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Socioeconomic differences in smoking trends among pregnant women at first antenatal visit in Sweden 1982-2001: Increasing importance of educational level for the total burden of smoking.

Moussa, Kontie LU ; Ostergren, P-O; Grahn, Mathias LU ; Kunst, Anton E; Eek, Frida LU and Essén, Birgitta LU (2009) In Tobacco Control 2008(Oct 30). p.92-97
Abstract
BACKGROUND: There was a decrease 1982-2001 in smoking during early pregnancy in Swedish women. We sought to determine whether there was a parallel decrease in socio-economic inequality in smoking. METHODS: Registry data indicating educational level and smoking status at first antenatal visit in all 2,022,469 pregnancies in Sweden 1982-2001 was analysed. Prevalence differences, odds ratios based on prevalences, and total attributable fractions were compared for five-year intervals. RESULTS: The prevalence differences of smoking showed greater decrease at the lowest and middle compared with the highest educational level (14.5, 15.7 and 10.2%, respectively) indicating reduced inequality in absolute terms. However, odds ratios regarding low... (More)
BACKGROUND: There was a decrease 1982-2001 in smoking during early pregnancy in Swedish women. We sought to determine whether there was a parallel decrease in socio-economic inequality in smoking. METHODS: Registry data indicating educational level and smoking status at first antenatal visit in all 2,022,469 pregnancies in Sweden 1982-2001 was analysed. Prevalence differences, odds ratios based on prevalences, and total attributable fractions were compared for five-year intervals. RESULTS: The prevalence differences of smoking showed greater decrease at the lowest and middle compared with the highest educational level (14.5, 15.7 and 10.2%, respectively) indicating reduced inequality in absolute terms. However, odds ratios regarding low educational attainment versus high, increased from 5.6 to 14.2, signifying increased inequality in relative terms. Moreover, the total attributable fraction of low and intermediate educational level regarding smoking at first antenatal visit increased from 61% to 76% during the period studied. CONCLUSIONS: Smoking at first antenatal visit in Sweden 1982-2001 decreased in a way that conclusions regarding trends in inequalities in smoking at first antenatal visit depend on the applied type of measure. However, using the measure of total attributable fraction, which takes into consideration the impact of the exposure on the individual as well as the effect of the varying size of the group of exposed, the growing importance of educational level for the behaviour in the population, was demonstrated. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Tobacco Control
volume
2008
issue
Oct 30
pages
92 - 97
publisher
BMJ Publishing Group
external identifiers
  • wos:000264518700016
  • pmid:18974226
  • scopus:63449092170
ISSN
1468-3318
DOI
10.1136/tc.2008.026336
language
English
LU publication?
yes
id
4df6e788-dcff-44bf-96f5-3a307fa169b3 (old id 1271903)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18974226?dopt=Abstract
date added to LUP
2008-12-01 16:14:41
date last changed
2017-09-10 03:58:10
@article{4df6e788-dcff-44bf-96f5-3a307fa169b3,
  abstract     = {BACKGROUND: There was a decrease 1982-2001 in smoking during early pregnancy in Swedish women. We sought to determine whether there was a parallel decrease in socio-economic inequality in smoking. METHODS: Registry data indicating educational level and smoking status at first antenatal visit in all 2,022,469 pregnancies in Sweden 1982-2001 was analysed. Prevalence differences, odds ratios based on prevalences, and total attributable fractions were compared for five-year intervals. RESULTS: The prevalence differences of smoking showed greater decrease at the lowest and middle compared with the highest educational level (14.5, 15.7 and 10.2%, respectively) indicating reduced inequality in absolute terms. However, odds ratios regarding low educational attainment versus high, increased from 5.6 to 14.2, signifying increased inequality in relative terms. Moreover, the total attributable fraction of low and intermediate educational level regarding smoking at first antenatal visit increased from 61% to 76% during the period studied. CONCLUSIONS: Smoking at first antenatal visit in Sweden 1982-2001 decreased in a way that conclusions regarding trends in inequalities in smoking at first antenatal visit depend on the applied type of measure. However, using the measure of total attributable fraction, which takes into consideration the impact of the exposure on the individual as well as the effect of the varying size of the group of exposed, the growing importance of educational level for the behaviour in the population, was demonstrated.},
  author       = {Moussa, Kontie and Ostergren, P-O and Grahn, Mathias and Kunst, Anton E and Eek, Frida and Essén, Birgitta},
  issn         = {1468-3318},
  language     = {eng},
  number       = {Oct 30},
  pages        = {92--97},
  publisher    = {BMJ Publishing Group},
  series       = {Tobacco Control},
  title        = {Socioeconomic differences in smoking trends among pregnant women at first antenatal visit in Sweden 1982-2001: Increasing importance of educational level for the total burden of smoking.},
  url          = {http://dx.doi.org/10.1136/tc.2008.026336},
  volume       = {2008},
  year         = {2009},
}