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Social determinants of daily smoking in the cross-sectional survey in Brno, Czech Republic, 2013-2014. Preliminary results

Session Poster Session III - Friday 08:30 - 12:30

Speaker Narine Movsisyan

Event : ESC Preventive Cardiology (Formerly EuroPrevent) 2015

  • Topic : preventive cardiology
  • Sub-topic : Tobacco
  • Session type : Poster Session

Authors : NK Movsisyan (Brno,CZ), O Sochor (Brno,CZ), E Kralikova (Prague,CZ), R Cifkova (Prague,CZ), H Ross (Brno,CZ), I Tomaskova (Brno,CZ), J Fiala (Brno,CZ), V Soska (Brno,CZ), R Prosecky (Brno,CZ), F Lopez-Jimenez (Rochester,US)

Authors:
NK Movsisyan1 , O Sochor1 , E Kralikova2 , R Cifkova3 , H Ross1 , I Tomaskova1 , J Fiala1 , V Soska1 , R Prosecky1 , F Lopez-Jimenez4 , 1International Clinical Research Center, St. Anne's University Hospital Brno - Brno - Czech Republic , 2First Faculty of Medicine and General Teaching Hospital - Prague - Czech Republic , 3Charles University of Prague , Center for Cardiovascular Prevention of the First Faculty of Medicine - Prague - Czech Republic , 4Mayo Clinic - Rochester - United States of America ,

On behalf: Kardiovize 2030

Citation:

Purpose. Smoking as a major modifiable risk factor contributes to excess morbidity and mortality worldwide.  The social gradient in smoking varies across time and place. The purpose of this study was to identify the socioeconomic determinants of daily smoking in a cross-sectional survey in Brno, Czech Republic.

Methods. A population-based survey was conducted in 2013-2014 to assess cardiovascular risk factors in a stratified random sample of Brno residents aged 25-64. This study assessed the respondents’ socioeconomic status through two proxy indicators, the average monthly household income and educational attainment.  Data analysis included descriptive statistics and the chi-square test.

Results. The analysis included the first 1954 respondents, of which 55.1% were women; mean age 47.5 years (±11.3). A total of 21.6% of the respondents had primary or apprenticeship education while 39.3% had secondary or special post-secondary, and 39.0% had higher education. Respondents with low, middle and high income represented 35.2%, 31.1%, and 16.2% of the sample, respectively; those in the lowest and highest income strata comprised 8.7% each. Daily smoking prevalence was 22.2% in the analyzed population sample, 20.7% for women and 23.9% for men (p=0.09). Prevalence of daily smoking was inversely proportional to income strata and level of education, (p<0.001 for trend for both). No significant differences in daily smoking prevalence between men and women were found in the total analyzed sample; however, men smoked significantly more than women in the low (p=0.03) and very low (p=0.05) income groups.

Conclusion. This study found remarkable social inequalities in daily smoking in a population sample of the second largest city in Czech Republic. To improve the population health and promote health equity, future interventions should address the smoking-related inequities, possibly by enhancing access to smoking cessation services and tailoring awareness campaigns to the less advantaged population.

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