Observational studyBMJ open2021
Understanding the complexity of socioeconomic disparities in smoking prevalence in Sweden: a cross-sectional study applying intersectionality theory.
Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Intersectional inequalities in social-emotional problems among three-year-old children in Sweden: a population-based study.BMC public health · 2026Article
- Uncovering intersectional inequalities in fruit and vegetable consumption in the UK using Understanding Society data.Public health nutrition · 2026Article
- Geographic and socioeconomic differences in potentially inappropriate medication among older adults - applying a simplified analysis of individual heterogeneity and discriminatory accuracy (AIHDA) for basic comparisons of healthcare quality.BMC health services research · 2025Article
- Disparities in overall and site-specific cancer mortality among immigrant generations in Sweden: a nationwide follow-up study over 3 decades.American journal of epidemiology · 2025Article
- The global burden of osteoarthritis knee: a secondary data analysis of a population-based study.Clinical rheumatology · 2025Article
- Identifying intersectional groups at risk for missing breast cancer screening: Comparing regression- and decision tree-based approaches.SSM - population health · 2025Article
- Adherence to Mediterranean diet and physical activity practice in general population: an intersectional analysis of inequalities by sex and economic status.Frontiers in public health · 2025Article
- Intersectional inequalities in mental health by education, income, gender, and age before and during the COVID-19 pandemic in the Netherlands: a longitudinal study.International journal for equity in health · 2024Article
- Recommendations to advance equity in tobacco control.Tobacco control · 2024Article
- Household Compositions and Substance Use among Young Adults in the U.S.International journal of environmental research and public health · 2024Article
- Intersectional socioeconomic disparities in continuous smoking through pregnancy among pre-pregnant smokers in Sweden between 2006 and 2016.BMC pregnancy and childbirth · 2024Article
- Intersectional inequalities in paediatric infectious diseases: a national cohort study in Sweden.Journal of epidemiology and community health · 2024Article
- Impact of an oral care subsidization reform on intersectional inequities in self-rated oral health in Sweden.International journal for equity in health · 2024Article
- The sociodemographic patterning of sick leave and determinants of longer sick leave after mild and severe COVID-19: a nationwide register-based study in Sweden.European journal of public health · 2024Observational
- Social inequalities in the risk of giving birth to a small for gestational age child in Sweden 2010-16: a cross-sectional study adopting an intersectional approach.European journal of public health · 2024Article
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- Bias amplification of unobserved confounding in pharmacoepidemiological studies using indication-based sampling.Pharmacoepidemiology and drug safety · 2023Article
- Association between obstructive sleep apnoea and cancer: a cross-sectional, population-based study of the DISCOVERY cohort.BMJ open · 2023Article
- Multifaceted determinants of social-emotional problems in preschool children in Sweden: An ecological systems theory approach.SSM - population health · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSocioeconomic disparities in smoking prevalence remain a challenge to public health. The objective of this study was to present a simple methodology that displays intersectional patterns of smoking and quantify heterogeneities within groups to avoid inappropriate and potentially stigmatising conclusions exclusively based on group averages.
settingThis is a cross-sectional observational study based on data from the National Health Surveys for Sweden (2004-2016 and 2018) including 136 301 individuals. We excluded people under 30 years of age, or missing information on education, household composition or smoking habits. The final sample consisted on 110 044 individuals or 80.7% of the original sample. OUTCOME: Applying intersectional analysis of individual heterogeneity and discriminatory accuracy (AIHDA), we investigated the risk of self-reported smoking across 72 intersectional strata defined by age, gender, educational achievement, migration status and household composition.
resultsThe distribution of smoking habit risk in the population was very heterogeneous. For instance, immigrant men aged 30-44 with low educational achievement that lived alone had a prevalence of smoking of 54% (95% CI 44% to 64%), around nine times higher than native women aged 65-84 with high educational achievement and living with other(s) that had a prevalence of 6% (95% CI 5% to 7%). The discriminatory accuracy of the information was moderate.
conclusionA more detailed, intersectional mapping of the socioeconomic and demographic disparities of smoking can assist in public health management aiming to eliminate this unhealthy habit from the community. Intersectionality theory together with AIHDA provides information that can guide resource allocation according to the concept proportionate universalism.
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