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Socio-Economic Inequalities in Tobacco Consumption of the Older Adults in China: A Decomposition Method

Author

Listed:
  • Yafei Si

    (School of Public Policy and Administration, Xi’an Jiaotong University, No. 28 Xianning West Road, Xi’an 710049, China)

  • Zhongliang Zhou

    (School of Public Policy and Administration, Xi’an Jiaotong University, No. 28 Xianning West Road, Xi’an 710049, China)

  • Min Su

    (School of Public Policy and Administration, Xi’an Jiaotong University, No. 28 Xianning West Road, Xi’an 710049, China)

  • Xiao Wang

    (International Business School, Xi’an Jiaotong Liverpool University, Suzhou 215123, China)

  • Dan Li

    (School of Public Policy and Administration, Xi’an Jiaotong University, No. 28 Xianning West Road, Xi’an 710049, China)

  • Dan Wang

    (School of Public Policy and Administration, Xi’an Jiaotong University, No. 28 Xianning West Road, Xi’an 710049, China)

  • Shuyi He

    (International Business School, Xi’an Jiaotong Liverpool University, Suzhou 215123, China)

  • Zihan Hong

    (International Business School, Xi’an Jiaotong Liverpool University, Suzhou 215123, China)

  • Xi Chen

    (Department of Health Policy and Management and Department of Economics, Yale University, 60 College Street Suite 301, New Haven, CT 06510, USA)

Abstract

Background: In China, tobacco consumption is a leading risk factor for non-communicable diseases, and understanding the pattern of socio-economic inequalities of tobacco consumption will, thus, help to develop targeted policies of public health control. Methods: Data came from the China Health and Retirement Longitudinal Study in 2013, involving 17,663 respondents aged 45 and above. Tobacco use prevalence and tobacco use quantities were defined for further analysis. Using the concentration index (CI) and its decomposition, socio-economic inequalities of tobacco consumption grouped by gender were estimated. Results: The concentration index of tobacco use prevalence was 0.044 (men 0.041; women −0.039). The concentration index of tobacco use quantities among smokers was 0.039 (men 0.033; women 0.038). The majority of the inequality could be explained by educational attainment, age, area, and economic quantiles. Conclusions: Tobacco consumption was more common among richer compared to poorer people in China. Gender, educational attainments, age, areas, and economic quantiles were strong predictors of tobacco consumption in China. Public health policies need to be targeted towards men in higher economic quantiles with lower educational attainment, and divorced or widowed women, especially in urban areas of China.

Suggested Citation

  • Yafei Si & Zhongliang Zhou & Min Su & Xiao Wang & Dan Li & Dan Wang & Shuyi He & Zihan Hong & Xi Chen, 2018. "Socio-Economic Inequalities in Tobacco Consumption of the Older Adults in China: A Decomposition Method," IJERPH, MDPI, vol. 15(7), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1466-:d:157488
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    Cited by:

    1. Nigar Nargis & Rong Zheng & Steve S. Xu & Geoffrey T. Fong & Guoze Feng & Yuan Jiang & Yang Wang & Xiao Hu, 2019. "Cigarette Affordability in China, 2006–2015: Findings from International Tobacco Control China Surveys," IJERPH, MDPI, vol. 16(7), pages 1-21, April.
    2. Han Hu & Yafei Si & Bingqin Li, 2020. "Decomposing Inequality in Long-Term Care Need Among Older Adults with Chronic Diseases in China: A Life Course Perspective," IJERPH, MDPI, vol. 17(7), pages 1-14, April.
    3. Chengbo Li & Chun Long & Mei Zhang & Luyu Zhang & Mengyao Liu & Meiqi Song & Yunfei Cheng & Gong Chen, 2022. "The Influence of Alcohol Consumption on Tobacco Use among Urban Older Adults: Evidence from Western China in 2017," Sustainability, MDPI, vol. 14(13), pages 1-14, June.
    4. Aristides Dos Santos, Anderson Moreira & Triaca, Lívia Madeira & Leivas, Pedro Henrique Soares, 2023. "How is smoking distributed in relation to socioeconomic status? Evidence from Brazil in the years 2013 and 2019," Economics & Human Biology, Elsevier, vol. 49(C).

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    More about this item

    Keywords

    tobacco consumption; inequality; concentration index; decomposition; China;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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