Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level

Introduction First study of social inequalities in tobacco-attributable mortality (TAM) in Spain considering the joint influence of sex, age, and education (intersectional perspective). Methods Data on all deaths due to cancer, cardiometabolic and respiratory diseases among people aged ≥35 years in...

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Autores: Haeberer, Mariana, León-Gómez, Inmaculada, Pérez-Gómez, Beatriz, Tellez Plaza, María, Pérez-Ríos, Mónica, Schiaffino, Anna, Rodríguez Artalejo, Fernando, Galán Labaca, Ignacio
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/695959
Acceso en línea:http://hdl.handle.net/10486/695959
https://dx.doi.org/10.1371/journal.pone.0239866
Access Level:acceso abierto
Palabra clave:Social inequalities
Tobacco
Mortality in Spain
Age
Sex
Educational level
Medicina
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spelling Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational levelDesigualdades sociales en la mortalidad atribuible al tabaco en España. La intersección entre edad, sexo y nivel educativoHaeberer, MarianaLeón-Gómez, InmaculadaPérez-Gómez, BeatrizTellez Plaza, MaríaPérez-Ríos, MónicaSchiaffino, AnnaRodríguez Artalejo, FernandoGalán Labaca, IgnacioSocial inequalitiesTobaccoMortality in SpainAgeSexEducational levelMedicinaIntroduction First study of social inequalities in tobacco-attributable mortality (TAM) in Spain considering the joint influence of sex, age, and education (intersectional perspective). Methods Data on all deaths due to cancer, cardiometabolic and respiratory diseases among people aged ≥35 years in 2016 were obtained from the Spanish Statistical Office. TAM was calculated based on sex-, age- and education-specific smoking prevalence, and on sex-, age- and disease-specific relative risks of death for former and current smokers vs lifetime nonsmokers. As inequality measures, the relative index of inequality (RII) and the slope index of inequality (SII) were calculated using Poisson regression. The RII is interpreted as the relative risk of mortality between the lowest and the highest educational level, and the SII as the absolute difference in mortality. Results The crude TAM rate was 55 and 334 per 100,000 in women and men, respectively. Half of these deaths occurred among people with the lowest educational level (27% of the population). The RII for total mortality was 0.39 (95%CI: 0.35–0.42) in women and 1.61 (95%CI: 1.55–1.67) in men. The SII was -41 and 111 deaths per 100,000, respectively. Less-educated women aged <55 years and men (all ages) showed an increased mortality risk; nonetheless, less educated women aged ≥55 had a reduced risk. Conclusions TAM is inversely associated with educational level in men and younger women, and directly associated with education in older women. This could be explained by different smoking patterns. Appropriate tobacco control policies should aim to reduce social inequalities in TAM.Public Library of ScienceDepartamento de Medicina Preventiva y Salud Pública y MicrobiologíaFacultad de MedicinaInstituto de Investigación Sanitaria del Hospital Universitario de La Paz (IdiPAZ)20202020-09-28research articlehttp://purl.org/coar/resource_type/c_2df8fbb1VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/695959https://dx.doi.org/10.1371/journal.pone.0239866reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/6959592026-06-23T12:46:27Z
dc.title.none.fl_str_mv Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level
Desigualdades sociales en la mortalidad atribuible al tabaco en España. La intersección entre edad, sexo y nivel educativo
title Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level
spellingShingle Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level
Haeberer, Mariana
Social inequalities
Tobacco
Mortality in Spain
Age
Sex
Educational level
Medicina
title_short Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level
title_full Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level
title_fullStr Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level
title_full_unstemmed Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level
title_sort Social inequalities in tobacco-attributable mortality in Spain. The intersection between age, sex and educational level
dc.creator.none.fl_str_mv Haeberer, Mariana
León-Gómez, Inmaculada
Pérez-Gómez, Beatriz
Tellez Plaza, María
Pérez-Ríos, Mónica
Schiaffino, Anna
Rodríguez Artalejo, Fernando
Galán Labaca, Ignacio
author Haeberer, Mariana
author_facet Haeberer, Mariana
León-Gómez, Inmaculada
Pérez-Gómez, Beatriz
Tellez Plaza, María
Pérez-Ríos, Mónica
Schiaffino, Anna
Rodríguez Artalejo, Fernando
Galán Labaca, Ignacio
author_role author
author2 León-Gómez, Inmaculada
Pérez-Gómez, Beatriz
Tellez Plaza, María
Pérez-Ríos, Mónica
Schiaffino, Anna
Rodríguez Artalejo, Fernando
Galán Labaca, Ignacio
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Departamento de Medicina Preventiva y Salud Pública y Microbiología
Facultad de Medicina
Instituto de Investigación Sanitaria del Hospital Universitario de La Paz (IdiPAZ)
dc.subject.none.fl_str_mv Social inequalities
Tobacco
Mortality in Spain
Age
Sex
Educational level
Medicina
topic Social inequalities
Tobacco
Mortality in Spain
Age
Sex
Educational level
Medicina
description Introduction First study of social inequalities in tobacco-attributable mortality (TAM) in Spain considering the joint influence of sex, age, and education (intersectional perspective). Methods Data on all deaths due to cancer, cardiometabolic and respiratory diseases among people aged ≥35 years in 2016 were obtained from the Spanish Statistical Office. TAM was calculated based on sex-, age- and education-specific smoking prevalence, and on sex-, age- and disease-specific relative risks of death for former and current smokers vs lifetime nonsmokers. As inequality measures, the relative index of inequality (RII) and the slope index of inequality (SII) were calculated using Poisson regression. The RII is interpreted as the relative risk of mortality between the lowest and the highest educational level, and the SII as the absolute difference in mortality. Results The crude TAM rate was 55 and 334 per 100,000 in women and men, respectively. Half of these deaths occurred among people with the lowest educational level (27% of the population). The RII for total mortality was 0.39 (95%CI: 0.35–0.42) in women and 1.61 (95%CI: 1.55–1.67) in men. The SII was -41 and 111 deaths per 100,000, respectively. Less-educated women aged <55 years and men (all ages) showed an increased mortality risk; nonetheless, less educated women aged ≥55 had a reduced risk. Conclusions TAM is inversely associated with educational level in men and younger women, and directly associated with education in older women. This could be explained by different smoking patterns. Appropriate tobacco control policies should aim to reduce social inequalities in TAM.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-09-28
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10486/695959
https://dx.doi.org/10.1371/journal.pone.0239866
url http://hdl.handle.net/10486/695959
https://dx.doi.org/10.1371/journal.pone.0239866
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Biblos-e Archivo. Repositorio Institucional de la UAM
instname:Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
collection Biblos-e Archivo. Repositorio Institucional de la UAM
repository.name.fl_str_mv
repository.mail.fl_str_mv
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