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Gender and educational differences in the association between smoking and health-related quality of life in Belgium

Rana Charafeddine, Stefaan Demarest, Irina Cleemput, Herman Van Oyen UGent and Brecht Devleesschauwer UGent (2017) PREVENTIVE MEDICINE. 105. p.280-286
abstract
Previous studies have shown that smoking has a significant and negative association with health-related quality of life (HRQOL). A question remains, however, as to whether this association between smoking and HRQOL differs by gender or educational level. To examine this question, we extracted data from the 2013 Belgian Health Interview Survey (n = 5668). HRQOL was assessed using the descriptive system of the EuroQol 5D-5L that consists of 5 dimensions and the resulting index score. Linear and logistic multivariable regression models were fitted to estimate the association between HRQOL and smoking for each educational level and gender. Also, interaction terms were introduced in the full regression models and the Wald test was used to assess model fit. Our findings show that among men, there is no significant association between smoking and HRQOL, and no effect modification by educational level. Among women, however, daily smokers have shown significantly lower HRQOL scores compared with never smokers, but only among females with a low and intermediate educational level. The lower EQ-5D index scores among female daily smokers with lower education was due to higher odds of reporting problems in anxiety/depression, mobility, pain, and usual activities. To conclude, information on the association between HRQOL and smoking is useful for the development of smoking cessation interventions. Our findings suggest the importance of tailoring these interventions to the needs of the women with lower education.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Health related quality of life, Smoking, Health inequalities, Gender, Socioeconomic status, Educational level, SELF-REPORTED SMOKING, SERUM COTININE LEVELS, CIGARETTE-SMOKING, HEAVY SMOKERS, IMPACT, CESSATION, WOMEN, EQ-5D, DISCREPANCIES, VALIDATION
journal title
PREVENTIVE MEDICINE
Prev. Med.
volume
105
pages
280 - 286
Web of Science type
Article
Web of Science id
000413328800041
ISSN
0091-7435
DOI
10.1016/j.ypmed.2017.09.016
language
English
UGent publication?
yes
classification
A1
copyright statement
Creative Commons Attribution 4.0 International Public License (CC-BY 4.0)
id
8558234
handle
http://hdl.handle.net/1854/LU-8558234
date created
2018-04-03 14:11:54
date last changed
2018-05-16 08:18:55
@article{8558234,
  abstract     = {Previous studies have shown that smoking has a significant and negative association with health-related quality of life (HRQOL). A question remains, however, as to whether this association between smoking and HRQOL differs by gender or educational level. To examine this question, we extracted data from the 2013 Belgian Health Interview Survey (n = 5668). HRQOL was assessed using the descriptive system of the EuroQol 5D-5L that consists of 5 dimensions and the resulting index score. Linear and logistic multivariable regression models were fitted to estimate the association between HRQOL and smoking for each educational level and gender. Also, interaction terms were introduced in the full regression models and the Wald test was used to assess model fit. Our findings show that among men, there is no significant association between smoking and HRQOL, and no effect modification by educational level. Among women, however, daily smokers have shown significantly lower HRQOL scores compared with never smokers, but only among females with a low and intermediate educational level. The lower EQ-5D index scores among female daily smokers with lower education was due to higher odds of reporting problems in anxiety/depression, mobility, pain, and usual activities. To conclude, information on the association between HRQOL and smoking is useful for the development of smoking cessation interventions. Our findings suggest the importance of tailoring these interventions to the needs of the women with lower education.},
  author       = {Charafeddine, Rana and Demarest, Stefaan and Cleemput, Irina and Van Oyen, Herman and Devleesschauwer, Brecht},
  issn         = {0091-7435},
  journal      = {PREVENTIVE MEDICINE},
  keyword      = {Health related quality of life,Smoking,Health inequalities,Gender,Socioeconomic status,Educational level,SELF-REPORTED SMOKING,SERUM COTININE LEVELS,CIGARETTE-SMOKING,HEAVY SMOKERS,IMPACT,CESSATION,WOMEN,EQ-5D,DISCREPANCIES,VALIDATION},
  language     = {eng},
  pages        = {280--286},
  title        = {Gender and educational differences in the association between smoking and health-related quality of life in Belgium},
  url          = {http://dx.doi.org/10.1016/j.ypmed.2017.09.016},
  volume       = {105},
  year         = {2017},
}

Chicago
Charafeddine, Rana, Stefaan Demarest, Irina Cleemput, Herman Van Oyen, and Brecht Devleesschauwer. 2017. “Gender and Educational Differences in the Association Between Smoking and Health-related Quality of Life in Belgium.” Preventive Medicine 105: 280–286.
APA
Charafeddine, Rana, Demarest, S., Cleemput, I., Van Oyen, H., & Devleesschauwer, B. (2017). Gender and educational differences in the association between smoking and health-related quality of life in Belgium. PREVENTIVE MEDICINE, 105, 280–286.
Vancouver
1.
Charafeddine R, Demarest S, Cleemput I, Van Oyen H, Devleesschauwer B. Gender and educational differences in the association between smoking and health-related quality of life in Belgium. PREVENTIVE MEDICINE. 2017;105:280–6.
MLA
Charafeddine, Rana, Stefaan Demarest, Irina Cleemput, et al. “Gender and Educational Differences in the Association Between Smoking and Health-related Quality of Life in Belgium.” PREVENTIVE MEDICINE 105 (2017): 280–286. Print.