Cigarette smoking and smoking cessation among older adults: United States, 1965-94

Husten, Corinne G.; Shelton, Dave; Chrismon, Jeffrey H.; Lin, Yingsong; Mowery, Paul; Powell, F A

doi:10.1136/tc.6.3.175

Cited by 117 publications

(89 citation statements)

References 28 publications

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“…The prevalence of current smoking was three times greater among men than among women. The prevalence among aged males (31%) in Bambuí was much higher than that observed among men (≥65 years) in the United States (13%), 8 United Kingdom (18%) 4 and Canada (20%). 19 Among women, this prevalence (10%) was fairly similar to that observed in the United States (11%) 8 and slightly lower than the prevalence found in the United Kingdom (17%) 4 and Canada (14%).…”

Section: Discussionmentioning

confidence: 88%

“…The prevalence among aged males (31%) in Bambuí was much higher than that observed among men (≥65 years) in the United States (13%), 8 United Kingdom (18%) 4 and Canada (20%). 19 Among women, this prevalence (10%) was fairly similar to that observed in the United States (11%) 8 and slightly lower than the prevalence found in the United Kingdom (17%) 4 and Canada (14%). 19 In addition to the higher prevalence of smoking among men in the present study, they started to smoke earlier and consumed a larger number of cigarettes per day, which is similar to that observed in the North American population.…”

Section: Discussionmentioning

confidence: 88%

“…11 In the United States, the association of smoking and schooling was weaker among older adults, compared to younger people (18-64 years), showing differences only at the extremes of schooling (<9 and >15 years). 8 An analysis of four population studies in that country revealed that, while men with the highest level of education showed the lowest prevalence of smoking, this association was inverse for women. 1 In the present study, schooling showed an independent and negative association with current smoking for both men and women.…”

Section: Discussionmentioning

confidence: 99%

“…12 Furthermore, the absolute number of elderly smokers are likely to increase as a consequence of global aging population. 8 Most studies, but not all, 1,24 have found that smoking is more frequent among men with lower socioeconomic condition and little formal education. 11 The objective of the present study was to describe the smoking habit of older adults living in the community and to examine the factors associated with current and past smoking.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study)

2005

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ObjectiveTo describe the characteristics and associated factors of the smoking habit among older adults. Methods A population-based study was carried out comprising 1,606 (92.2%) older adults (≥60 years old) living in the Bambuí town, Southeastern Brazil in 1997. Data was obtained by means of interview and socio-demographic factors, health status, physical functioning, use of healthcare services and medication were considered. The multiple multinomial logistic regression was used to assess independent associations between smoking habits (current and former smokers) and the exploratory variables. ResultsThe prevalence of current and past smoking was 31.4% and 40.2% among men, and 10.3% and 11.2% among women, respectively (p<0.001). Among current smokers, men consumed a larger number of cigarettes per day and started the habit earlier than women. Among men, current smoking presented independent and negative association with age (≥80 years) and schooling (≥8 years) and positive association with poor health perception and not being married. Among women, independent and negative associations with current smoking were observed for age (75-79 and ≥80 years) and schooling (4-7 and ≥8 years). ConclusionsSmoking was a public health concern among older adults in the studied community, particularly for men. Yet, in a low schooling population, a slightly higher level was a protective factor against smoking for both men and women. Programs for reducing smoking in the elderly population should take these findings into consideration. Resumo Objetivo

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study)

2005

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“…1 Despite increasing public awareness of the health risks inherent in the use of tobacco products and legislation that reduces the availability of cigarettes and prohibits smoking in many public facilities, virtually no further reduction in smoking prevalence has occurred in the US since 1990. 2 This phenomenon is largely attributable to nicotine dependence, a genetically complex disorder. [3][4][5][6] Many twin studies have revealed that there is a strong genetic component in nicotine dependence.…”

Section: Introductionmentioning

confidence: 99%

Mapping and verification of susceptibility loci for smoking quantity using permutation linkage analysis

Wang

2005

Pharmacogenomics J

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Nicotine dependence is the most prevalent form of drug addiction in the US and throughout the world. Epidemiological studies demonstrate that genetics accounts for at least 50% of the liability to nicotine dependence. However, there have been very limited linkage studies providing convincing evidence of susceptibility genomic loci for this disorder. In this study, we conducted genome-wide permutation linkage analyses on the smoking data collected between 1970 and 1972 of the Framingham Heart Study (FHS) to account for the abnormality associated with the smoking quantity (defined as the number of cigarettes smoked per day). We used empirical thresholds obtained from permutation tests to determine the significance of each genomic region. The variance component method implemented in SOLAR was used for the analysis. Under the empirical genome-wide thresholds determined specifically for the FHS smoking data, we found two highly or near-highly significant linkages of nicotine dependence on chromosomes 1 and 4 (P ¼ 0.001) and eight significant linkages on chromosomes 3,7,8,9,11,16,17, and 20 (Po0.05). These findings strongly indicate that some of these regions may harbor susceptibility loci for nicotine dependence. Further analysis of these positive regions by fine mapping and/or association analysis is warranted. To our knowledge, this study presents the most convincing linkage evidence for nicotine dependence in the field.

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The Older Smoker

Kleykamp¹,

Heishman²

2011

JAMA

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Smoking prevalence in the United States is lower among older adults (≥ 65 years of age; 8.3%) compared with younger adults (≤ 64 years; 22.2%); however, older adults are half as likely to try to quit as smokers aged 18 to 24 years (25.3% vs 53.1%) 1 . Smoking rates between 1965 and 1994 declined less for individuals 65 or older (5.9% reduction) than for younger adults (≤ 64 years; 18.4% reduction) 2 . Regardless of age, quitting smoking can increase life expectancy and improve health and quality of life 3 . Accordingly, the Clinical Practice Guideline for the Treatment of Tobacco Use and Dependence highlights older smokers as a subpopulation for which treatments might require tailoring because of unique age-related characteristics 4 . Clinicians should consider that older smokers will be an increasing proportion of the patient population and that these smokers might require modification of treatment for smoking cessation.

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Cigarette smoking and smoking cessation among older adults: United States, 1965-94

Cited by 117 publications

References 28 publications

Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study)

Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study)

Mapping and verification of susceptibility loci for smoking quantity using permutation linkage analysis

The Older Smoker

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