Abstract/Details

A population-based approach to cigarette smoking and mortality


2012 2012

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Abstract (summary)

The relationship between cigarette smoking and negative health outcomes at the individual level is well-known and has been thoroughly described in the literature. Individual smokers are at substantially increased risk of chronic disease and mortality from a variety of different causes of death. However, there has been less attention to the potential for differences in cigarette smoking to produce differentials in health and mortality across populations. The goal of this dissertation is to examine the extent to which smoking operates as a factor determining mortality at the population level. Chapter 1 extends a new indirect method for estimating smoking-attributable mortality and applies it to geographic variation in adult mortality in the United States. Chapter 2 examines whether the adult mortality advantage of Hispanics compared to non-Hispanic whites in the US derives from Hispanics’ relatively low rates of smoking. Chapter 3 investigates the underlying explanations for Mexican immigrants’ relatively favorable smoking behavior. The results suggest that cigarette smoking is an important factor producing geographic disparities in mortality and the principal reason for Hispanics’ survival advantage over whites. Furthermore, there is no evidence that selective migration of non-smokers explains low rates of smoking among Mexican migrants in the United States. This dissertation makes both methodological and substantive contributions to the study of cigarette smoking, expanding current methods for estimating smoking-attributable deaths and demonstrating examples of the population-level impact of smoking.

Indexing (details)


Subject
Public policy;
Hispanic American studies;
Epidemiology;
Demography
Classification
0630: Public policy
0737: Hispanic American studies
0766: Epidemiology
0938: Demography
Identifier / keyword
Social sciences; Health and environmental sciences; Attributable-risk; Cigarette; Hispanic; Method; Mortality; Population; Smoking
Title
A population-based approach to cigarette smoking and mortality
Author
Fenelon, Andrew
Number of pages
191
Publication year
2012
Degree date
2012
School code
0175
Source
DAI-A 73/09(E), Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9781267351227
Advisor
Elo, Irma T.
Committee member
Ewbank, Douglas C.; Guillot, Michel; Preston, Samuel H.
University/institution
University of Pennsylvania
Department
Demography
University location
United States -- Pennsylvania
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3509001
ProQuest document ID
1018701754
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/1018701754
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