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Int. J. Environ. Res. Public Health 2016, 13(11), 1044; doi:10.3390/ijerph13111044

Influence of Socioeconomic Factors, Gender and Indigenous Status on Smoking in Taiwan

Taiwan Marine Education Center, National Taiwan Ocean University, Keelung City 20224, Taiwan
Institute of Indigenous Health and Preventive Medicine Research Center, Taipei Medical University, Taipei 11031, Taiwan
Department of Medical Research, China Medical University Hospital, China Medical University, Taichung 40402 Taiwan
Department of Leisure and Recreation Management, Asia University, Taichung 41354, Taiwan
Graduate Institute of Educational Measurement and Statistics, National Taichung University of Education, Taichung 40306, Taiwan
Department of Information Management, Tatung University, Taipei 10452, Taiwan
School of Public Health, Taipei Medical University, Taipei 11031, Taiwan
Department of Leisure Industry and Health Promotion, National Taipei University of Nursing and Health Sciences, Taipei 11219, Taiwan
Department of Community Health Sciences, Fielding School of Public Health, University of California at Los Angeles, Los Angeles, CA 90095, USA
Authors to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 28 April 2016 / Revised: 25 September 2016 / Accepted: 10 October 2016 / Published: 25 October 2016
View Full-Text   |   Download PDF [277 KB, uploaded 27 October 2016]


The indigenous Austronesian minority of Taiwan is heavily affected by health disparities which may include suffering from a greater burden of the tobacco epidemic. While a lack of representative data has historically precluded an investigation of the differences in smoking between Taiwanese ethnicities, these data have recently become available through an annual population-based telephone survey conducted by the Health Promotion Administration, Ministry of Health and Welfare (previously known as the Bureau of Health Promotion (BHP), Department of Health). We used the BHP monitoring data to observe the prevalence of smoking and environmental tobacco smoke exposure among indigenous and non-indigenous Taiwanese surrounding a tobacco welfare tax increase in 2006, investigate ethnic differences in smoking prevalence and environmental tobacco smoke exposure each year between 2005 and 2008, and perform multiple logistic regression to estimate measures of association between potential risk factors and smoking status. Despite significant ethnic and gender differences in smoking prevalence, smoking status was not found to be significantly associated with ethnicity after controlling for socioeconomic and demographic factors. View Full-Text
Keywords: indigenous; ethnic; gender; smoking; trends; tobacco tax increase; Taiwan indigenous; ethnic; gender; smoking; trends; tobacco tax increase; Taiwan
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Tsai, L.-T.; Lo, F.-E.; Yang, C.-C.; Lo, W.-M.; Keller, J.J.; Hwang, C.-W.; Lin, C.-F.; Lyu, S.-Y.; Morisky, D.E. Influence of Socioeconomic Factors, Gender and Indigenous Status on Smoking in Taiwan. Int. J. Environ. Res. Public Health 2016, 13, 1044.

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