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Jean-Michel Delile

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |February 29, 2024
    PubMed
    Summary

    Smoking disproportionately affects vulnerable populations, worsening health inequalities. Targeted interventions and harm reduction strategies are crucial for addressing tobacco use in disadvantaged groups.

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    Area of Science:

    • Public Health
    • Social Epidemiology
    • Health Disparities

    Background:

    • Smoking prevalence is high in precarious populations, exacerbating health inequalities.
    • Reduced smoking rates in the general population widen the gap with disadvantaged groups.
    • Tobacco use is concentrated among the most vulnerable individuals.

    Conclusions:

    • Integrated care, harm reduction (e.g., vaping), and professional mobilization are essential.
    • Networking and involvement of specialized centers (CSAPAs/CAARUDs) are critical.
    • Systemic changes and political advocacy are needed to address social determinants of health and reduce inequalities.