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Pathways of disadvantage and smoking careers : evidence and policy implications.

Graham, Hilary and Inskip, Hazel M. and Francis, Brian and Harman, Juliet (2006) Pathways of disadvantage and smoking careers : evidence and policy implications. Journal of Epidemiology and Community Health, 60 (Supple). ii7-ii12.

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Abstract

Objectives: To investigate in older industrialised societies (a) how social disadvantage contributes to smoking risk among women (b) the role of social and economic policies in reducing disadvantage and moderating wider inequalities in life chances and living standards. Methods: Review and analysis of (a) the effects of disadvantage in childhood and into adulthood on women’s smoking status in early adulthood (b) policy impacts on the social exposures associated with high smoking risk. Main results: (a) Smoking status—ever smoking, current smoking, heavy smoking, and cessation—is influenced not only by current circumstances but by longer term biographies of disadvantage (b) social and economic policies shape key social predictors of women’s smoking status, including childhood circumstances, educational levels and adult circumstances, and moderate inequalities in the distribution of these dimensions of life chances and living standards. Together, the two sets of findings argue for a policy toolkit that acts on the distal determinants of smoking, with interventions targeting the conditions in which future and current smokers live. Conclusions: An approach to tobacco control is advocated that combines changing smoking habits with reducing inequalities in the social trajectories in which they are embedded. Policies to level up opportunities and living standards across the lifecourse should be championed as part of an equity oriented approach to reducing the disease burden of cigarette smoking.

Item Type: Article
Journal or Publication Title: Journal of Epidemiology and Community Health
Additional Information: RAE_import_type : Journal article RAE_uoa_type : Statistics and Operational Research
Uncontrolled Keywords: Keywords ; women ; smoking ; disadvantage ; social policies ; social inequalities
Subjects: H Social Sciences > H Social Sciences (General)
Departments: Faculty of Health and Medicine > Health Research
Faculty of Science and Technology > Mathematics and Statistics
ID Code: 2481
Deposited By: ep_importer
Deposited On: 01 Apr 2008 12:15
Refereed?: Yes
Published?: Published
Last Modified: 09 Oct 2013 15:17
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/2481

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