La relación entre el gradiente socioeconómico y el consumo de cigarrillos en España

  1. Juan Manuel Martín Álvarez
  2. Jorge Barrientos Marín
  3. José María Millán
Journal:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Year of publication: 2022

Volume: 34

Issue: 2

Pages: 94-109

Type: Article

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More publications in: Adicciones: Revista de socidrogalcohol

Abstract

The objective of the study was to analyze the relationship between individual socioeconomic characteristics and cigarette consumption in Spain. The sample consisted of 19,931 individuals aged 15 or older who completed the European Health Interview Survey for Spain (EHSS-2014). Variables: prevalence and intensity of cigarette consumption. Multivariate ordered logistic regression analysis was performed with the following socioeconomic variables: social classes, educational attainment, main activity, economic situation and, for the working population, the activity sector. Other control variables were sociodemographic variables and healthy lifestyle habits (physical exercise, diet and alcohol consumption). The factors that relate to greater prevalence are: lower social class, not having university studies, being unemployed, having worse economic situation and working in hospitality industry. On the other hand, the variables related to higher intensity of cigarette consumption of the smoking population are: lower social class, not having university studies, and being neither a student nor on a permanent contract. Regarding control variables, those regressors associated with a higher prevalence and intensity of cigarette consumption are: being male, being aged between 36 and 65, being divorced, having fewer children at home and having worse lifestyle habits

Bibliographic References

  • Agudo, A., Pera, G., Rodríguez, M., Quirós, J. R., Navarro, C., Martínez, C.,… González, C. A. (2004). Changes in smoking habits in adults: Results from a prospective study in Spain. Annals of Epidemiology, 14, 235-243. doi:10.1016/s1047-2797(03)00245-x.
  • Almeida, A., Golpe, A. A., Iglesias, J. y Martín-Álvarez, J. M. (2021). The price elasticity of cigarettes: New evidence from Spanish regions, 2002-2016. Nicotine & Tobacco Research, 23, 48-56. doi:10.1093/ntr/ntaa131.
  • Calderoni, F., Angelini, M., Mancuso, M. y Rotondi, M. (2014). Informe sobre comercio ilícito de productos del tabaco Nº 7 - España. Transcrime - Joint Research Centre on Transnational Crime. Trento: Università degli Studi di Trento. Recuperado de http://www.transcrime.it/wp-content/uploads/2014/10/Factbook-Spain-Esp.pdf.
  • Cahill, K. y Lancaster, T. (2014). Workplace interventions for smoking cessation (Review). Cochrane Database of Systematic Reviews, Issue 2, CD003440. doi:10.1002/14651858.CD003440.pub4.
  • Chiolero, A., Faeh, D., Paccaud, F. y Cornuz, J. (2008). Consequences of smoking for body weight, body fat distribution, and insulin resistance. American Journal of Clinical Nutrition, 87, 801-809. doi:10.1093/ajcn/87.4.801.
  • Colman, G. J. y Remler, D. K. (2008). Vertical equity consequences of very high cigarette tax increases: If the poor are the ones smoking, how could cigarette tax increases be progressive?. Journal of Policy Analysis and Management, 27, 376-400. doi:10.1002/pam.20329.
  • Dyal, S. R. y Valente, T. W. (2015). A systematic review of loneliness and smoking: Small effects, big implications. Substance Use & Misuse, 50, 1697-1716. doi:10.3109/10826084.2015.1027933.
  • European Commission (2012). Special Eurobarometer 385. Attitudes of Europeans towards tobacco. Bruselas: E. C., Directorate-General Health and Consumers. Recuperado de https://ec.europa.eu/health//sites/health/files/tobacco/docs/eurobaro_attitudes_towards_tobacco_2012_en.pdf.
  • European Commission (2014). Special Eurobarometer 429. Attitudes of Europeans towards tobacco and electronic cigarettes. Bruselas: E. C., Directorate-General for Health and Food safety. Recuperado de https://ec.europa.eu/commfrontoffice/publicopinion/archives/ebs/ebs_429_en.pdf.
  • European Commission (2017). Special Eurobarometer 458. Attitudes of Europeans towards tobacco and electronic cigarettes. Bruselas: E. C., Directorate-General for Health and Food safety. Recuperado de https://ec.europa.eu/commfrontoffice/publicopinion/index.cfm/ResultDoc/download/DocumentKy/79002.
  • Fagan, P., King, G., Lawrence, D., Sallie, A. P., Robinson, R. G., Banks, D.,… Grana, R. (2004). Eliminating tobacco-related health disparities: Directions for future research. American Journal of Public Health, 94, 211-217. doi:10.2105/AJPH.94.2.211.
  • Falba, T., Teng, H. M., Sindelar, J. L. y Gallo, W. T. (2005). The effect of involuntary job loss on smoking intensity and relapse. Addiction, 100, 1330-1339. doi:10.1111/j.1360-0443.2005.01150.x.
  • Ino, T., Shibuya, T., Saito, K. e Inaba, Y. (2011). Relationship between body mass index of offspring and maternal smoking during pregnancy. International Journal of Obesity, 36, 554-558. doi:10.1038/ijo.2011.255.
  • Leal-López, E., Sánchez-Queija, I. y Moreno, C. (2019). Trends in tobacco use among adolescents in Spain (2002-2018). Adicciones, 31, 289-297. doi:10.20882/adicciones.1111.
  • Levine, P. B., Gustafson T. A. y Velenchik, A. D. (1997). More bad news for smokers? The effects of cigarette smoking on wages. Industrial and Labor Relations Review, 50, 493-509. doi:10.1177/001979399705000307.
  • López, A. D., Collishaw, N. E. y Piha, T. (1994). A descriptive model of the cigarette epidemic in developed countries. Tobacco Control, 3, 242-247.
  • López-Nicolás, Á., Cobacho, M. B. y Fernández, E. (2013). The Spanish tobacco tax loopholes and their consequences. Tobacco Control, 22, e21-e24. doi:10.1136/tobaccocontrol-2011-050344.
  • Macintyre, S. (1997). The black report and beyond what are the issues? Social Science & Medicine, 44, 723-745. doi:10.1016/S0277-9536(96)00183-9.
  • Maralani, V. (2014). Understanding the links between education and smoking. Social Science Research, 48, 20-34. doi:10.1016/j.ssresearch.2014.05.007.
  • Martín-Álvarez, J. M., Golpe, A. A., Iglesias, J. e Ingelmo, R. (2020). Price and income elasticities of demand for cigarette consumption: What is the association of price and economic activity with cigarette consumption in Spain from 1957 to 2016? Public Health, 185, 275-282. doi:10.1016/j.puhe.2020.05.059.
  • McKee, S. A., Maciejewski, P. K., Falba, T. y Mazure, C. M. (2003). Sex differences in the effects of stressful life events on changes in smoking status. Addiction, 98, 847-855. doi:10.1046/j.1360-0443.2003.00408.x.
  • Ministerio de Sanidad Servicios Sociales e Igualdad, Instituto Nacional de Estadística. (2015). Encuesta Europea de Salud en España EESE-2014. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad. Recuperado de http://www.ine.es.
  • Ministerio de Sanidad Servicios Sociales e Igualdad, Instituto Nacional de Estadística. (2018). Encuesta Nacional de Salud. España ENSE-2017. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad. Recuperado de http://www.ine.es.
  • Montgomery, S. M., Cook, D. G., Bartley, M. y Wadsworth, M. E. J. (1998). Unemployment, cigarette smoking, alcohol consumption and body weight in young British men. European Journal of Public Health, 8, 21-27. doi:10.1093/eurpub/8.1.21.
  • Mykletun, A., Overland, S., Aarø, L. E., Liabø, H. -M. y Stewart, R. (2008). Smoking in relation to anxiety and depression: Evidence from a large population survey: The HUNT study. European Psychiatry, 23, 77-84. doi:10.1016/j.eurpsy.2007.10.005.
  • Nargis, N., Fong, G.T., Chaloupka, F.J. y Li, Q. (2014). The choice of discount brand cigarettes: A comparative analysis of International Tobacco Control Surveys in Canada and the USA (2002–2005). Tobacco Control, 23 (Supl. 1), i86-i96. doi:10.1136/tobaccocontrol-2012-050851.
  • Okechukwu, C., Bacic, J., Cheng, K. W. y Catalano, R. (2012). Smoking among construction workers: The non-linear influence of the economy, cigarette prices, and antismoking sentiment. Social Science & Medicine, 75, 1379-1386. doi:10.1016/j.socscimed.2012.05.035.
  • Pinilla, J. y Abásolo, I. (2017). The effect of policies regulating tobacco consumption on smoking initiation and cessation in Spain: Is it equal across socioeconomic groups?. Tobacco Induced Diseases, 15, 8. doi:10.1186/s12971-016-0109-4.
  • Rodríguez-García, P. L., López Villalba, F. J., López-Miñarro, P. A. y García-Cantó, E. (2013). Práctica de ejercicio físico y su relación con el consumo de tabaco en adolescentes. Diferencias entre géneros. Adicciones, 25, 29-36. doi:10.20882/adicciones.25.1.
  • Rodríguez-Muñoz, P. M., Carmona-Torres, J. M., Hidalgo-Lopezosa, P., Cobo-Cuenca, A. I. y Rodríguez-Borrego, M. A. (2019). Evolution of alcohol and tobacco consumption in young people in Spain, after the law 42/2010 against smoking: 2011-2014. Adicciones, 31, 274-283. doi:10.20882/adicciones.1035.
  • Sarkar, B. K., Shahab, L., Arora, M., Ahluwalia, J. S., Reddy, K. S. y West, R. (2017). The social gradient in tobacco use does not generalize to low-income urban communities in India: Findings from a census survey. Nicotine & Tobacco Research, 19, 1516-1520. doi:10.1093/ntr/ntw214.
  • Schaap, M. M., Van Agt, H. y Kunst, A. (2008). Identification of socioeconomic groups at increased risk for smoking in European countries: Looking beyond educational level. Nicotine & Tobacco Research, 10, 359-369. doi:10.1080/14622200701825098.
  • Sorensen, G., Barbeau, E. M., Hunt, M. K. y Emmons, K. (2004). Reducing social disparities in tobacco use: A social-contextual model for reducing tobacco use among blue-collar workers. American Journal of Public Health, 94, 230-239. doi:10.2105/AJPH.94.2.230.
  • Stringhini, S., Sabia, S., Shipley, M., Brunner, E., Nabi, H., Kivimaki, M. y Singh-Manoux, A. (2010). Association of socioeconomic position with health behaviors and mortality. JAMA, 303, 1159-1166. doi:10.1001/jama.2010.297.
  • Watanabe, I., Shigeta, M., Inoue, K., Matsui, D., Ozaki, E., Kuriyama, N.,… Watanabe, Y. (2013). Personal factors associated with smoking among marginalized and disadvantaged youth in Japan. International Journal of Behavioral Medicine, 20, 504-513. doi:10.1007/s12529-012-9268-8.
  • White, T. J., Redner, R., Bunn, J. Y. y Higgins, S. T. (2016). Do socioeconomic risk factors for cigarette smoking extend to smokeless tobacco use? Nicotine & Tobacco Research, 18, 869-873. doi:10.1093/ntr/ntv199.
  • Woodcock, J., Franco, O. H., Orsini, N. y Roberts, I. (2011). Non-vigorous physical activity and all-cause mortality: Systematic review and meta-analysis of cohort studies. International Journal of Epidemiology, 40, 121-138. doi:10.1093/ije/dyq104.
Data source: Dialnet