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Decomposition of socioeconomic inequalities in cigarette smoking: the case of Namibia

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dc.date.accessioned 2021-02-09T15:20:00Z
dc.date.available 2021-02-09T15:20:00Z
dc.date.issued 2019-03-08 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/13549
dc.description.abstract Namibia has one of the highest levels of income inequality in the world. Increased smoking prevalence, especially among the youth, may leave the country facing the spectre of higher smoking-related disease prevalence in the years to come. This study examines socioeconomic inequalities in smoking in Namibia and explores the drivers of this inequality. Data are obtained from the Namibia 2013 Demographic and Health Survey, a nationally representative survey. Concentration curves and indices are calculated for cigarette smoking prevalence and intensity to assess the respective inequalities. Smoking intensity is defined as the number of cigarette sticks smoked within the last 24 h before the survey. We use a decomposition technique to identify the contribution of various covariates to socioeconomic inequalities in smoking prevalence and intensity. The concentration indices for socioeconomic inequality in cigarette smoking prevalence and smoking intensity are estimated at 0.021 and 0.135, respectively. This suggests that cigarette smoking is more prevalent among the wealthy and that they smoke more frequently compared to less wealthy Namibians. For smoking intensity, the biggest statistically significant contributors to inequality are marital status, wealth and region dummy variables while for smoking prevalence, education and place of dwelling (urban vs rural) are the main contributors. While overall inequality in smoking prevalence and intensity is focused among the wealthy, the contribution of region of residence and education warrant some attention from policy makers. Based on our results, we suggest an assessment of compliance and enforcement of the Tobacco Products Control Act, that initially focuses on regions with reportedly low education statistics followed by an appropriate implementation strategy to address the challenges identified in implementing effective tobacco control interventions. en
dc.format.medium Print en
dc.subject INEQUALITY en
dc.subject SMOKING en
dc.title Decomposition of socioeconomic inequalities in cigarette smoking: the case of Namibia en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 18(6) en
dc.BudgetYear 2018/19 en
dc.ResearchGroup Economic Perfomance and Development en
dc.SourceTitle International Journal for Equity in Health en
dc.ArchiveNumber 10739 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=21029 en
dc.PageNumber Online en
dc.outputnumber 9763 en
dc.bibliographictitle Chisha, Z., Nwosu, C. & Ataguba, J. (2019) Decomposition of socioeconomic inequalities in cigarette smoking: the case of Namibia. <i>International Journal for Equity in Health</i>. 18(6):Online. http://hdl.handle.net/20.500.11910/13549 en
dc.publicationyear 2019 en
dc.contributor.author1 Chisha, Z. en
dc.contributor.author2 Nwosu, C. en
dc.contributor.author3 Ataguba, J. en

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