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Working Class Matters: Socioeconomic Disadvantage, Race/Ethnicity, Gender, and Smoking in NHIS 2000 

February 2004, Vol 94, No. 2 * American Journal of Public Health 269-278 / RESEARCH AND PRACTICE
Jump to full article: American Journal of Public Health, 2004-02-03
Author: Elizabeth M. Barbeau, ScD, MPH, Nancy Krieger, PhD and Mah-Jabeen Soobader, PhD

Intro:

Methods. We analyzed data from the 2000 National Health Interview Survey.

Results. Overall, the prevalence of current smoking was greatest among persons in--and independently associated with--working class jobs, low educational level, and low income. Attempts to quit showed no socioeconomic gradient, while success in quitting was greatest among those with the most socioeconomic resources. These patterns held in most but not all race/ethnicity-gender groups. Finer resolution of smoking patterns was obtained using a relational UK occupational measure, compared to the skill-based measure commonly used in US studies.

Conclusions. Reducing social disparities in smoking requires attention to the complexities of class along with race/ethnicity and gender.

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