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Impact of tobacco control interventions on socioeconomic inequalities in smoking: review of the evidence

2013· review· en· 407 citations· W2105186157 on OpenAlex· 10.1136/tobaccocontrol-2013-051110

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Opus teacher head0.150
GPT teacher head0.430
Teacher spread
0.280 · how far apart the two teachers sit on this one work
Validation status
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Abstract

OBJECTIVE: We updated and expanded a previous systematic literature review examining the impact of tobacco control interventions on socioeconomic inequalities in smoking. METHODS: We searched the academic literature for reviews and primary research articles published between January 2006 and November 2010 that examined the socioeconomic impact of six tobacco control interventions in adults: that is, price increases, smoke-free policies, advertising bans, mass media campaigns, warning labels, smoking cessation support and community-based programmes combining several interventions. We included English-language articles from countries at an advanced stage of the tobacco epidemic that examined the differential impact of tobacco control interventions by socioeconomic status or the effectiveness of interventions among disadvantaged socioeconomic groups. All articles were appraised by two authors and details recorded using a standardised approach. Data from 77 primary studies and seven reviews were synthesised via narrative review. RESULTS: We found strong evidence that increases in tobacco price have a pro-equity effect on socioeconomic disparities in smoking. Evidence on the equity impact of other interventions is inconclusive, with the exception of non-targeted smoking cessation programmes which have a negative equity impact due to higher quit rates among more advantaged smokers. CONCLUSIONS: Increased tobacco price via tax is the intervention with the greatest potential to reduce socioeconomic inequalities in smoking. Other measures studied appear unlikely to reduce inequalities in smoking without specific efforts to reach disadvantaged smokers. There is a need for more research evaluating the equity impact of tobacco control measures, and development of more effective approaches for reducing tobacco use in disadvantaged groups and communities.

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The record

Venue
Tobacco Control
Topic
Smoking Behavior and Cessation
Field
Medicine
Canadian institutions
Funders
Economic and Social Research CouncilMedical Research CouncilNational Institute for Health and Care ResearchYork University
Keywords
MedicineOccupational asthmaAsthmaMethacholineOccupational medicinePsychological interventionOccupational exposureEnvironmental healthInternal medicineNursingRespiratory disease
Has abstract in OpenAlex
yes