Evidence map›Paper›PMID 31494612›Full record

ArticleBMJ open2019

Trends in educational and wealth inequalities in adult tobacco use in Nepal 2001-2016: secondary data analyses of four Demographic and Health Surveys.

Chandrashekhar T Sreeramareddy, Sam Harper

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Chandrashekhar T SreeramareddyDepartment of Community Medicine, International Medical University School of Medicine, Kuala Lumpur, Malaysia chandrashekharats@yahoo.com.ORCID 0000-0002-5693-7631
Sam HarperDepartment of Epidemiology and Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo measure trends in socioeconomic inequalities tobacco use in Nepal.

settingAdults interviewed during house-to-house surveys.

participantsWomen (15-45 years) and men (15-49 years) surveyed in four Nepal Demographic and Health Surveys done in 2001, 2006, 2011 and 2016. OUTCOME MEASURE: Current tobacco use (in any form).

resultsThe prevalence of tobacco use for men declined from 66% in 2001 to 55% in 2016, and declined from 29% to 8.4% among women. Across both education and wealth quintiles for both men and women, the prevalence of tobacco use generally declines with increasing education or wealth. We found persistently larger absolute inequalities by education than by wealth among men. Among women we also found larger educational than wealth-related gradients, but both declined over time. For men, the Slope Index of Inequality (SII) for education was larger than for wealth (44% vs 26% in 2001) and changed very little over time. For women, the SII for both education and wealth were similar in magnitude to men, but decreased substantially between 2001 and 2016 (from 44% to 16% for education; from 37% to 16% for wealth). Women had a larger relative index of inequality than men for both education (6.5 vs 2.0 in 2001) and wealth (4.8 vs 1.5 in 2001), and relative inequality increased between 2001 and 2016 for women (from 6.5 to 16.0 for education; from 4.8 to 12.0 for wealth).

conclusionIncreasing relative inequalities indicates suboptimal reduction in tobacco use among the vulnerable groups suggesting that they should be targeted to improve tobacco control.

Indexed as

Educational StatusSocioeconomic FactorsAdolescentAdultData AnalysisDemographyFemaleHealth SurveysHumansLogistic ModelsMaleMiddle AgedNepalTobacco UseYoung AdultinequalitiesNepalsurveystobacco use

Identifiers

PMID31494612
PMCPMC6731921

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