King G, Grizeau D, Bendel R, Dressen C, Delaronde S R
Department of Community Medicine and Health Care, University of Connecticut Health Center, Farmington 06030, USA.
Prev Med. 1998 Jul-Aug;27(4):520-9. doi: 10.1006/pmed.1998.0332.
This paper presents an analysis of the sociodemographic factors related to cigarette smoking prevalence and the number of cigarettes smoked daily among nationally representative samples of 18- to 64-year-old French (n = 1,956) and American (n = 20,234) women.
This analysis combines 2 separate years (1992 and 1993) of data collected by the National Health Interview Survey in the United States and the Comité Francais d'Education pour la Santé in France. Weighted data analysis of the effects of age, employment status, education, and socioprofessional status was conducted using both SPSS and the SUDAAN complex sample survey analysis program.
The prevalence of smoking among French female smokers was significantly higher than among American women (30.8% vs 26.3%) and particularly among the younger age groups. However, the average number of cigarettes smoked per day was appreciably and significantly lower for French women (12.3) than for American women (18.2). Multivariate logistic regression analysis revealed statistically significant interaction terms differentiating the impact of marital status, age, and education on the smoking status of French and American women, as well as the sociodemographic determinants of the number of cigarettes smoked. Education was inversely related to smoking among American women but positively associated with the smoking behavior of French women.
Differences in the smoking behavior of French and American women support the view that sociodemographic factors do not affect the smoking behavior of women in Western industrialized countries similarly and reinforce the importance of international public health measures targeting the increasing rate of smoking among women.
本文分析了在具有全国代表性的18至64岁法国女性样本（n = 1,956）和美国女性样本（n = 20,234）中，与吸烟流行率及每日吸烟量相关的社会人口学因素。
该分析结合了美国国家健康访谈调查以及法国健康促进委员会在1992年和1993年这两个不同年份收集的数据。使用SPSS和SUDAAN复杂样本调查分析程序对年龄、就业状况、教育程度和社会职业地位的影响进行加权数据分析。
法国女性吸烟者的吸烟流行率显著高于美国女性（30.8%对26.3%），尤其是在较年轻年龄组中。然而，法国女性每天的平均吸烟量（12.3支）明显且显著低于美国女性（18.2支）。多变量逻辑回归分析显示，婚姻状况、年龄和教育程度对法国和美国女性吸烟状况的影响以及每日吸烟量的社会人口学决定因素存在具有统计学意义的交互项。教育程度与美国女性吸烟呈负相关，但与法国女性的吸烟行为呈正相关。
法国和美国女性吸烟行为的差异支持了这样一种观点，即社会人口学因素对西方工业化国家女性吸烟行为的影响并不相同，并强化了针对女性吸烟率上升采取国际公共卫生措施的重要性。
