Martinez Sydney A, Beebe Laura A, Terrell Deirdra R, Thompson David M, Campbell Janis E
J Health Care Poor Underserved. 2018;29(4):1488-1508. doi: 10.1353/hpu.2018.0108.
U.S. General Educational Development diploma (GED) recipients have the highest smoking prevalence of any education level. This paper describes demographic characteristics and tobacco use patterns and examines effect modification and confounding as potential explanations for higher crude prevalence of smoking.
The study population included adults aged 25 and older in the 2013 National Health Interview Survey. We estimated adjusted prevalence ratios and 95% CIs for smoking and quitting behaviors using weighted multivariable logistic regression.
Among women with a GED, adjusted prevalence of ever use (58.7%) and smoking (32.4%) was 1.50 and 1.52 times the prevalence among high school dropouts (39.1%, 21.3%). Female GED recipients had a significantly higher prevalence of ever smoking compared with dropouts. We found no significant educational differences in smoking prevalence among men or quit behaviors for either sex.
More research is needed to identify targeted interventions to prevent smoking in this disparate population.
在美国,拥有普通教育发展证书(GED)的人群在所有教育水平中吸烟率最高。本文描述了人口统计学特征和烟草使用模式,并探讨效应修正和混杂因素,以此作为吸烟粗患病率较高的潜在解释。
研究人群包括2013年全国健康访谈调查中25岁及以上的成年人。我们使用加权多变量逻辑回归估计吸烟和戒烟行为的调整患病率比值及95%置信区间。
在拥有GED的女性中,曾经吸烟(58.7%)和当前吸烟(32.4%)的调整患病率分别是高中辍学者(39.1%,21.3%)的1.50倍和1.52倍。拥有GED的女性曾经吸烟的患病率显著高于高中辍学者。我们发现男性吸烟患病率或两性的戒烟行为在教育程度上无显著差异。
需要开展更多研究,以确定针对这一不同人群预防吸烟的有针对性干预措施。