Cigarette smoking trends and social disparities among South African adults, 2003-2011
PUBLICATION YEAR: 2015
TITLE AUTHOR(S): O.A.Ayo-Yusuf, B.G.Olutola, I.T.Agaku
KEYWORDS: ADULTS, SMOKING, SOCIO- ECONOMIC STATUS, TOBACCO USE
DEPARTMENT: Developmental, Capable and Ethical State (DCES)
Print: HSRC Library: shelf number 9900
HANDLE: 20.500.11910/11173
URI: http://hdl.handle.net/20.500.11910/11173
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Cigarette prices have almost doubled in South Africa within the past decade due to pricing/taxation policies. Little is known about the equity impact of these price increases in concert with other tobacco control policies. This study therefore examined trends in current cigarette smoking overall and by socioeconomic status (SES) in South Africa during 2003???2011. Data were obtained from the 2003 (n = 2,855), 2007 (n = 2,907), and 2011 (n =3,003) South African Social Attitudes Survey. Educational attainment (> grade 12, grade 12, grade 1???11, or no education) was used as a proxy for SES, and all analyses were restricted to respondents aged ???25 years. Trends in current cigarette smoking???defined as daily or some days use of cigarettes???during 2003???2011 were assessed with estimates of annual percentage change (APC), while smoking disparities were assessed with relative concentration index (RCI). Results: Although no significant change was observed in the overall prevalence of current smoking during 2003???2011, declines were observed among those with no education (APC =???8.2; p < .05 for linear trend). However, increased smoking was observed among the most educated women (from 4.0% in 2003 to 13.1% in 2011; p < .05 for linear trend). The RCI by educational status changed significantly during the study period, from 0.80 (2003) to 1.35 (2007) to 1.94 (2011). The policy environment in South Africa during 2003???2011 had a significant positive equity impact by SES, even though no aggregate change in smoking prevalence was observed. Intensified implementation of taxation measures as part of a comprehensive tobacco control may further reduce smoking disparities.-
Related Research Outputs:
- Young adults, the target of below-the-line advertising
- Impact of tobacco control legislation on adult smoking prevalence in South Africa: findings from the Birth to Twenty longitudinal study
- Tobacco use among young adults in South Africa
- Impact of the tobacco control legislation on adult smoking prevalence: findings from the Birth to Twenty Study
- Exposure to secondhand smoke and voluntary adoption of smoke-free home and car rules among non-smoking South Africa adults
- Traditional healers' perceptions of smokeless tobacco use and health in the Limpopo province of South Africa
- Determinants of smoking among adolescents in the southern Cape-Karoo region, South Africa
- Tobacco use trends among adolescents and adults in South Africa
- Characteristics and factors influencing fast food intake of young adult consumers in Johannesburg, South Africa
- Determinants of exposure to Second-Hand Tobacco Smoke (SHS) among current non-smoking in-school adolescents (aged 11-18 years) in South Africa: results from the 2008 GYTS study
- Tobacco use and associated factors in older adults in South Africa
- Prevalence, correlates and perceptions toward cigarette smoking among male and female in-school adolescents (aged 11-18 years) in South Africa: results from the 2008 GYTS study
- Tobacco use, beliefs and risk awareness in university students from 24 low, middle and emerging economy countries
- Prevalence of tobacco use among adults in South Africa: results from the first South African national health and nutrition examination survey
- Tobacco and alcohol use among chronic disease patients in Cambodia, Myanmar and Vietnam
- Prevalence and behavioural risk factors of light or moderate and heavy cigarette smoking in 32 countries
- Intention to switch to smokeless tobacco use among South African smokers: results from the 2007 South African Social Attitudes Survey
- 'Roll-your-own' cigarette smoking in South Africa between 2007 and 2010
- Awareness of nicotine replacement therapy among South African smokers and their interest in using it for smoking cessation when provided for free
- The prevalence of edentulism and their related factors in Indonesia, 2014/15