Socioeconomic inequalities in smoking habits are still increasing in Italy

Giuseppe Verlato, Simone Accordini, Giang Nguyen, Pierpaolo Marchetti, Lucia Cazzoletti, Marcello Ferrari, Leonardo Antonicelli, Francesco Attena, Valeria Bellisario, Roberto Bono, Lamberto Briziarelli, Lucio Casali, Angelo Guido Corsico, Alessandro Fois, Mariagrazia Panico, Pavilio Piccioni, Pietro Pirina, Simona Villani, Gabriele Nicolini, Roberto De Marco

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Socioeconomic inequalities in smoking habits have stabilized in many Western countries. This study aimed at evaluating whether socioeconomic disparities in smoking habits are still enlarging in Italy and at comparing the impact of education and occupation. Methods. In the frame of the GEIRD study (Gene Environment Interactions in Respiratory Diseases) 10,494 subjects, randomly selected from the general population aged 20-44 years in seven Italian centres, answered a screening questionnaire between 2007 and 2010 (response percentage = 57.2%). In four centres a repeated cross-sectional survey was performed: smoking prevalence recorded in GEIRD was compared with prevalence recorded between 1998 and 2000 in the Italian Study of Asthma in Young Adults (ISAYA). Results: Current smoking was twice as prevalent in people with a primary/secondary school certificate (40-43%) compared with people with an academic degree (20%), and among unemployed and workmen (39%) compared with managers and clerks (20-22%). In multivariable analysis smoking habits were more affected by education level than by occupation. From the first to the second survey the prevalence of ever smokers markedly decreased among housewives, managers, businessmen and free-lancers, while ever smoking became even more common among unemployed (time-occupation interaction: p = 0.047). At variance, the increasing trend in smoking cessation was not modified by occupation. Conclusion: Smoking prevalence has declined in Italy during the last decade among the higher socioeconomic classes, but not among the lower. This enlarging socioeconomic inequality mainly reflects a different trend in smoking initiation.

Original languageEnglish
Article number879
JournalBMC Public Health
Volume14
Issue number1
DOIs
Publication statusPublished - Aug 27 2014

Fingerprint

Italy
Habits
Smoking
Occupations
Education
Gene-Environment Interaction
Smoking Cessation
Young Adult
Asthma
Cross-Sectional Studies
Population

Keywords

  • Italy
  • Smoking cessation
  • Smoking initiation
  • Socioeconomic status
  • Trends

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Verlato, G., Accordini, S., Nguyen, G., Marchetti, P., Cazzoletti, L., Ferrari, M., ... De Marco, R. (2014). Socioeconomic inequalities in smoking habits are still increasing in Italy. BMC Public Health, 14(1), [879]. https://doi.org/10.1186/1471-2458-14-879

Socioeconomic inequalities in smoking habits are still increasing in Italy. / Verlato, Giuseppe; Accordini, Simone; Nguyen, Giang; Marchetti, Pierpaolo; Cazzoletti, Lucia; Ferrari, Marcello; Antonicelli, Leonardo; Attena, Francesco; Bellisario, Valeria; Bono, Roberto; Briziarelli, Lamberto; Casali, Lucio; Corsico, Angelo Guido; Fois, Alessandro; Panico, Mariagrazia; Piccioni, Pavilio; Pirina, Pietro; Villani, Simona; Nicolini, Gabriele; De Marco, Roberto.

In: BMC Public Health, Vol. 14, No. 1, 879, 27.08.2014.

Research output: Contribution to journalArticle

Verlato, G, Accordini, S, Nguyen, G, Marchetti, P, Cazzoletti, L, Ferrari, M, Antonicelli, L, Attena, F, Bellisario, V, Bono, R, Briziarelli, L, Casali, L, Corsico, AG, Fois, A, Panico, M, Piccioni, P, Pirina, P, Villani, S, Nicolini, G & De Marco, R 2014, 'Socioeconomic inequalities in smoking habits are still increasing in Italy', BMC Public Health, vol. 14, no. 1, 879. https://doi.org/10.1186/1471-2458-14-879
Verlato G, Accordini S, Nguyen G, Marchetti P, Cazzoletti L, Ferrari M et al. Socioeconomic inequalities in smoking habits are still increasing in Italy. BMC Public Health. 2014 Aug 27;14(1). 879. https://doi.org/10.1186/1471-2458-14-879
Verlato, Giuseppe ; Accordini, Simone ; Nguyen, Giang ; Marchetti, Pierpaolo ; Cazzoletti, Lucia ; Ferrari, Marcello ; Antonicelli, Leonardo ; Attena, Francesco ; Bellisario, Valeria ; Bono, Roberto ; Briziarelli, Lamberto ; Casali, Lucio ; Corsico, Angelo Guido ; Fois, Alessandro ; Panico, Mariagrazia ; Piccioni, Pavilio ; Pirina, Pietro ; Villani, Simona ; Nicolini, Gabriele ; De Marco, Roberto. / Socioeconomic inequalities in smoking habits are still increasing in Italy. In: BMC Public Health. 2014 ; Vol. 14, No. 1.
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abstract = "Background: Socioeconomic inequalities in smoking habits have stabilized in many Western countries. This study aimed at evaluating whether socioeconomic disparities in smoking habits are still enlarging in Italy and at comparing the impact of education and occupation. Methods. In the frame of the GEIRD study (Gene Environment Interactions in Respiratory Diseases) 10,494 subjects, randomly selected from the general population aged 20-44 years in seven Italian centres, answered a screening questionnaire between 2007 and 2010 (response percentage = 57.2{\%}). In four centres a repeated cross-sectional survey was performed: smoking prevalence recorded in GEIRD was compared with prevalence recorded between 1998 and 2000 in the Italian Study of Asthma in Young Adults (ISAYA). Results: Current smoking was twice as prevalent in people with a primary/secondary school certificate (40-43{\%}) compared with people with an academic degree (20{\%}), and among unemployed and workmen (39{\%}) compared with managers and clerks (20-22{\%}). In multivariable analysis smoking habits were more affected by education level than by occupation. From the first to the second survey the prevalence of ever smokers markedly decreased among housewives, managers, businessmen and free-lancers, while ever smoking became even more common among unemployed (time-occupation interaction: p = 0.047). At variance, the increasing trend in smoking cessation was not modified by occupation. Conclusion: Smoking prevalence has declined in Italy during the last decade among the higher socioeconomic classes, but not among the lower. This enlarging socioeconomic inequality mainly reflects a different trend in smoking initiation.",
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AU - Cazzoletti, Lucia

AU - Ferrari, Marcello

AU - Antonicelli, Leonardo

AU - Attena, Francesco

AU - Bellisario, Valeria

AU - Bono, Roberto

AU - Briziarelli, Lamberto

AU - Casali, Lucio

AU - Corsico, Angelo Guido

AU - Fois, Alessandro

AU - Panico, Mariagrazia

AU - Piccioni, Pavilio

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AU - Villani, Simona

AU - Nicolini, Gabriele

AU - De Marco, Roberto

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N2 - Background: Socioeconomic inequalities in smoking habits have stabilized in many Western countries. This study aimed at evaluating whether socioeconomic disparities in smoking habits are still enlarging in Italy and at comparing the impact of education and occupation. Methods. In the frame of the GEIRD study (Gene Environment Interactions in Respiratory Diseases) 10,494 subjects, randomly selected from the general population aged 20-44 years in seven Italian centres, answered a screening questionnaire between 2007 and 2010 (response percentage = 57.2%). In four centres a repeated cross-sectional survey was performed: smoking prevalence recorded in GEIRD was compared with prevalence recorded between 1998 and 2000 in the Italian Study of Asthma in Young Adults (ISAYA). Results: Current smoking was twice as prevalent in people with a primary/secondary school certificate (40-43%) compared with people with an academic degree (20%), and among unemployed and workmen (39%) compared with managers and clerks (20-22%). In multivariable analysis smoking habits were more affected by education level than by occupation. From the first to the second survey the prevalence of ever smokers markedly decreased among housewives, managers, businessmen and free-lancers, while ever smoking became even more common among unemployed (time-occupation interaction: p = 0.047). At variance, the increasing trend in smoking cessation was not modified by occupation. Conclusion: Smoking prevalence has declined in Italy during the last decade among the higher socioeconomic classes, but not among the lower. This enlarging socioeconomic inequality mainly reflects a different trend in smoking initiation.

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