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Educational inequalities and residence-based decomposition in smoking behavior.
1Vocational School of Health Services, Department of Health Services and Techniques, Bilecik Seyh Edebali University, Bilecik, Turkey. hakan.degerli@bilecik.edu.tr.
In Türkiye, smoking is disproportionately concentrated among higher-educated individuals, indicating education-related smoking inequalities. Rural-urban disparities in these inequalities are linked to age, employment, and gender factors.
Area of Science:
- Public Health
- Health Economics
- Sociology
Background:
- Understanding education-related smoking inequalities is vital for identifying social determinants of health.
- Targeted interventions are needed to reduce health disparities in Türkiye.
Purpose of the Study:
- To identify education-related smoking inequalities across Türkiye.
- To determine factors contributing to urban-rural disparities in smoking inequalities.
Main Methods:
- Utilized Global Adult Tobacco Survey Turkey datasets (2002-2016).
- Employed Concentration Index for measuring health inequalities.
- Applied Oaxaca-type Decomposition to analyze urbanicity and social factors' impact.
Main Results:
- Revealed pro-educated smoking inequalities, with higher concentration among more educated individuals.
- Oaxaca-Blinder decomposition indicated age, employment status, and gender drive rural-urban differences.
- Identified significant education-related smoking disparities within Türkiye.
Conclusions:
- Findings underscore the need for public health interventions addressing structural and behavioral factors.
- Targeted strategies are essential to reduce smoking inequalities and promote health equity.
- Addressing urban-rural differences is crucial for effective tobacco control in Türkiye.
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