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Gender inequalities in smoking and snus: A cross-sectional study of absolute and relative gender inequalities in smoking and snus in 2006, 2010 and 2014 in northern Sweden
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
2018 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: For many years Sweden has had the world’s lowest smoking prevalence and has a very low rate of tobacco-related diseases and mortality. Yet, the total tobacco consumption is equivalent with that of other countries, a paradox that is referred to as “The Swedish Experience” and it’s mostly due to the common use of snus. The distribution of smoking prevalence between women and men in Sweden has undertaken a change over time. From being almost exclusively a male habit, Swedish women now have a higher smoking prevalence than men. While for snus the prevalence distribution differs, the use of snus is much more common among Swedish men than women.

Purpose: The aim of this study is to examine both smoking and snus prevalence trend in 2006-2014 in Northern Sweden, and to investigate absolute and relative gender inequalities.

Methods: Data derived from the repeated cross-sectional Health on Equal Terms survey in 2006, 2010 and 2014 in northern Sweden. The analytical sample consisted of 27,523 (2006), 37,154 (2010), and 25,404 (2014) individuals aged 16-84. Binomial regression model and binomial-identity regression model were used to calculate prevalence ratios and prevalence differences separately for each year; to capture both relative and absolute inequalities in smoking and snus.

Results: The study results displayed a clear decreasing trend in daily smoking in the total sample, men and women throughout the survey years, and didn’t show a clear prevalence trend for snus. At all three survey years, both absolute and relative gender inequalities in daily smoking were in the direction of more smoking in women than in men. Smoking had a smaller gender gap in comparison to snus which had both higher prevalence and bigger gender inequality with more men using snus than women.

Conclusion: Both smoking, and snus showed gendered prevalence pattern in this study, with women smoking more and using snus less, and men using snus more and smoking less. While the gender inequality continued to decrease for smoking, the gender inequality in snus didn’t display much of a decrease across the three survey years and remained substantial.

Place, publisher, year, edition, pages
2018. , p. 28
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2018:59
Keywords [en]
Gender inequalities, smoking, snus, prevalence ratio, prevalence difference, Northern Sweden.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-165567OAI: oai:DiVA.org:umu-165567DiVA, id: diva2:1373273
External cooperation
Health on Equal terms, Västerbotten, Jämtland, Norrbotten and Västernorrland County Councils
Educational program
Master's Programme in Public Health
Presentation
2018-10-18, Alicante, Building 5B, 3rd floor, Department of Epidemiology and Global Health, Umeå University, Umeå, 10:00 (English)
Supervisors
Examiners
Available from: 2019-11-27 Created: 2019-11-26 Last updated: 2019-11-27Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
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  • Other style
More styles
Language
  • de-DE
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  • en-US
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  • nn-NO
  • nn-NB
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  • Other locale
More languages
Output format
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  • asciidoc
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