Article Data

  • Views 641
  • Dowloads 134

Original Research

Open Access

Changes in smoking behavior and influencing factors in older adults

  • Heeran J. Cho1
  • Hyegyeong Son2,*,
  • Kyuhyoung Jeong3

1Department of Public Health Administration, Seoul Cyber University, 01133 Seoul, Republic of Korea

2College of Nursing, Kosin University, 49267 Busan, Republic of Korea

3Department of Social Welfare, Jeonbuk National University, 54896 Jeonju, Republic of Korea

DOI: 10.22514/jomh.2024.055 Vol.20,Issue 4,April 2024 pp.72-79

Submitted: 20 September 2023 Accepted: 31 October 2023

Published: 30 April 2024

*Corresponding Author(s): Hyegyeong Son E-mail: hkprin@kosin.ac.kr

Abstract

The increasing aging population has drawn significant attention to the health behaviors of older men, specifically their smoking habits. In this study, we estimated the changes in smoking behavior among elderly men aged 65 years and over and identified the factors that influenced these changes. Using the Korean Longitudinal Study of Aging (KLoSA) data, conducted between 2006 and 2020, we analyzed the smoking behavior of 1741 elderly men who were 65 years-of-age in the first year. The mean smoking quantity showed a decreasing trend over time, from 4.47 cigarettes/day in 2006 to 0.30 cigarettes/day in 2020. The quadratic change model best explained these changes in smoking behavior. The factors that influenced the initial level of smoking behavior included education, residential area, marital status, age and household income. In conclusion, smoking behavior among elderly men in Korea has shown a significant decreasing trend over the past decade. Several sociodemographic factors played a role in influencing these changes and can provide insights for tailoring health promotion strategies for this population group in the future.


Keywords

Smoking behavior; Older adults; Psychological factors; Health interventions; Latent growth model


Cite and Share

Heeran J. Cho,Hyegyeong Son,Kyuhyoung Jeong. Changes in smoking behavior and influencing factors in older adults. Journal of Men's Health. 2024. 20(4);72-79.

References

[1] Liu T, Qiu D, Song F, Chen T. Trends in socio-economic inequality in smoking among middle-aged and older adults in China: evidence from the 2011 and 2018 China health and retirement longitudinal study. Nicotine & Tobacco Research. 2023; 25: 50–57.

[2] Na PJ, Jeste DV, Pietrzak RH. Social disconnection as a global behavioral epidemic—a call to action about a major health risk factor. JAMA Psychiatry. 2023; 80: 101.

[3] Alsulami S, Althagafi N, Hazazi E, Alsayed R, Alghamdi M, Almohammadi T, et al. Obesity and its associations with gender, smoking, consumption of sugary drinks, and hour of sleep among King Abdulaziz University Students in Saudi Arabia. Diabetes, Metabolic Syndrome and Obesity. 2023; 16: 925–934.

[4] Bianchini M, Puliani G, Chiefari A, Lauretta R, Mormando M, Terrenato I, et al. Lifestyle as a risk factor for endocrine diseases: does gender matter? A cross-sectional study. Journal of Sex-and Gender-Specific Medicine. 2022; 8: 74–80.

[5] Li Y, Lu Y, Hurwitz EL, Wu Y. Gender disparities of heart disease and the. association with smoking and drinking behavior among middle-aged and older adults, a cross-sectional study of data from the US health and retirement study and the China health and retirement longitudinal study. International Journal of Environmental Research and Public Health. 2022; 19: 2188.

[6] O’Donoghue G, Perchoux C, Mensah K, Lakerveld J, van der Ploeg H, Bernaards C, et al. A systematic review of correlates of sedentary behaviour in adults aged 18–65 years: a socio-ecological approach. BMC Public Health. 2016; 16: 163.

[7] Sunseri AJ, Alberti JM, Kent ND, Schoenberger JA, Sunseri JK, Amuwo S, et al. Reading, demographic, social and psychological factors related to pre‐adolescent smoking and non‐smoking behaviors and attitudes. Journal of School Health. 1983; 53: 257–263.

[8] Stronks K, van de Mheen HD, Looman CW, Mackenbach JP. Cultural, material, and psychosocial correlates of the socioeconomic gradient in smoking behavior among adults. Preventive Medicine. 1997; 26: 754–766.

[9] Lien N, Jacobs DR, Klepp K. Exploring predictors of eating behaviour among adolescents by gender and socio-economic status. Public Health Nutrition. 2002; 5: 671–681.

[10] Engman A. Embodiment and the foundation of biographical disruption. Social Science & Medicine. 2019; 225: 120–127.

[11] Schane RE, Woodruff PG, Dinno A, Covinsky KE, Walter LC. Prevalence and risk factors for depressive symptoms in persons with chronic obstructive pulmonary disease. Journal of General Internal Medicine. 2008; 23: 1757–1762.

[12] Lin H, Liu Y, Zhang H, Zhu Z, Zhang X, Chang C. Assessment of a text message-based smoking cessation intervention for adult smokers in China. JAMA Network Open. 2023; 6: e230301.

[13] Frazer K, Bhardwaj N, Fox P, Stokes D, Niranjan V, Quinn S, et al. Systematic review of smoking cessation interventions for smokers diagnosed with cancer. International Journal of Environmental Research and Public Health. 2022; 19: 17010.

[14] Struik L, Rodberg D, Sharma RH. The behavior change techniques used in Canadian online smoking cessation programs: content analysis. JMIR Mental Health. 2022; 9: e35234.

[15] Sodjinou R, Agueh V, Fayomi B, Delisle H. Obesity and cardio-metabolic risk factors in urban adults of Benin: relationship with socio-economic status, urbanisation, and lifestyle patterns. BMC Public Health. 2008; 8: 84.

[16] Cai Z, Chen M, Ye P, Yip PSF. Socio-economic determinants of suicide rates in transforming China: a spatial-temporal analysis from 1990 to 2015. The Lancet Regional Health—Western Pacific. 2022; 19: 100341.

[17] Nketiah-Amponsah E, Afful-Mensah G, Ampaw S. Determinants of cigarette smoking and smoking intensity among adult males in Ghana. BMC Public Health. 2018; 18: 941.

[18] Nketiah-Amponsah E, Afful-Mensah G, Ampaw S. Determinants of cigarette smoking and smoking intensity among adult males in Ghana. BMC Public Health. 2018; 18: 941.

[19] Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ. 2004; 328: 1519.

[20] Wheldon CW, Kaufman AR, Kasza KA, Moser RP. Tobacco use among adults by sexual orientation: findings from the population assessment of tobacco and health study. LGBT Health. 2018; 5: 33–44.

[21] Doll R, Peto R, Wheatley K, Gray R, Sutherland I. Mortality in relation to smoking: 40 years’ observations on male British doctors. The BMJ. 1994; 309: 901–911.

[22] World Health Organization. WHO global report on falls prevention in older age. World Health Organization. 2008.

[23] Zhu Y, Ioannidis JPA, Li H, Jones KC, Martin FL. Understanding and harnessing the health effects of rapid urbanization in China. Environmental Science & Technology. 2011; 45: 5099–5104.

[24] Lindson N, Klemperer E, Hong B, Ordóñez-Mena JM, Aveyard P. Smoking reduction interventions for smoking cessation. Cochrane Database of Systematic Reviews. 2019; 9: CD013183.

[25] Flor LS, Reitsma MB, Gupta V, Ng M, Gakidou E. The effects of tobacco control policies on global smoking prevalence. Nature Medicine. 2021; 27: 239–243.

[26] Pei T, Yang T. Changing behaviour: blindness to risk and a critique of tobacco control policy in China—a qualitative study. Children. 2022; 9: 1412.

[27] Levy DT, Benjakul S, Ross H, Ritthiphakdee B. The role of tobacco control policies in reducing smoking and deaths in a middle income nation: results from the Thailand SimSmoke simulation model. Tobacco Control. 2008; 17: 53–59.

[28] Thakur JS, Prinja S, Bhatnagar N, Rana SK, Sinha DN, Singh PK. Widespread inequalities in smoking & smokeless tobacco consumption across wealth quintiles in States of India: need for targeted interventions. The Indian Journal of Medical Research. 2015; 141: 789–798.

[29] Towns S, DiFranza JR, Jayasuriya G, Marshall T, Shah S. Smoking cessation in adolescents: targeted approaches that work. Paediatric Respiratory Reviews. 2017; 22: 11–22.

[30] Torchalla I, Okoli CTC, Bottorff JL, Qu A, Poole N, Greaves L. Smoking cessation programs targeted to women: a systematic review. Women & Health. 2012; 52: 32–54.

[31] Kobayashi LC, Steptoe A. Social isolation, loneliness, and health behaviors at older ages: longitudinal cohort study. Annals of Behavioral Medicine. 2018; 52: 582–593.

[32] Musacchio E, Perissinotto E, Binotto P, Sartori L, Silva-Netto F, Zambon S, et al. Tooth loss in the elderly and its association with nutritional status, socio-economic and lifestyle factors. Acta Odontologica Scandinavica. 2007; 65: 78–86.

[33] Ding D, Rogers K, van der Ploeg H, Stamatakis E, Bauman AE. Traditional and emerging lifestyle risk behaviors and all-cause mortality in middle-aged and older adults: evidence from a large population-based Australian cohort. PLOS Medicine. 2015; 12: e1001917.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Directory of Open Access Journals (DOAJ) DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone.

SCImago The SCImago Journal & Country Rank is a publicly available portal that includes the journals and country scientific indicators developed from the information contained in the Scopus® database (Elsevier B.V.)

Publication Forum - JUFO (Federation of Finnish Learned Societies) Publication Forum is a classification of publication channels created by the Finnish scientific community to support the quality assessment of academic research.

Scopus: CiteScore 0.7 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Norwegian Register for Scientific Journals, Series and Publishers Search for publication channels (journals, series and publishers) in the Norwegian Register for Scientific Journals, Series and Publishers to see if they are considered as scientific. (https://kanalregister.hkdir.no/publiseringskanaler/Forside).

Submission Turnaround Time

Conferences

Top