Trends in socioeconomic inequalities among adult male hardcore smokers in Vietnam: 2010–2015

International Journal for Equity in Health

Research

Vu Duy Kien¹  Hoang Van Minh¹  Nguyen The Quan²  Tej Ram Jat³  Kim Bao Giang⁴  Doan Thi Thu Huyen⁵  Phan Thi Hai⁵  Luong Ngoc Khue⁵  Nguyen Tuan Lam⁶  Phan Thi Quynh Nga⁶ 

[1] Center for Population Health Sciences, Hanoi School of Public Health, Hanoi, Vietnam;General Statistics Office, Hanoi, Vietnam;HelpAge International, Yangon, Myanmar;Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam;Vietnam Steering Committee on Smoking and Health (VINACOSH), Hanoi, Vietnam;World Health Organization Office in Viet Nam, Hanoi, Vietnam;

关键词: Tobacco;    Smoking;    Hardcore smoker;    Socioeconomic inequalities;    Vietnam;   

DOI  :  10.1186/s12939-017-0623-x

 received in 2017-04-06, accepted in 2017-07-06,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundDespite male smokers being dominant in Vietnam, scarce evidence on trends in socioeconomics inequalities among the hardcore male smokers is available in the country. In this study, we aimed at assessing the trends in socioeconomics inequalities among the hardcore smokers in adult male population in Vietnam over a five-year period from 2010 to 2015.MethodsWe used data from two rounds of the Vietnam Global Adult Tobacco Survey (GATS) conducted in 2010 and 2015. We included only men aged 25 years and above in the analysis. We measured socioeconomic inequalities among hardcore smokers by calculating the concentration index. We conducted multiple logistic regression analysis to identify factors associated with hardcore smoking among men aged 25 years and above.ResultsThe results of this study showed that the prevalence of male hardcore smokers aged 25 years and above in Vietnam was 9.5% in 2010 which increased to 13.1% in 2015. The prevalence of male hardcore smokers declined in the richest group from the 2010 level whereas it increased in the middle, poor and poorest groups. All values of weighted concentration indices indicated that the prevalence of male hardcore smokers occurred more among the poor men in Vietnam in both 2010 and 2015. The socioeconomic inequalities in hardcore smokers increased during 2010 and 2015. Residence in urban areas was significantly associated with higher adult male hardcore smoking in our study. Belonging to the age groups between 40 and 59 years, attaining primary and lower education, being self-employed, belonging to the poorest household group, smoking being allowed at home and no rule for smoking at home were associated with higher risk of being hardcore smoker among adult males in Vietnam.ConclusionsWe found increased trends in socioeconomic inequalities in hardcore smoking among the study population. Our study results indicate that existing smoking secession and tobacco control policy and interventions need to be modified or new policies and interventions should be introduced with the perspective of addressing socioeconomic inequalities to have the desired impact. We recommend implementing specific targeted interventions for vulnerable population groups for better results.

【 授权许可】

CC BY   
© The Author(s). 2017