Decennial trends of social differentials in smoking habits in Italy

Cancer Causes Control. 2001 Sep;12(7):665-71. doi: 10.1023/a:1011247024979.


Objective: To present social trends of smoking habits in Italy during the period 1980-1994.

Methods: Data from five national health surveys (1980, 1983, 1986-1987, 1990-1991, 1994) were analyzed in order to calculate smoking prevalences. Education attained was used as social class indicator.

Main measures: SDPs (prevalence rate standardized on the 1981 Italian population) and PRs (prevalence ratios primary school/degree). Confidence intervals and p-values were calculated as indicators of statistical significance.

Results: Among men SDP decreased from 59.5% in 1980 to 37.3% in 1994 and PRs for social classes varied from 1.21 in 1980 to 1.47 in 1994. Corresponding results for women were 17.9% to 20.0% and 0.36 to 0.73.

Conclusions: Lower-educated men smoke more than those in higher social categories, and data collected during 1980-1994 in Italy show a tendency to increase such differentials. Among women this pattern was the opposite in 1980, with a tendency to reduce differences over time. Therefore, for both genders data show a progressive disadvantage for the low-educated categories. The greater compliance of better-educated groups with anti-smoking interventions must be taken into account, and should suggest "unequal" interventions that can be more effective among disadvantaged social groups.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Health Surveys
  • Humans
  • Italy / epidemiology
  • Male
  • Middle Aged
  • Prevalence
  • Sex Distribution
  • Smoking / epidemiology*
  • Smoking / trends
  • Smoking Cessation
  • Social Class*
  • Socioeconomic Factors
  • Time Factors