Identifying health disparities across the tobacco continuum

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dc.contributor.authorFagan, Pebbles
dc.contributor.authorMoolchan, Eric T.
dc.contributor.authorLawrence, Deirdre
dc.contributor.authorFernander, Anita
dc.contributor.authorPonder, Paris K.
dc.date.accessioned2019-08-14T15:02:59Z
dc.date.available2019-08-14T15:02:59Z
dc.date.issued2007
dc.description.abstractAIMS: Few frameworks have addressed work-force diversity, inequities and inequalities as part of a comprehensive approach to eliminating tobacco-related health disparities. This paper summarizes the literature and describes the known disparities that exist along the tobacco disease continuum for minority racial and ethnic groups, those living in poverty, those with low education and blue-collar and service workers. The paper also discusses how work-force diversity, inequities in research practice and knowledge allocation and inequalities in access to and quality of health care are fundamental to addressing disparities in health. METHODS: We examined the available scientific literature and existing public health reports to identify disparities across the tobacco disease continuum by minority racial/ethnic group, poverty status, education level and occupation. FINDINGS: Results indicate that differences in risk indicators along the tobacco disease continuum do not explain fully tobacco-related cancer consequences among some minority racial/ethnic groups, particularly among the aggregate groups, blacks/African Americans and American Indians/Alaska Natives. The lack of within-race/ethnic group data and its interactions with socio-economic factors across the life-span contribute to the inconsistency we observe in the disease causal paradigm. CONCLUSIONS: More comprehensive models are needed to understand the relationships among disparities, social context, diversity, inequalities and inequities. A systematic approach will also help researchers, practitioners, advocates and policy makers determine critical points for interventions, the types of studies and programs needed and integrative approaches needed to eliminate tobacco-related disparities.
dc.description.urihttp://dx.doi.org/10.1111/j.1360-0443.2007.01952.x
dc.identifierhttps://doi.org/10.13016/poj9-vwsj
dc.identifier.citationFagan, Pebbles and Moolchan, Eric T. and Lawrence, Deirdre and Fernander, Anita and Ponder, Paris K. (2007) Identifying health disparities across the tobacco continuum. Addiction, 102 (Suppl2). pp. 5-29.
dc.identifier.issn09652140
dc.identifier.otherEprint ID 2693
dc.identifier.urihttp://hdl.handle.net/1903/23359
dc.subjectDisparities
dc.subjectPolicy
dc.subjectSmoking & Tobacco Use
dc.subjectinterventions
dc.subjectResearch
dc.subjecteducation
dc.subjectpoverty
dc.subjectrace/ethnicity
dc.subjecttobacco
dc.titleIdentifying health disparities across the tobacco continuum
dc.typeArticle

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