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Socioeconomic status and smoking: Me...

Martinez, Sydney Ann.

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Socioeconomic status and smoking: Measures of income, educational attainment, and the pathways to smoking.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Socioeconomic status and smoking: Measures of income, educational attainment, and the pathways to smoking./
作者:	Martinez, Sydney Ann.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2016,
面頁冊數:	297 p.
附註:	Source: Dissertation Abstracts International, Volume: 78-01(E), Section: B.
Contained By:	Dissertation Abstracts International78-01B(E).
標題:	Public health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10143366
ISBN:	9781339985862

Socioeconomic status and smoking: Measures of income, educational attainment, and the pathways to smoking.
Martinez, Sydney Ann.

Socioeconomic status and smoking: Measures of income, educational attainment, and the pathways to smoking. - Ann Arbor : ProQuest Dissertations & Theses, 2016 - 297 p.

Source: Dissertation Abstracts International, Volume: 78-01(E), Section: B.

Thesis (Ph.D.)--The University of Oklahoma Health Sciences Center, 2016.

Introduction: Socioeconomic status is inversely associated with smoking, yet the pathways and mechanisms remain unclear. The purpose of this dissertation was to explore various measures of socioeconomic status (income, educational attainment, latent construct) and examine the demographic and psychosocial factors that contribute to tobacco-related health disparities among populations of low socioeconomic status.

ISBN: 9781339985862Subjects--Topical Terms:

534748
Public health.

Socioeconomic status and smoking: Measures of income, educational attainment, and the pathways to smoking.
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300 $a 297 p.
500 $a Source: Dissertation Abstracts International, Volume: 78-01(E), Section: B.
500 $a Adviser: Laura A. Beebe.
502 $a Thesis (Ph.D.)--The University of Oklahoma Health Sciences Center, 2016.
520 $a Introduction: Socioeconomic status is inversely associated with smoking, yet the pathways and mechanisms remain unclear. The purpose of this dissertation was to explore various measures of socioeconomic status (income, educational attainment, latent construct) and examine the demographic and psychosocial factors that contribute to tobacco-related health disparities among populations of low socioeconomic status.
520 $a Methods: Using 2013 National Health Interview Survey Data, we compared methods of handling missing income data using complete case analysis or multiply imputed data when assessing the relationship between family income and smoking. We conducted multivariable logistic regression to calculate adjusted prevalence ratios and compared the smoking prevalence among General Educational Development (GED) recipients to high school dropouts. We used structural equation modeling to create a latent construct of socioeconomic status and tested a conceptual model with mediators that included social cohesion, financial strain, sleep disturbance, and psychological distress.
520 $a Results: We did not observed differences in the association between family income and smoking in the overall population when using complete case analysis or multiply imputed data. We observed small differences in estimates and conclusions related to the significance of an association among population subgroups. In our GED study, we observed a significantly higher smoking prevalence among females with a GED compared to high school dropouts after controlling for demographic characteristics. Additionally, we did not find significant differences in tobacco use patterns among females that could explain the higher sustained prevalence, such as a younger age of initiation, more cigarettes per day, or fewer quit attempts. The smoking prevalence among male GED recipients was no longer significant in the adjusted model. In our structural equation model analysis, we observed significant direct, indirect, and total effects of socioeconomic status on smoking and discovered that sleep disturbance and psychological distress had a larger effect than social cohesion or financial strain on smoking.
520 $a Discussion: These findings highlight the availability and the importance of using multiply imputed income data in the NHIS, the need to collect educational attainment with GED as a separate category from the high school graduate, and the need to further explore the pathways and mechanisms linking socioeconomic status and smoking.
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