Universität zu Köln

Pfoertner, Timo-Kolja, Hublet, Anne, Schnohr, Christina Warrer, Rathmann, Katharina ORCID: 0000-0002-2892-1624, Moor, Irene, de Looze, Margaretha ORCID: 0000-0003-3118-4415, Baska, Tibor ORCID: 0000-0002-3442-7470, Molcho, Michal, Kannas, Lasse, Kunst, Anton E. and Richter, Matthias ORCID: 0000-0003-3898-3332 (2016). Socioeconomic inequalities in the impact of tobacco control policies on adolescent smoking. A multilevel study in 29 European countries. Addict. Behav., 53. S. 58 - 67. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 1873-6327

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Abstract

Introduction: There are concerns that tobacco control policies may be less effective in reducing smoking among disadvantaged socioeconomic groups and thus may contribute to inequalities in adolescent smoking. This study examines how the association between tobacco control policies and smoking of 15-year-old boys and girls among 29 European countries varies according to socioeconomic group. Methods: Data were used from the Health Behaviour in School-aged Children (HBSC) study conducted in 2005/2006 comprising 50,338 adolescents aged 15 years from 29 European countries. Multilevel logistic regression analyses were conducted to assess the association of weekly smoking with components of the Tobacco Control Scale (TCS), and to assess whether this association varied according to family affluence (FAS). Analyses were carried out per gender and adjusted for national wealth and general smoking rate. Results: For boys, tobacco price was negatively associated with weekly smoking rates. This association did not significantly differ between low and high FAS. Levels of tobacco-dependence treatment were significantly associated with weekly smoking. This association varied between low and high FAS, with higher treatment levels associated with higher probability of smoking only for low FAS boys. For girls, no tobacco policy was significantly associated with weekly smoking, irrespective of the FAS. Conclusions: Results indicated that most tobacco control policies are not clearly related to adolescent weekly smoking across European countries. Only tobacco price seemed to be adequate decreasing smoking prevalence among boys, irrespective of their socioeconomic status. (C) 2015 Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Pfoertner, Timo-Kolja UNSPECIFIED UNSPECIFIED UNSPECIFIED Hublet, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Schnohr, Christina Warrer UNSPECIFIED UNSPECIFIED UNSPECIFIED Rathmann, Katharina UNSPECIFIED orcid.org/0000-0002-2892-1624 UNSPECIFIED Moor, Irene UNSPECIFIED UNSPECIFIED UNSPECIFIED de Looze, Margaretha UNSPECIFIED orcid.org/0000-0003-3118-4415 UNSPECIFIED Baska, Tibor UNSPECIFIED orcid.org/0000-0002-3442-7470 UNSPECIFIED Molcho, Michal UNSPECIFIED UNSPECIFIED UNSPECIFIED Kannas, Lasse UNSPECIFIED UNSPECIFIED UNSPECIFIED Kunst, Anton E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Richter, Matthias UNSPECIFIED orcid.org/0000-0003-3898-3332 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-286032
DOI:	10.1016/j.addbeh.2015.09.016
Journal or Publication Title:	Addict. Behav.
Volume:	53
Page Range:	S. 58 - 67
Date:	2016
Publisher:	PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication:	OXFORD
ISSN:	1873-6327
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SOCIAL INEQUALITIES; FAMILY AFFLUENCE; CONTROL INTERVENTIONS; CIGARETTE-SMOKING; HEALTH BEHAVIORS; ASSOCIATION; PREVALENCE; GENDER; TRENDS; SCHOOL Multiple languages Psychology, Clinical; Substance Abuse Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/28603