Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences Kermanshah, Islamic Republic of Iran.
School of Health Administration, Faculty of Health, Dalhousie University, Halifax, Canada.
East Mediterr Health J. 2020 Oct 13;26(10):1294-1302. doi: 10.26719/emhj.20.007.
The associations between socioeconomic status (SES) and tobacco use, alcohol consumption and drug use are poorly understood in the Islamic Republic of Iran.
To measure education- and wealth-related inequalities in cigarette smoking, hookah smoking, illicit drug use and alcohol consumption in Kermanshah Province, Islamic Republic of Iran.
We used baseline data from the Ravansar Noncommunicable Disease (RaNCD) study. The study collected information on socioeconomic and demographic characteristics, cigarette and hookah smoking, alcohol consumption and illicit drug use of 10 015 adults aged ≥ 35 years between 2014 and 2016. The relative concentration index and absolute concentration index were used to measure education- and wealth-related inequalities in cigarette smoking, hookah smoking, illicit drug use and alcohol consumption.
Cigarette smoking was concentrated among less-educated and less-wealthy men and women. Similarly, illicit drug use was concentrated among lower-SES men. In contrast, hookah smoking and alcohol consumption were more prevalent among higher-SES men.
There were education- and wealth-related inequalities in tobacco, alcohol and illicit drug use in the west of the Republic of Iran. Future studies should aim to identify the main socioeconomic determinants of these inequalities in Kermanshah Province and generally in the Islamic Republic of Iran.
在伊朗伊斯兰共和国，社会经济地位（SES）与烟草使用、酒精消费和药物使用之间的关联尚未得到充分理解。
衡量伊朗伊斯兰共和国克尔曼沙阿省吸烟、水烟吸烟、非法药物使用和酒精消费方面与教育和财富相关的不平等现象。
我们使用 Ravansar 非传染性疾病（RaNCD）研究的基线数据。该研究于 2014 年至 2016 年期间收集了 10015 名年龄≥35 岁的成年人的社会经济和人口特征、吸烟和水烟、酒精消费和非法药物使用信息。相对集中指数和绝对集中指数用于衡量吸烟、水烟、非法药物使用和酒精消费方面的教育和财富相关不平等现象。
吸烟主要集中在教育程度较低和财富较少的男性和女性中。同样，非法药物使用主要集中在社会经济地位较低的男性中。相比之下，水烟和酒精消费在社会经济地位较高的男性中更为普遍。
在伊朗西部，存在与教育和财富相关的烟草、酒精和非法药物使用方面的不平等现象。未来的研究应旨在确定这些不平等现象在克尔曼沙阿省乃至整个伊朗伊斯兰共和国的主要社会经济决定因素。
