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BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

Smoking and heavy drinking patterns in rural, urban and rural-to-urban migrants: the PERU MIGRANT Study

Authors: Alvaro Taype-Rondan, Antonio Bernabe-Ortiz, Germán F. Alvarado, Robert H. Gilman, Liam Smeeth, J. Jaime Miranda

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Previous studies have found mixed results about cigarette and alcohol consumption patterns among rural-to-urban migrants. Moreover, there are limited longitudinal data about consumption patterns in this population. As such, this study aimed to compare the smoking and heavy drinking prevalence among rural, urban, and rural-to-urban migrants in Peru, as well as the smoking and heavy drinking incidence in a 5-year follow-up.

Methods

We analyzed the PERU MIGRANT Study data from rural, urban, and rural-to-urban migrant populations in Peru. The baseline study was carried out in 2006–2007 and follow-up was performed five years later. For the baseline data analysis, the prevalence of lifetime smoking, current smokers, and heavy drinking was compared by population group using prevalence ratios (PR) and 95% confidence intervals (95% CI). For the longitudinal analysis, the incidence of smoking and heavy drinking was compared by population group with risk ratios (RR) and 95% CI. Poisson regression with robust variance was used to calculate both PRs and RRs.

Results

We analyzed data from 988 participants: 200 rural dwellers, 589 migrants, and 199 urban dwellers. Compared with migrants, lifetime smoking prevalence was higher in the urban group (PR = 2.29, 95% CI = 1.64–3.20), but lower in the rural group (PR = 0.55, 95% CI = 0.31–0.99). Compared with migrants, the urban group had a higher current smoking prevalence (PR = 2.29, 95% CI = 1.26–4.16), and a higher smoking incidence (RR = 2.75, 95% CI = 1.03–7.34). Current smoking prevalence and smoking incidence showed no significant difference between rural and migrant groups. The prevalence and incidence of heavy drinking was similar across the three population groups.

Conclusions

Our results show a trend in lifetime smoking prevalence (urban > migrant > rural), while smoking incidence was similar between migrant and rural groups, but higher in the urban group. In addition, our results suggest that different definitions of smoking status could lead to different smoking rates and potentially different measures of association. The prevalence and incidence of heavy drinking were similar between the three population groups.
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Literature
1.
World Health Organization. WHO report on the global tobacco epidemic, 2013: enforcing bans on tobacco advertising, promotion and sponsorship: executive summary. 2013.
2.
Ezzati M, Henley SJ, Thun MJ, Lopez AD. Role of smoking in global and regional cardiovascular mortality. Circulation. 2005;112(4):489–97.CrossRefPubMed
3.
World Health Organization. Global status report on alcohol and health, 2014. 2014.
4.
Yang T, Wu J, Rockett I, Abdullah A, Beard J, Ye J. Smoking patterns among Chinese rural–urban migrant workers. Public Health. 2009;123(11):743–9.CrossRefPubMed
5.
Unwin N, James P, McLarty D, Machybia H, Nkulila P, Tamin B, Nguluma M, McNally R. Rural to urban migration and changes in cardiovascular risk factors in Tanzania: a prospective cohort study. BMC Public Health. 2010;10(1):272.CrossRefPubMedPubMedCentral
6.
He J, Klag MJ, Whelton PK, Chen J-Y, Mo J-P, Qian M-C, Mo P-S, He G-Q. Migration, blood pressure pattern, and hypertension: the Yi Migrant Study. Am J Epidemiol. 1991;134(10):1085–101.PubMed
7.
Nguyen LT, Rahman Z, Emerson MR, Nguyen MH, Zabin LS. Cigarette smoking and drinking behavior of migrant adolescents and young adults in Hanoi, Vietnam. J Adolesc Health. 2012;50(3):S61–7.CrossRefPubMedPubMedCentral
8.
Jirapramukpitak T, Prince M, Harpham T. Rural–urban migration, illicit drug use and hazardous/harmful drinking in the young Thai population. Addiction. 2008;103(1):91–100.CrossRefPubMedPubMedCentral
9.
Ebrahim S, Kinra S, Bowen L, Andersen E, Ben-Shlomo Y, Lyngdoh T, Ramakrishnan L, Ahuja R, Joshi P, Das SM. The effect of rural-to-urban migration on obesity and diabetes in India: a cross-sectional study. PLoS Med. 2010;7(4):e1000268.CrossRefPubMedPubMedCentral
10.
11.
Cui X, Rockett IR, Yang T, Cao R. Work stress, life stress, and smoking among rural–urban migrant workers in China. BMC Public Health. 2012;12(1):979.CrossRefPubMedPubMedCentral
12.
Quisumbing A, McNiven S. Moving forward, looking back: The impact of migration and remittances on assets, consumption, and credit constraints in the rural Philippines. J Dev Stud. 2010;46(1):91–113.CrossRef
13.
Chen X, Stanton B, Li X, Fang X, Lin D. Substance use among rural-to-urban migrants in China: a moderation effect model analysis. Subst Use Misuse. 2008;43(1):105–24.CrossRefPubMed
14.
Torun B, Stein AD, Schroeder D, Grajeda R, Conlisk A, Rodriguez M, Mendez H, Martorell R. Rural-to-urban migration and cardiovascular disease risk factors in young Guatemalan adults. Int J Epidemiol. 2002;31(1):218–26.CrossRefPubMed
15.
Lin D, Li X, Yang H, Fang X, Stanton B, Chen X, Abbey A, Liu H. Alcohol intoxication and sexual risk behaviors among rural-to-urban migrants in China. Drug Alcohol Depend. 2005;79(1):103–12.CrossRefPubMedPubMedCentral
16.
Chen X, Stanton B, Li X, Fang X, Lin D, Xiong Q. A comparison of health-risk behaviors of rural migrants with rural residents and urban residents in China. Am J Health Behav. 2009;33(1):15–25.CrossRefPubMed
17.
Oyebode O, Pape UJ, Laverty AA, Lee JT, Bhan N, Millett C. Rural, urban and migrant differences in non-communicable disease risk-factors in middle income countries: A cross-sectional study of WHO-SAGE data. PLoS One. 2015;10(4):e0122747.CrossRefPubMedPubMedCentral
18.
Lu Y. Mental health and risk behaviours of rural–urban migrants: Longitudinal evidence from Indonesia. Popul Stud. 2010;64(2):147–63.CrossRef
19.
Ryan H, Trosclair A, Gfroerer J: Adult current smoking: differences in definitions and prevalence estimates—NHIS and NSDUH, 2008. J Environ Public Health. 2012;2012. doi:10.​1155/​2012/​918368.
20.
Miranda JJ, Gilman RH, García HH, Smeeth L. The effect on cardiovascular risk factors of migration from rural to urban areas in Peru: PERU MIGRANT Study. BMC Cardiovasc Disord. 2009;9(1):23.CrossRefPubMedPubMedCentral
21.
22.
23.
Isserman AM. In the national interest: Defining rural and urban correctly in research and public policy. Int Reg Sci Rev. 2005;28(4):465–99.CrossRef
24.
Global Adult Tobacco Survey Collaborative Group. Tobacco questions for surveys: a subset of key questions from the Global Adult Tobacco Survey (GATS), 2nd Edition. Atlanta: Centers for Disease Control and Prevention; 2011.
25.
Office of National Statistics of United Kingdom. Labour Force Survey - User Guide. UK: Data Archive; 2015.
26.
Centers for Disease Control Prevention. Vital signs: current cigarette smoking among adults aged≥ 18 years--United States, 2005–2010. MMWR Morb Mortal Wkly Rep. 2011;60(35):1207.
27.
28.
Bondy SJ, Victor JC, Diemert LM. Origin and use of the 100 cigarette criterion in tobacco surveys. Tob Control. 2009;18(4):317–23.CrossRefPubMed
29.
30.
Onuki Y. Cañazo y alcohol en la sierra peruana: Algunas consideraciones acerca de la situación actual de su consumo en las regiones de Huánuco y Apurímac. Perspectivas latinoamericanas. 2015;12:32–49.
31.
Bazo-Alvarez JC, Peralta-Alvarez F, Bernabé-Ortiz A, Alvarado GF, Miranda JJ. Tobacco consumption and positive mental health: an epidemiological study from a positive psychology perspective. BMC Psychology. 2016;4(1):1.CrossRef
32.
Miranda JJ, Herrera VM, Chirinos JA, Gómez LF, Perel P, Pichardo R, González A, Sánchez JR, Ferreccio C, Aguilera X. Major cardiovascular risk factors in Latin America: a comparison with the United States. The Latin American consortium of studies in obesity (LASO). PLoS One. 2013;8(1):e54056.CrossRefPubMedPubMedCentral
33.
Champagne B, Sebrié E, Schargrodsky H, Pramparo P, Boissonnet C, Wilson E. Tobacco smoking in seven Latin American cities: the CARMELA study. Tob Control. 2010;19(6):457–62.CrossRefPubMedPubMedCentral
34.
Jamal A, Agaku IT, O’Connor E, King BA, Kenemer JB, Neff L. Current cigarette smoking among adults—United States, 2005–2013. MMWR Morb Mortal Wkly Rep. 2014;63(47):1108–12.PubMed
35.
Luoto R, Uutela A, Puska P. Occasional smoking increases total and cardiovascular mortality among men. Nicotine Tob Res. 2000;2(2):133–9.CrossRefPubMed
36.
Ng M, Freeman MK, Fleming TD, Robinson M, Dwyer-Lindgren L, Thomson B, Wollum A, Sanman E, Wulf S, Lopez AD. Smoking prevalence and cigarette consumption in 187 countries, 1980–2012. JAMA. 2014;311(2):183–92.CrossRefPubMed
37.
Mou J, Fellmeth G, Griffiths S, Dawes M, Cheng J. Tobacco smoking among migrant factory workers in Shenzhen, China. Nicotine Tob Res. 2013;15(1):69–76.CrossRefPubMed
38.
Leon G. Civil conflict and human capital accumulation the long-term effects of political violence in perú. J Human Resourc. 2012;47(4):991–1022.
39.
Hernandez DHB, Church AL. Terrorism in Peru. Prehosp Disaster Med. 2003;18(02):123–6.CrossRef
40.
Maggi S, Ostry A, Callaghan K, Hershler R, Chen L, D’Angiulli A, Hertzman C. Research Rural–urban migration patterns and mental health diagnoses of adolescents and young adults in British Columbia, Canada: a case–control study. 2010.
41.
Gratzer D, Levitan RD, Sheldon T, Toneatto T, Rector NA, Goering P. Lifetime rates of alcoholism in adults with anxiety, depression, or co-morbid depression/anxiety: a community survey of Ontario. J Affect Disord. 2004;79(1):209–15.CrossRefPubMed
42.
Cranford JA, Eisenberg D, Serras AM. Substance use behaviors, mental health problems, and use of mental health services in a probability sample of college students. Addict Behav. 2009;34(2):134–45.CrossRefPubMed
43.
Shiffman S, Balabanis M, Fertig J, Allen J. Associations between alcohol and tobacco. Alcohol Tobacco. 1995;30:17–36.
44.
Falk DE, Yi H, Hiller-Sturmhofel S. An epidemiologic analysis of co-occurring alcohol and tobacco use and disorders. Alcohol Res Health. 2006;29(3):162–71.PubMed
45.
Comisión Nacional para el Desarrollo y Vida sin Drogas - DEVIDA. Informe Ejecutivo de la Encuesta Nacional de Prevención y Consumo de Drogas 2002. Lima: DEVIDA; 2003.
46.
Méndez D, Alshanqeety O, Warner KE. The potential impact of smoking control policies on future global smoking trends. Tob Control. 2013;22(1):46–51.CrossRefPubMed
47.
Szucs S, Sarvary A, McKee M, Adany R. Could the high level of cirrhosis in central and eastern Europe be due partly to the quality of alcohol consumed? An exploratory investigation. Addiction. 2005;100(4):536–42.CrossRefPubMed
48.
Strubelt O, Deters M, Pentz R, Siegers C, Younes M. The toxic and metabolic effects of 23 aliphatic alcohols in the isolated perfused rat liver. Toxicol Sci. 1999;49(1):133–42.CrossRefPubMed
49.
McLaughlin JK, Dietz MS, Mehl ES, Blot WJ. Reliability of surrogate information on cigarette smoking by type of informant. Am J Epidemiol. 1987;126(1):144–6.PubMed
50.
From Attebring M, Herlitz J, Berndt AK, Karlsson T, Hjalmarson A. Are patients truthful about their smoking habits? A validation of self‐report about smoking cessation with biochemical markers of smoking activity amongst patients with ischaemic heart disease. J Intern Med. 2001;249(2):145–51.CrossRefPubMed
51.
Hatziandreu EJ, Pierce JP, Fiore MC, Grise V, Novotny TE, Davis RM. The reliability of self-reported cigarette consumption in the United States. Am J Public Health. 1989;79(8):1020–3.CrossRefPubMedPubMedCentral
52.
Williams GD, Aitken SS, Malin H. Reliability of self-reported alcohol consumption in a general population survey. J Stud Alcohol. 1985;46(3):223–7.CrossRefPubMed
53.
Johnson TP, Mott JA. The reliability of self-reported age of onset of tobacco, alcohol and illicit drug use. Addiction. 2001;96(8):1187–98.CrossRefPubMed
54.
Finch K, Ma S, Qin D, Xin G, Xia W, Novotny TE. Smoking Knowledge, Attitudes and Behaviors Among Rural-to-Urban Migrant Women in Beijing, China. Asia-Pacific Journal of Public Health. 2010;22(3):342–353.
55.
Chen X, Li X, Stanton B, Fang X, Lin D, Cole M, Liu H, Yang H. Cigarette smoking among rural-to-urban migrants in Beijing, China. Prev Med. 2004;39(4):666–73.CrossRefPubMed
56.
Bethel JW, Schenker MB. Acculturation and smoking patterns among Hispanics: a review. Am J Prev Med. 2005;29(2):143–8.CrossRefPubMed
57.
Weygandt PL, Vidal-Cardenas E, Gilman RH, Avila-Tang E, Cabrera L, Checkley W. Epidemiology of tobacco use and dependence in adults in a poor peri-urban community in Lima, Peru. BMC Pulm Med. 2012;12(1):1.CrossRef
Metadata
Title
Smoking and heavy drinking patterns in rural, urban and rural-to-urban migrants: the PERU MIGRANT Study
Authors
Alvaro Taype-Rondan
Antonio Bernabe-Ortiz
Germán F. Alvarado
Robert H. Gilman
Liam Smeeth
J. Jaime Miranda
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4080-7

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