Universität zu Köln

Pfoertner, Timo-Kolja, Rathmann, Katharina ORCID: 0000-0002-2892-1624, Moor, Irene, Kunst, Anton E. and Richter, Matthias ORCID: 0000-0003-3898-3332 (2016). Social inequalities in adolescent smoking. A cross-national perspective of the role of individual and macro-structural factors. Bundesgesundheitsblatt-Gesund., 59 (2). S. 206 - 217. NEW YORK: SPRINGER. ISSN 1437-1588

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Abstract

Background. In an EU-funded project, we examined on the basis of international comparative analyses which factors were associated with and contributed to socioeconomic inequalities in adolescent smoking. This paper presents the results obtained and discusses their implications for policy and research. Methods. Analyses were based on the Health Behaviour in School-aged Children (HBSC) study in 2006 and included more than 50,000 adolescents from 37 countries. The focus was on the association between family affluence and weekly smoking (regularly, at least once a week) among adolescents. Explanatory variables at the individual level refer to psychosocial resources and burdens of school, family, and peers. At the country level, national income, various tobacco control policies, and an index of external differentiation of the educational system were used. Results. The psychosocial factors of school and family explained many of the inequalities in the smoking behavior of adolescents. In an international comparison, socioeconomic inequalities in smoking were stronger in richer countries. Absolute smoking rates were lower and inequalities in smoking smaller for boys in countries with higher tobacco prices. On the other hand, educational systems with higher degrees of external differentiation showed lower inequalities in smoking beahviour by girls, and relatively higher rates of smoking (for boys and girls). Stronger inequalities in smoking behaviour were demonstrated in countries with a greater range of preventative measures for tobacco dependence (for boys) and with higher levels of government spending on tobacco control (for girls). Conclusion. Experiences in richer countries revealed that tobacco control needs to be strengthened for socially disadvantaged adolescents. The reduction of smoking prevalence and socioeconomic inequalities in smoking behavior should be based not only on a strengthening of psychosocial resources in the family and at school, but also on an increase in tobacco prices.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pfoertner, Timo-Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Rathmann, Katharina UNSPECIFIED orcid.org/0000-0002-2892-1624 UNSPECIFIED Moor, Irene UNSPECIFIED UNSPECIFIED UNSPECIFIED Kunst, Anton E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Richter, Matthias UNSPECIFIED orcid.org/0000-0003-3898-3332 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-285839
DOI:	10.1007/s00103-015-2280-9
Journal or Publication Title:	Bundesgesundheitsblatt-Gesund.
Volume:	59
Number:	2
Page Range:	S. 206 - 217
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-1588
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TOBACCO CONTROL POLICIES; SOCIOECONOMIC INEQUALITIES; HEALTH INEQUALITIES; EUROPEAN COUNTRIES; EDUCATIONAL INEQUALITIES; REDUCE SMOKING; EQUITY IMPACT; MULTILEVEL ANALYSIS; CIGARETTE-SMOKING; FAMILY AFFLUENCE Multiple languages Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28583