Tobacco consumption is unequally distributed in society. The objective was to identify trends in tobacco use among the General and Spanish Roma populations in 2006 and 2014, years characterized by strengthening of anti-smoking policy in Spain. We calculated prevalences and logistical regression models based on the Spanish National Health Survey (2006/2012) and the National Health Survey of the Roma population (2006/2014). Smoking decreased only in men in the General population (OR 0.885). In the Roma population, there were no significant changes observed for the 2 years studied (OR: men 1.095, and women 1.147). In fact, Roma men smoke 4.2 cigarettes more, and they have a younger age of initial tobacco use. Smoking behavior of the Roma population has not changed, and there has been no reduction in inequalities in tobacco use among the two populations, despite public policies designed to reduce tobacco use in Spain.
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We wish to thank the interviewers and associations of the Roma community in Spain for participating in this study.
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Conflict of interest
The authors declare that they have no conflict of interest.
The research was approved by the Ethics Committee of the University of Alicante (Spain) that carried out the study.
Those interviewed were informed in writing and verbally of the objective of the survey, the voluntary nature of participation, the protection of anonymity and confidentiality, and of the institution and team responsible for conducting the survey. No incentive for participation was offered to respondents.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Usera-Clavero, M., La Parra-Casado, D., Caballero, P. et al. Smoking Prevalence Inequalities Among Roma and Non-Roma Population in Spain Between 2006 and 2014. J Immigrant Minority Health 21, 1282–1289 (2019). https://doi.org/10.1007/s10903-019-00863-z
- General population
- Roma population
- Health survey
- Public health programs