ArticleBMC public health2023
Are we equally at risk of changing smoking behavior during a public health crisis? Impact of educational level on smoking from the TEMPO cohort.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- Smoking prevalence in Italy from 1993 to 2024: a trend analysis framed by public health policies and emerging consumption behaviors.Journal of public health (Oxford, England) · 2026Observational
- Crossed Pathways: Tobacco-Cannabis Co-Use and Motivation to Quit in Young Adults in France.Drug and alcohol review · 2026Article
- Neighbourhood deprivation and smoking cessation: a survival analysis using the French constances cohort.BMC public health · 2025Article
- Socioeconomic Variation in Tobacco Smoking Among the Adult Population in Ireland.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Educational disparities in cancer incidence, stage, and survival in Oslo.Research in health services & regions · 2024Article
- Tobacco exposure and alcohol drinking prevalence and associations with hypertension in rural southwest China: A cross-sectional study.Tobacco induced diseases · 2024Article
- Financial incentives to stop smoking: Potential financial consequences of different reward schedules.Tobacco prevention & cessation · 2024Article
- Assessing the causal relationship between COVID-19 and post-COVID-19 syndrome: A Mendelian randomisation study.Journal of global health · 2023Article
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Authors and funding
16 authors at 12 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic as a public health crisis has led to a significant increase in mental health difficulties. Smoking is strongly associated with mental health conditions, which is why the pandemic might have influenced the otherwise decline in smoking rates. Persons belonging to socioeconomically disadvantaged groups may be particularly affected, both because the pandemic has exacerbated existing social inequalities and because this group was more likely to smoke before the pandemic. We examined smoking prevalence in a French cohort study, focusing on differences between educational attainment. In addition, we examined the association between interpersonal changes in tobacco consumption and educational level from 2018 to 2021.
methodsUsing four assessments of smoking status available from 2009 to 2021, we estimated smoking prevalence over time, stratified by highest educational level in the TEMPO cohort and the difference was tested using chi
resultsSmoking prevalence was higher among those with low education. The difference between the two groups increased from 2020 to 2021 (4.8-9.4%, p < 0.001). Smokers with high educational level were more likely to decrease their tobacco consumption from 2018 to 2021 compared to low educated smokers (aOR = 2.72 [1.26;5.89]).
conclusionCurrent findings showed a widening of the social inequality gap in relation to smoking rates, underscoring the increased vulnerability of persons with low educational level to smoking and the likely inadequate focus on social inequalities in relation to tobacco control policies during the pandemic.
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