究了捷克人口中吸烟的社会不平等现象。使用过去吸烟、当前吸烟和当前中度/重度吸烟作为感兴趣的结果，通过多水平模型对数据进行分析。男性吸烟的可能性明显高于女性。此外，分析还证实，当前吸烟在年轻人中最为普遍。教育与所有吸烟结果呈强烈的负相关。离婚和失业者也更有可能吸烟。虽然小区域特征与吸烟之间的关联有限，但失业率较高和非捷克国民比例较高的地区吸烟更为普遍。
