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Co-variation in dimensions of smoking behaviour: A multivariate analysis of individuals and communities in Canada

机译:吸烟行为维度的协变量:加拿大个人和社区的多元分析

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We evaluated the effects of socioeconomic status on the prevalence of current smoking, number of cigarettes smoked per day and pack-years, and the extent to which prevalence and consumption co-vary across communities, health regions, and provinces in Canada between 2001 and 2010. Current smoking, cigarettes per day, and pack-years were considered as outcomes within individuals using a multilevel analytical framework. Markers of SES were education, income, and occupation. Residual covariance estimated at the different levels of geography was used to determine if areas high in current smoking were also high on levels of consumption. A strong inverse gradient was found between education and current smoking and level of consumption with large variation found in levels of consumption between individual smokers. The co-variation between current smoking and level of consumption was positive and statistically significant at the level of communities and health regions. Our findings suggest that novel policy efforts may be needed to encourage smoking prevention/cessation among certain population groups and in places with high levels of smoking prevalence and tobacco use intensity.
机译:我们评估了2001年至2010年间,社会经济状况对当前吸烟率,每天吸烟量和每包年吸烟量的影响,以及加拿大各社区,健康地区和各省的流行率和消费量变化的程度使用多层次分析框架,当前的吸烟,每天的香烟和包装年数被认为是个体内部的结果。 SES的标记是教育,收入和职业。在不同地理级别上估计的残差协方差用于确定当前吸烟率高的区域的消费水平是否也高。在教育程度和当前吸烟量与消费水平之间发现强烈的反梯度,而各个吸烟者之间的消费水平差异很大。当前吸烟与消费水平之间的协方差是正的,并且在社区和健康地区的水平上具有统计学意义。我们的发现表明,可能需要采取新的政策措施来鼓励某些人群和在吸烟率和吸烟强度较高的地方预防/戒烟。

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