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. 2021 Apr 1:66:599570.
doi: 10.3389/ijph.2021.599570. eCollection 2021.

What Regional Living Conditions Affect Individual Smoking of Adults in Russia

Sergey A Maksimov  1 , Svetlana A Shalnova  1 , Yulia A Balanova  1 , Vladimir A Kutsenko  1 , Svetlana E Evstifeeva  1 , Asiia E Imaeva  1 , Oksana M Drapkina  1
Affiliations

What Regional Living Conditions Affect Individual Smoking of Adults in Russia

Sergey A Maksimov et al. Int J Public Health. .

Abstract

Objectives: Our study evaluated the impact of a wide range of characteristics of large administrative regions on the individual level of cigarette smoking in the Russian adult population. Methods: The pool of participants included 20,303 individuals aged 25-64 years. We applied 64 characteristics of the 12 Russian regions under study for 2010-2014. Using principal component analysis, we deduced five evidence-based composite indices of the regions. We applied the generalized estimating equation to determine associations between the regional indices and the individual level of smoking. Results: The increased Industrial index in the region is associated with the probability of smoking (odds ratio = 1.15; 95% confidence interval = 1.06-1.24). The other indices show associations with smoking only in separate gender and educational groups. Surprisingly, it was found that the Economic index has no associations with the probability of smoking. Conclusion: We evaluated the key associations of the territorial indices with the individual probability of smoking, as well as the mutual influence between the territorial indices and individual factors.

Keywords: Russia; health geographic; multi-level study; regional environment; smoking.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Regions of Russia participating in the study (“Epidemiology of Cardiovascular Diseases in the Regions of the Russian Federation”, Russia, 2013–2014). 1, Vologda; 2, Ivanovo; 3, Voronezh; 4, Volgograd; 5, Vladikavkaz; 6, Samara; 7, Orenburg; 8, Tyumen; 9, Tomsk; 10, Kemerovo; 11, Krasnoyarsk; 12, Vladivostok.
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