Résumé :
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[BDSP. Notice produite par INIST-CNRS X2XmR0xW. Diffusion soumise à autorisation]. Objectives : We assessed social disparities in the prevalence of overall tobacco use, smoking, and smokeless tobacco use in Mumbai, India, by examining occupation-education-and gender-specific patterns. Methods : Data were derived from a cross-sectional survey conducted between 1992 and 1994 as the baseline for the Mumbai Cohort Study (n=81837). Results : Odds ratios (ORs) for overall tobacco use according to education level (after adjustment for age and occupation) showed a strong gradient ; risks were higher among illiterate participants (male OR=7.38, female OR=20.95) than among college educated participants. After age and education had been controlled, odds of tobacco use were also significant according to occupation ; unskilled male workers (OR=1.66), male service workers (OR=1.32), and unemployed individuals (male OR=1.84, female OR=1.95) were more at risk than professionals. The steepest education-and occupation-specific gradients were observed among male bidi smokers and female smokeless tobacco users. Conclusions : The results of this study indicate that education and occupation have important simultaneous and independent relationships with tobacco use that require attention from policymakers and researchers alike.
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