抽煙與社經地位及生活滿意之關聯

Smoking, Socioeconomic Status, and Life Satisfaction

臺灣符合抽煙流行期的發展，近數十年來抽煙率穩定下降，但開始更集中於低社經地位者，造成健康更不平等，也更可能藉由抽煙減緩資源相對缺乏的壓力。本文利用家庭動態調查資料分析抽煙與否、煙癮、煙齡與社會經濟地位及生活滿意間的關係。煙癮最重者教育程度最低，但煙齡較長者教育程度反而較高，反映出在抽煙流行發展早期，抽煙者並非社經地位低者；職業聲望及生活滿意與煙齡也有類似的關係。控制教育前，抽煙者的薪資較低，在控制教育後，抽煙與薪資並無關係。若細分抽煙的煙癮與煙齡，發現給定教育下，煙癮最重與煙齡最長者的薪資才顯著較低。

In line with the overall trend in smoking, Taiwan’s smoking rate has steadily declined in recent decades. However, smokers are more concentrated among those with low socioeconomic status. This reduces health equality and causes smokers to use cigarettes to alleviate their relative deficit in resources. This study used data from the Panel Study of Family Dynamics to investigate the relationships among smoking, socioeconomic status, and life satisfaction. Heavy smokers had the lowest educational attainment. However, smokers for more than 30 years had higher educational attainment, suggesting that in the early smoking epidemic, most smokers did not have low socioeconomic status. Similar associations were observed between occupational prestige and life satisfaction. Without controlling for education, smokers’ earnings were lower. However, this association disappeared after controlling for education level. Heavy and long-term smokers had lower earnings when smokers were further divided based on the degree of addiction and years of smoking.