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BACKGROUND: Switzerland ranks among the top three healthcare systems in the world with regards to healthcare access, suggesting a high degree of health equity. However, Switzerland has few preventive strategies against smoking abuse. The aim of this study is to clarify whether educational level and citizenship status have an influence on the prevalence of smoking in Switzerland and whether there is health inequity related to a lack of preventive strategies. METHODS: We based our analysis on publicly available health data published in the Swiss government's Swiss health survey (1992-2017). We compared the prevalence of smoking across the years and correlated these data with levels of educational attainment, citizenship status and age. RESULTS: A continuous significant decline in smokers is observed in the highest education group (TERT). Over time, prevalence was reduced from 29% in 1992 to 23% in 2017 (p < 0.001). The intermediate-level educational group (SEK 2) showed smaller but also significant decline on a 0.05 sigificance level over the same period, from 31% to 29% (p = 0.003). The lowest educational group showed a nonsignificant decline from 28% to 27% (p = 0.6). The population who holds Swiss citizenship showed a decrease in smoking from 28% to 26% within the time frame (p < 0.001). People without Swiss citizenship had a much higher prevalence of smokers, at 38% in 1992 and declining to 32% in 2017 (p < 0.001). All cohorts from age 15 to age 64 have a far higher prevalence of smokers than cohorts at an older age, with the highest prevalence in the 25-34 age group. CONCLUSION: In Switzerland, individuals with lower levels of education and non-Swiss populations are more susceptible to health risk of smoking. This is despite the existence of a high-quality healthcare system that has nevertheless failed to negated health inequities., + ID der Publikation: unilu_71613 + Sprache: Englisch + Letzte Aktualisierung: 2023-12-12 18:24:44

Die meisten Witwen, Witwer und Waisen in der Schweiz sind finanziell gut gestellt. Dies zeigt eine Studie der Universität Genf und der ZHAW. Dennoch besteht bei einigen Bevölkerungsgruppen das erhöhte Risiko, in prekäre Verhältnisse zu geraten. Dazu gehören etwa alleinerziehende Witwen.

Since 1971 the Swiss Federal Statistical Office has published annual fertility data split by nationality (Swiss/foreign). These indicate that the TFR for women of foreign nationality has been 0.5 children higher than for Swiss women for most of the period since 1991. However, statistics from household registration (STATPOP) and the Families and Generations Surveys (FGS) in 2013 and 2018 indicate that foreign women, approaching the end of their reproductive lives, have slightly smaller families than women of Swiss nationality. The purpose of this paper is to reconcile these contradictory fertility measures. To do this, we design a novel methodology for tallying the fertility of cohorts of Swiss and foreign nationals through their reproductive life. In addition to birth registrations and population totals by age (the input data for calculating the TFR) we also include estimates of how many children women have at the time of their immigration, emigration and naturalisation. Using these input data, we compile the fertility profiles of Swiss and foreign women aged 15-49 (cohorts 1966-2003). These correspond well with the FGS and household register data. Several processes impact the final fertility of the two sub-populations. Women frequently immigrate into Switzerland in their 20s. Often arriving childless, they commonly start childbearing soon after immigration. However, there is still a flow of low-fertility women into the country in their 30s and 40s, lowering the average fertility of the foreign population. By contrast, Swiss women start childbearing later and a significant proportion remain childless; however, after starting childbearing they have a higher propensity than foreign women to have a second and third child. Naturalisation and fertility are interlinked; women with children are more likely to naturalise than those without, which then boosts the average fertility of the Swiss population. We confirm that the standard TFR gives an inflated impression of the u