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Environmental tobacco smoke exposure and health disparities: 8-year longitudinal findings from a large cohort of Thai adults
BACKGROUND: In rich countries, smokers, active or passive, often belong to disadvantaged groups. Less is known of tobacco patterns in the developing world. Hence, we seek out to investigate mental and physical health consequences of smoke exposure as well as tobacco-related inequality in transitiona...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4673787/ https://www.ncbi.nlm.nih.gov/pubmed/26646160 http://dx.doi.org/10.1186/s12889-015-2547-y |
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author | Tran, Thanh Tam Yiengprugsawan, Vasoontara Chinwong, Dujrudee Seubsman, Sam-ang Sleigh, Adrian |
author_facet | Tran, Thanh Tam Yiengprugsawan, Vasoontara Chinwong, Dujrudee Seubsman, Sam-ang Sleigh, Adrian |
author_sort | Tran, Thanh Tam |
collection | PubMed |
description | BACKGROUND: In rich countries, smokers, active or passive, often belong to disadvantaged groups. Less is known of tobacco patterns in the developing world. Hence, we seek out to investigate mental and physical health consequences of smoke exposure as well as tobacco-related inequality in transitional middle-income Thailand. METHODS: We studied a nationwide cohort of 87,151 middle-aged and older adults that we have been following for eight years (2005–2013) for emerging chronic diseases. Logistic regression was used to identify attributes associated with passive smoke exposure. Longitudinal associations between smoke exposure and wellbeing (SF-8) or psychological distress (Kessler 6) were investigated with multiple linear regression or multivariate logistic regression analysis. RESULTS: A high proportion of cohort members, especially females, were passive smokers at home and at public transport stations; males were more exposed at workplace and recreational places. We observed a social gradient with more passive smoking in poorer people. We also observed a dose response relationship linking graded smoke exposures (current, former, passive, non-exposed) to less wellbeing and more psychological distress (p-trend < 0.001). Female smokers in general had less wellbeing and more distress. CONCLUSION: Our findings add to current knowledge on the impact of active and passive smoking on health in a transitional economy. Promotion of smoking cessation programs both in public and at home could also potentially reduce adverse disparities in health and wellbeing in middle and lower income settings such as Thailand. |
format | Online Article Text |
id | pubmed-4673787 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46737872015-12-10 Environmental tobacco smoke exposure and health disparities: 8-year longitudinal findings from a large cohort of Thai adults Tran, Thanh Tam Yiengprugsawan, Vasoontara Chinwong, Dujrudee Seubsman, Sam-ang Sleigh, Adrian BMC Public Health Research Article BACKGROUND: In rich countries, smokers, active or passive, often belong to disadvantaged groups. Less is known of tobacco patterns in the developing world. Hence, we seek out to investigate mental and physical health consequences of smoke exposure as well as tobacco-related inequality in transitional middle-income Thailand. METHODS: We studied a nationwide cohort of 87,151 middle-aged and older adults that we have been following for eight years (2005–2013) for emerging chronic diseases. Logistic regression was used to identify attributes associated with passive smoke exposure. Longitudinal associations between smoke exposure and wellbeing (SF-8) or psychological distress (Kessler 6) were investigated with multiple linear regression or multivariate logistic regression analysis. RESULTS: A high proportion of cohort members, especially females, were passive smokers at home and at public transport stations; males were more exposed at workplace and recreational places. We observed a social gradient with more passive smoking in poorer people. We also observed a dose response relationship linking graded smoke exposures (current, former, passive, non-exposed) to less wellbeing and more psychological distress (p-trend < 0.001). Female smokers in general had less wellbeing and more distress. CONCLUSION: Our findings add to current knowledge on the impact of active and passive smoking on health in a transitional economy. Promotion of smoking cessation programs both in public and at home could also potentially reduce adverse disparities in health and wellbeing in middle and lower income settings such as Thailand. BioMed Central 2015-12-08 /pmc/articles/PMC4673787/ /pubmed/26646160 http://dx.doi.org/10.1186/s12889-015-2547-y Text en © Tran et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Tran, Thanh Tam Yiengprugsawan, Vasoontara Chinwong, Dujrudee Seubsman, Sam-ang Sleigh, Adrian Environmental tobacco smoke exposure and health disparities: 8-year longitudinal findings from a large cohort of Thai adults |
title | Environmental tobacco smoke exposure and health disparities: 8-year longitudinal findings from a large cohort of Thai adults |
title_full | Environmental tobacco smoke exposure and health disparities: 8-year longitudinal findings from a large cohort of Thai adults |
title_fullStr | Environmental tobacco smoke exposure and health disparities: 8-year longitudinal findings from a large cohort of Thai adults |
title_full_unstemmed | Environmental tobacco smoke exposure and health disparities: 8-year longitudinal findings from a large cohort of Thai adults |
title_short | Environmental tobacco smoke exposure and health disparities: 8-year longitudinal findings from a large cohort of Thai adults |
title_sort | environmental tobacco smoke exposure and health disparities: 8-year longitudinal findings from a large cohort of thai adults |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4673787/ https://www.ncbi.nlm.nih.gov/pubmed/26646160 http://dx.doi.org/10.1186/s12889-015-2547-y |
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