The Epidemiology of Smoking in Older Adults: A National Cohort Study

Hunt, Lauren; Covinsky, Kenneth E.; Cenzer, Irena Stijacic; Espejo, Edie; Boscardin, W. John; Leutwyler, Heather; Lee, Alexandra K.; Cataldo, Janine

doi:10.1007/s11606-022-07980-w

Cited by 5 publications

(7 citation statements)

References 36 publications

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“…Although this rate was lower than those observed in populous, low-to-middle-income Asian countries like India and Indonesia (both exceeding 40%) 26 , 27 , it was significantly higher than the rates in the general populations of the United States and Europe for comparable age groups and years. Specifically, these rates were 1.4, 1.9, and 3.3 times higher for the age groups of 55–64, 65–74, and ≥75 years, respectively, compared to the US 20 , and 1.8 and 2.2 times higher for the age groups of 65–74 and ≥75 years in Europe 21 . Given China’s rapidly aging population, these consistently high smoking rates present a significant epidemiological challenge, underlining the urgent need for effective and equitable smoking cessation interventions and treatments within the healthcare system.…”

Section: Discussionmentioning

confidence: 91%

“…We followed existing literature for definitions of ADL and IADL disabilities 19 . For international comparison, age was divided into 45–54, 55–64, 65–74, and ≥75 years 20 , 21 . We split the regions into eastern and non-eastern due to documented healthcare inequity between the economically developed eastern China and other regions 22 .…”

Section: Methodsmentioning

confidence: 99%

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Evaluating smoking cessation interventions in China’s primary care facility networks for hypertensive patients aged 45 years and older: A retrospective cohort study

Wang,

Salamanca,

Sanchez

et al. 2023

Tob. Induc. Dis.

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INTRODUCTION In China’s aging population, hypertension, aggravated by smoking, constitutes a substantial health concern. However, the effectiveness of the national public health interventions for smoking cessation under the Essential Public Health Services remains unverified. Our aim was to examine smoking prevalence, the proportion of individuals receiving smoking cessation advice, its impact on successful cessation among Chinese hypertensive patients aged ≥45 years, and to discern disparities in the coverage and efficacy of smoking cessation interventions between primary care facilities and hospitals. METHODS Employing a longitudinal cohort approach, we examined four waves (2011–2018) of the China Health and Retirement Longitudinal Study (CHARLS). We surveyed a nationally representative cohort of hypertensive individuals, accounting for smoking status, cessation advice, healthcare preferences, and 11 pertinent covariates. RESULTS Among the 4269 hypertensive patients, smokers were predominantly male, aged <65 years, with lower education and lower wealth. Smoking prevalence decreased from 25.2% in 2011 to 21.1% in 2018. The incidence of physician-provided smoking cessation advice reached a peak of 60.3% in 2015, decreasing to 54.8% in 2018. Visitors to primary care facilities reported the highest rate of advice reception. While patients receiving advice exhibited a higher smoking prevalence, instrumental variable regression and subgroup analyses found no significant correlation between advice receipt and successful cessation. CONCLUSIONS We observed a substantial smoking prevalence among older hypertensive Chinese individuals and limited effectiveness of existing cessation programs. This underscores the necessity for augmenting primary care and devising a comprehensive health policy for more successful smoking cessation interventions, particularly considering China’s rapidly aging population.

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Section: Discussionmentioning

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Evaluating smoking cessation interventions in China’s primary care facility networks for hypertensive patients aged 45 years and older: A retrospective cohort study

Wang,

Salamanca,

Sanchez

et al. 2023

Tob. Induc. Dis.

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“…(6) Older smokers form a substantial part of tobacco-related morbidity and mortality, with over 70% of smoking-related deaths occurring in individuals over 60. (7) Notably, the tendency for smokers to quit as they age, a trend seen globally, (8) is also observed in Korea. Data from 2021 shows a marked reduction in smoking among Korean men as they age: 35.5% in the 50-59 age group, 27.3% in those aged 60-69, and down to 15.6% in the over-70 group.…”

Section: Original Articlementioning

confidence: 85%

“…However, most research on smoking has been focused on the general population, with studies specifically targeting older adults often lacking in detail, especially regarding those aged 80 and above. (7) This gap is problematic because the older population is diverse, with varying lifestyles and health conditions that could influence their smok-ing habits. Older individuals experience pivotal life changes, such as retirement and shifts in social engagement, which could significantly impact their behavioral patterns, including smoking.…”

Section: Original Articlementioning

confidence: 99%

Who Still Smokes in Older Age?

Kim,

Cho

2023

J Korean Soc Res Nicotine Tob

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Background: Elderly smokers often quit smoking due to declining health and economic status. However, the impact of life changes in older age on smoking behavior remains unexplored. This study aims to explore factors influencing smoking among elderly Korean population. Methods: The study utilized 2020 data from the Korean Longitudinal Study of Ageing, encompassing 5,642 seniors (2,350 males and 3,292 females). We performed sex-stratified multivariate logistic analyses to discern sex-specific differences. Results: Among elderly men, factors such as being younger in their age group, lower education, reduced household assets, fewer chronic diseases, BMI below 23, lack of regular exercise, and alcohol consumption correlated with current smoking. Conversely, for older women, younger age, living alone, limited social engagement, and alcohol consumption were linked to smoking. Notably, the role of social relationships in smoking varied by sex; single females who were less socially active were more likely to smoke, whereas single status and social activity level had no significant correlation with smoking in males. Conclusion:This study underscores the need to consider diverse life circumstances and gender-specific factors affecting smoking in elderly population. It highlights the necessity of tailored approaches in smoking cessation programs for this demographic.

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“…If so, insights into the genetic mechanisms of neuropsychiatric disorders may reveal novel treatment approaches for tobacco use disorders and vice versa. Notably, rates of tobacco use in the general population have steadily decreased in recent years [ 93 , 94 ], but have remained stubbornly high in individuals suffering from neuropsychiatric abnormalities [ 86 , 95 ]. This is important because currently available and newly developed smoking cessation therapies may demonstrate altered efficacy in those smokers who also suffer from comorbid psychiatric disorders [ 96 , 97 ].…”

Section: Human Genetics-based Discovery Of Novel Targets For Smoking ...mentioning

confidence: 99%