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首页> 外文期刊>Drug and alcohol review >Tobacco expenditure, smoking-induced deprivation and financial stress: Results from the International Tobacco Control (ITC) Four-Country Survey
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Tobacco expenditure, smoking-induced deprivation and financial stress: Results from the International Tobacco Control (ITC) Four-Country Survey

机译：烟草支出，吸烟引起的贫困和经济压力：国际烟草控制（ITC）四国调查的结果

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Introduction and Aims. While higher tobacco prices lead to a reduction in smoking prevalence, there is a concern that paying more for cigarettes can lead to excess financial burden. Our primary aim was to examine the association of daily cigarette expenditure with smoking-induced deprivation (SID) and financial stress (FS). Design and Methods. We used data from wave 7 (2008-2009) of the International Tobacco Control (ITC) Four-Country Survey which is a survey of smokers in Canada, the USA, the UK and Australia (n=5887). Logistic regressions were used to assess the association of daily cigarette expenditure with SID and FS. Results. In multivariate analyses, a one standard deviation increase in daily cigarette expenditure was associated with an increase of 24% (P=0.004) in the probability of experiencing SID. While we found no association between daily cigarette expenditure and FS, we found that SID is a strong predictor of FS (odds ratio 6.25; P<0.001). This suggests that cigarette expenditure indirectly affects FS through SID. Results showed no evidence of an interaction between cigarette expenditure and income or education in their effect on SID or FS. Conclusions. Our results imply that spending more on tobacco may result in SID but surprisingly has no direct effect on FS. While most smokers may be adjusting their incomes and consumption to minimise FS, some fail to do so occasionally as indexed by the SID measure. Future studies need to prospectively examine the effect of increased tobacco expenditure on financial burden of smokers.[Siahpush M, Borland R, Yong H-H, Cummings KM, Fong GT. Tobacco expenditure, smoking-induced deprivation and financial stress: Results from the International Tobacco Control (ITC) Four-Country Survey. Drug Alcohol Rev 2012;31:664-671]
机译：简介和目的。尽管较高的烟草价格导致吸烟率下降，但人们担心，为卷烟支付更多的费用可能导致过多的经济负担。我们的主要目的是检验每日香烟消费与吸烟引起的剥夺（SID）和财务压力（FS）的关系。设计和方法。我们使用了国际烟草控制（ITC）四国调查第7波（2008-2009）的数据，该调查是对加拿大，美国，英国和澳大利亚（n = 5887）吸烟者的调查。使用逻辑回归来评估每日卷烟支出与SID和FS的关联。结果。在多变量分析中，每天吸烟支出的一个标准差增加与发生SID的可能性增加24％（P = 0.004）相关。尽管我们发现每天的香烟消费与FS之间没有关联，但我们发现SID是FS的有力预测指标（优势比为6.25; P <0.001）。这表明香烟支出通过SID间接影响FS。结果显示，没有证据表明香烟支出与收入或教育之间的相互作用对SID或FS有影响。结论。我们的结果表明，在烟草上花费更多可能会导致SID，但令人惊讶的是，对FS没有直接影响。尽管大多数吸烟者可能会调整其收入和消费量以最大程度地减少FS，但有些吸烟者有时却不这样做，这是根据SID指标得出的。未来的研究需要前瞻性地研究烟草支出增加对吸烟者经济负担的影响。[Siahpush M，Borland R，Yong H-H，Cummings KM，Fong GT。烟草支出，吸烟引起的贫困和财务压力：国际烟草控制（ITC）四国调查的结果。药物酒精评论2012; 31：664-671]

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