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Journal Article

Citation

Intarut N, Pukdeesamai P. Asian Pac. J. Cancer Prev. 2017; 18(7): 1913-1917.

Affiliation

Graduate Division, Faculty of Medicine, Mahasarakham University, Muang, Mahasarakham, Thailand. Email:nirun.i@msu.ac.th

Copyright

(Copyright © 2017, National Cancer Center, Korea, Publisher Asian Pacific Organization for Cancer Prevention)

DOI

10.22034/APJCP.2017.18.7.1913

PMID

28749620

Abstract

BACKGROUND: Whilst several studies have examined inequity of tobacco use and inequity of alcohol drinking individually, comparatively little is known about concurrent tobacco and alcohol consumption. The present study therefore investigated inequity of concurrent tobacco and alcohol consumption in Thailand.

METHODS: The 2015 Health and Welfare Survey was obtained from Thailand's National Statistical Office and used as a source of national representative data. Concurrent tobacco and alcohol consumption was defined as current and concurrent use of both tobacco and alcohol. The wealth assets index was used as an indicator of socioeconomic inequity. Socioeconomic status included 5 groups ranging from poorest (Q1) to richest (Q5). A total of 55,920 households and 113,705 participants aged 15 years or over were included and analyzed. A weighted multiple logistic regression was performed.

RESULTS: The prevalence of concurrent tobacco and alcohol consumption, tobacco consumption only, and alcohol consumption only were 15.2% (95% CI: 14.9, 15.4), 4.7% (95% CI: 4.5, 4.8), and 18.9% (95% CI: 18.7, 19.1), respectively. Weighted multiple logistic regression showed that concurrent tobacco and alcohol consumption was high in the poorest socioeconomic group (P for trend: <0.001), and tobacco consumption only was also high in the poorest group (P for trend: <0.001). A high prevalence of alcohol consumption was observed in the richest group (P for trend: <0.001).

CONCLUSIONS: These findings suggest that tobacco and alcohol consumption prevention programs would be more effective if they considered socioeconomic inequities in concurrent tobacco and alcohol consumption rather than focusing on single drug use.

Creative Commons Attribution License


Language: en

Keywords

Inequity; socioeconomics; co-use; smoking and alcohol

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