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Socioeconomic inequality in tobacco use in Kenya: a concentration analysis

Hermann Pythagore Pierre Donfouet, Shukri F. Mohamed () and Eric Malin
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Hermann Pythagore Pierre Donfouet: APHRC Campus - African Population and Health Research Center, Inc
Shukri F. Mohamed: APHRC Campus - African Population and Health Research Center, Inc

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Abstract: This paper aims at assessing and exploring socioeconomic inequalities in tobacco use in Kenya. Using the theory of fundamental causes, and concentration index, we investigate the determinants of tobacco use, and whether it disproportionately affects the poor. All data used in this study emanated from the 2014 Global Adult Tobacco Survey implemented in Kenya on a nationally representative sample of men and women aged 15 years and older. Our results suggest a link between tobacco use and socioeconomic inequality. Overall, poorer households are more affected by tobacco use than richer households. This socioeconomic inequality is more evident among men and households living in urban areas. The decomposition of the concentration index indicates that the overall socioeconomic inequality for current tobacco smokers is explained by 69.11% of household wealth. To reduce the prevalence rate of smoking in Kenya, policymakers could design and implement tobacco control programs through the equity lens. Community health workers could be used to promote non-smoking behaviors among the poor.

Keywords: Theory of fundamental causes; Tobacco consumption; Socioeconomic inequalities; Concentration index (search for similar items in EconPapers)
Date: 2021-06
New Economics Papers: this item is included in nep-hea
Note: View the original document on HAL open archive server: https://hal.science/hal-03127785v1
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Published in International Journal of Health Economics and Management, 2021, 21 (2), pp.247-269. ⟨10.1007/s10754-020-09292-0⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-03127785

DOI: 10.1007/s10754-020-09292-0

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