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International Journal of Public Health

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01-10-2011 | Original Article

Smoking behaviour and attitudes of Hungarian Roma and non-Roma population towards tobacco control policies

Authors: Edit Paulik, László Nagymajtényi, Douglas Easterling, Todd Rogers

Published in: International Journal of Public Health | Issue 5/2011

Abstract

Objectives

To assess the smoking status and support for tobacco control policies among the Roma minority compared with the non-Roma population in Hungary.

Methods

A cross-sectional survey was delivered among Roma minority and local non-Roma population; 83 Roma and 126 non-Roma people were interviewed. Chi-square tests and logistic regression were applied to compare Roma and non-Roma populations.

Results

The prevalence of smoking was significantly higher and the support for tobacco control measures was significantly lower in the Roma population. This effect of ethnicity on attitudes toward tobacco control was explained somewhat, but not completely, by the Roma group’s higher rate of smoking and lower level of education.

Conclusions

Tobacco control policies are a proven strategy for denormalizing smoking and discouraging initiation. This strategy has important potential for Roma communities because of their high rates of tobacco use. However, this study shows that the Roma are resistant the efforts to limit smoking. Changing these attitudes will require targeted public health interventions that take into account not only the lower educational levels of the Roma, but also their cultural beliefs regarding tobacco.

Alamar B, Glantz SA (2006) Effect of increased social unacceptability of cigarette smoking on reduction in cigarette consumption. Am J Public Health 96:1359–1363PubMedCrossRef

Balázs P, Foley K, Rákóczi I, Grenczer A (2010) Comparison of preterm birth frequency among Roma and non-Roma people in Szabolcs-Szatmár-Bereg County in Hungary. [in Hungarian] Nőgyógyászati és Szülészeti Továbbképző Szemle 12(4):138–145

California Adult Tobacco Survey 2007 Questionnaire (2007) http://www.cdph.ca.gov/programs/tobacco/Documents/CTCP-CATSQuestionnaire2007.pdf. Accessed 4 Mar 2009

Centers for Disease Control and Prevention (2007) Best Practices for Comprehensive Tobacco Control Programs—2007. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. http://www.cdc.gov/tobacco/stateandcommunity/best_practices/pdfs/2007/BestPractices_Complete.pdf. Accessed 24 Dec 2010

Droomers M, Schrijvers CTM, Mackenbach JP (2002) Why do lower educated people continue smoking? Explanations from the longitudinal GLOBE study. Health Psychol 21:263–272PubMedCrossRef

Francis JA, Abramsohn EM, Park H-Y (2010) Policy-driven tobacco control. Tob Control 19(Suppl 1):i16–i20. doi:10.1136/tc.2009.030718 PubMedCrossRef

Gerevich J, Bácskai E, Czobor P, Szabó J (2010) Substance use in Roma and non-Roma adolescents. J Nerv Ment Dis 198(6):432–436PubMedCrossRef

Gilman SE, Abrams DB, Buka SL (2003) Socioeconomic status over the life course and stages of cigarette use: initiation, regular use, and cessation. J Epidemiol Community Health 57:802–808PubMedCrossRef

Goodman PG, Haw S, Kabir Z (2009) Are there health benefits associated with comprehensive smoke-free laws. Int J Public Health 54:367–378. doi:10.1007/s00038-009-0089-8 PubMedCrossRef

Hajioff S, McKee M (2000) The health of the Roma people: a review of the published literature. J Epidemiol Community Health 54:864–869PubMedCrossRef

Hamilton W, Biener L, Brennan RT (2008) Do local tobacco regulations influence perceived smoking norms? Evidence from adult and youth surveys in Massachusetts. Health Educ Res 23:709–722PubMedCrossRef

Hungarian Central Statistical Office (2001) Population Census 2001. http://www.nepszamlalas.hu/hun/kotetek/04/tabhun/tabl05/load05.html. Accessed 31 July 2009

Kolarčik P, Geckova AM, Orosova O, van Dijk JP, Reijneveld SA (2010) Predictors of health-endangering behaviour among Roma and non-Roma adolescents in Slovakia by gender. J Epidemiol Community Health. doi:10.1136/jech.2009.092098

Kósa Zs, Széles Gy, Kardos L, Kósa K, Németh R, Országh S, Fésüs G, McKee M, Ádány R, Vokó Z (2007) A comparative health survey of the inhabitants of Roma settlements in Hungary. Am J Public Health 97:853–859. doi:10.2105/AJPH.2005.072173 PubMedCrossRef

Nagelkerke NJD (1991) A note on a general definition of the coefficient of determination. Biometrika 78(3):691–692CrossRef

Petek D, Pavlic DR, Svab I, Lolic D (2006) Attitudes of Roma toward smoking: qualitative study in Slovenia. Croat Med J 47:344–347PubMed

Rosicova K, Madarasova Geckova A, van Dijk JP, Kollarova J, Rosic M, Groothoff JW (2010) Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia. Int J Public Health. doi:10.1007/s00038-010-0199-3

Siahpush M, McNeill A, Fong GT (2006) Socioeconomic variations in nicotine dependence, self-efficacy, and intention to quit across four countries: findings from the International Tobacco Control (ITC) Four Country Survey. Tobacco Control 15 (Suppl III):iii71–iii75. doi:10.1136/tc.2004.008763

Simko V, Ginter E (2010) Short life expectancy and metabolic syndrome in Romanies (gypsies) in Slovakia. Cent Eur J Public Health 18(1):16–18PubMed

Starr G, Rogers T, Schooley M, Porter S, Wiesen E, Jamison N (2005) Key Outcome Indicators for Evaluating Comprehensive Tobacco Control Programs. Centers for Disease Control and Prevention, Atlanta

Tanner A (2005) The Roma of Eastern Europe: still searching for inclusion. http://www.migrationinformation.org/feature/display.cfm?ID=308. Accessed 18 Oct 2010

U.S. Department of Health and Human Services (2010) How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health

Vokó Z, Csépe P, Németh R, Kósa K, Kósa Z, Széles G, Ádány R (2009) Does socioeconomic status fully mediate the effect of ethnicity on the health of Roma people in Hungary? J Epidemiol Community Health 63:455–460. doi:10.1136/jech.2008.079715 PubMedCrossRef

World Health Organization (1998) Monitoring tobacco use. In: Guidelines for controlling and monitoring the tobacco epidemic. Geneva [in Hungarian]. http://health21.hungary.globalink.org/koal_menu_elemei/WHO.DOC. Accessed 2 Jan 2009

World Health Organization (2003) WHO Framework Convention on Tobacco Control. Updated Reprint 2004, 2005. http://whqlibdoc.who.int/publications/2003/9241591013.pdf. Accessed 17 Aug 2010

Title: Smoking behaviour and attitudes of Hungarian Roma and non-Roma population towards tobacco control policies
Authors: Edit Paulik
László Nagymajtényi
Douglas Easterling
Todd Rogers
Publication date: 01-10-2011
Publisher: SP Birkhäuser Verlag Basel
Published in: International Journal of Public Health / Issue 5/2011
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-011-0252-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Smoking behaviour and attitudes of Hungarian Roma and non-Roma population towards tobacco control policies

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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