TITLE

Smoking in context - a multilevel approach to smoking among females in Helsinki

AUTHOR(S)
Karvonen, Sakari; Sipilä, Petteri; Martikainen, Pekka; Rahkonen, Ossi; Laaksonen, Mikko
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8, p134
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Smoking is associated with disadvantage. As people with lower social status reside in less privileged areas, the extent of contextual influences for smoking remains unclear. The aims were to examine the spatial patterning of daily smoking within the city of Helsinki, to analyse whether contextual variation can be observed and which spatial factors associate with current daily smoking in the employed female population. Methods: Data from a cross-sectional questionnaire were collected for municipal employees of Helsinki (aged 40-60 years). The response rate was 69%. As almost 4/5 of the employees are females, the analyses were restricted to women (n = 5028). Measures included smoking status, individual level socio-demographic characteristics (age, occupational social class, education, family type) and statistical data describing areas in terms of social structure (unemployment rate, proportion of manual workers) and social cohesion (proportions of single parents and single households). Logistic multilevel analysis was used to analyse data. Results: After adjusting for the individual-level composition, smoking was significantly more prevalent according to all social structural and social cohesion indicators apart from the proportion of manual workers. For example, high unemployment in the area of domicile increased the risk of smoking by almost a half. The largest observed area difference in smoking - 8 percentage points - was found according to the proportion of single households. Conclusion: The large variation in smoking rates between areas appears mainly to result from variation in the characteristics of residents within areas. Yet, living in an area with a high level of unemployment appears to be an additional risk for smoking that cannot be fully accounted for by individual level characteristics even in a cohort of female municipal employees.
ACCESSION #
51485906

 

Related Articles

  • Knowledge, attitudes and other factors associated with assessment of tobacco smoking among pregnant Aboriginal women by health care providers: a cross-sectional survey.  // BMC Public Health;2012, Vol. 12 Issue 1, p165 

    The article discusses a study conducted to explore perception, knowledge and attitudes of health care providers giving care to pregnant Aboriginal women with regard to smoking risks and cessation. It has been informed that results of the study suggest that health care providers should be...

  • Women and Smoking: Issues and Opportunities. Kelly, Alison; Blair, Nicole; Pechacek, Terry F. // Journal of Women's Health & Gender-Based Medicine;Jul2001, Vol. 10 Issue 6, p515 

    In March 2001, the U.S. Surgeon General released Women and Smoking, the second Surgeon General's report to focus on tobacco use among women, compelling the nation to make reducing tobacco use among women one of the highest priorities for women's health. Since 1980, 3 million women have died...

  • Exploring the adequacy of smoking cessation support for pregnant and postpartum women. Borland, Tracey; Babayan, Alexey; Irfan, Saeeda; Schwartz, Robert // BMC Public Health;2013, Vol. 13 Issue 1, p1 

    Background: Smoking in pregnancy exemplifies the relationship between tobacco use and health inequalities. While difficulty reaching and engaging this population in cessation support is often highlighted in the literature, there is limited research that explores the factors that shape the...

  • Exposure to environmental tobacco smoke at work, at home, and during leisure time: A cross-sectional population sample. Patja, Kristiina; Vainiotalo, Sinikka; Laatikainen, Tiina; Kuusimaki, Leea; Peltonen, Kimmo; Vartiainen, Erkki // Nicotine & Tobacco Research;Aug2008, Vol. 10 Issue 8, p1327 

    Environmental tobacco smoke (ETS) is among the most common environmental health risks, with a striking and immediate biological response and increased disease risk. Exposure studies have looked mostly at worksite or home exposures, whereas total exposure levels at the population level are rarely...

  • KAP Study on Second Hand Smoke among Pregnant Mothers Attending Tertiary Care Rural Hospital. M. P., Khapre; R. D., Meshram; A. B., Mudey; V., Wagh // Indian Journal of Public Health Research & Development;Apr-Jun2014, Vol. 5 Issue 2, p204 

    Background: Second hand smoke (SHS) released from the burning end of cigarette and exhaled mainstream smoke. When inhaled by pregnant mothers, it can cross the placenta and increased risk of neonatal and perinatal morbidity and mortality. On literature search we could not find out data on...

  • Smoking and Cancer... Communication from Higgins. Higgins, Ian T. T. // American Journal of Public Health;Feb1976, Vol. 66 Issue 2, p159 

    The article presents the author's view on the "A Critical Reassessment of the Evidence Bearing on Smoking as the Cause of Lung Cancer" by Theodore D. Sterling. According to Sterling, the level of lung cancer mortality in the U.S. among men especially non-white, the rates have increased and among...

  • HEALTH FINDING. Sheehan, Emily // Nation's Health;Sep2003, Vol. 33 Issue 7, p17 

    Presents the latest public health studies and research as of September 2003. Risk factor for developing Alzheimer's disease in women; Dental complaints received by emergency departments; Discussion on youth smoking related to parents quitting.

  • Women Health Workers: Past and Present. Fee, Elizabeth; Korstad, Roben R. // American Journal of Public Health;Feb1992, Vol. 82 Issue 2, p165 

    William Minkowski's paper "Women Healers in the Middle Ages: Selected Aspects of Their History," introduces a subject that may at first seem alien to the contemporary concerns of public health practitioners. The themes of Minkowski's paper are not as out-of-date as one might wish. In the last 20...

  • One in Four Women 18-44 Smoke. Klitsch, Michael // Family Planning Perspectives;Jan/Feb92, Vol. 24 Issue 1, p3 

    The article presents information on an analysis of smoking patterns which says that the proportion of women of reproductive age who smoke varies widely across the United States, but the median level is about one in four. Female smokers younger than age 35 are more likely than older smokers to...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics