Cross-National Sources of Health Inequality: Education and Tobacco Use in the World Health Survey
- 14 April 2011
- journal article
- research article
- Published by Duke University Press in Demography
- Vol. 48 (2), 653-674
- https://doi.org/10.1007/s13524-011-0027-2
Abstract
The spread of tobacco use from the West to other parts of the world, especially among disadvantaged socioeconomic groups, raises concerns not only about the indisputable harm to global health but also about worsening health inequality. Arguments relating to economic cost and diffusion posit that rising educational disparities in tobacco use—and associated disparities in health and premature mortality—are associated with higher national income and more advanced stages of cigarette diffusion, particularly among younger persons and males. To test these arguments, we use World Health Survey data for 99,661 men and 123,953 women from 50 low-income to upper-middle–income nations. Multilevel logistic regression models show that increases in national income and cigarette diffusion widen educational disparities in smoking among young persons and men but have weaker influences among older persons and women. The results suggest that the social and economic patterns of cigarette adoption across low- and middle-income nations foretell continuing, and perhaps widening, disparities in mortality.Keywords
This publication has 34 references indexed in Scilit:
- Education inequality in mortality: The age and gender specific mediating effects of cigarette smokingSocial Science Research, 2010
- Socioeconomic Inequalities in Health in 22 European CountriesNew England Journal of Medicine, 2008
- Tobacco use in sub-Sahara Africa: Estimates from the demographic health surveysSocial Science & Medicine (1982), 2008
- On the Determinants of Mortality Reductions in the Developing WorldPopulation and Development Review, 2007
- Appropriate Assessment of Neighborhood Effects on Individual Health: Integrating Random and Fixed Effects in Multilevel Logistic RegressionAmerican Journal of Epidemiology, 2005
- Socio-economic inequalities in mortality and health in the developing worldDemographic Research, 2004
- Estimates of global mortality attributable to smoking in 2000The Lancet, 2003
- A Question of Intent: A Great American Battle with a Deadly IndustryJournal of Public Health Policy, 2001
- Curbing the epidemic: governments and the economics of tobacco controlTobacco Control, 1999
- Gender differences in tobacco use in Africa, Asia, the Pacific, and Latin AmericaSocial Science & Medicine, 1988