| Peer-Reviewed

Effect of Tobacco Use on Multimorbidity in Older Adults over 60 Years of Age

Received: 17 May 2022    Accepted:     Published: 19 May 2022
Views:       Downloads:
Abstract

Background Under the background of population aging, the prevalence of comorbidity among the elderly in China is increasing. Tobacco use is one of the most important preventable risk factors for human health. Objective To explore tobacco use and the correlation between smoking and co-morbidities among older people aged 60 years or older in China, and to provide a reference for the prevention and control of co-morbidities. Methods Using data from the China health and retirement longitudinal study (CHARLS) database in 2018, 7,189 cases of non-disabled older adults aged 60 years or older were selected as study subjects. The correlation between smoking and co-morbidity was analyzed using multivariate logistic regression. Results The prevalence of smoking among older adults aged 60 years or older in China was 28.18%, and the prevalence of co-morbidity among older adults was 62.18%. After controlling for confounding factors, having quit smoking (OR=1.77, 95%CI: 1.49-2.11) was associated with a statistically significant higher risk of co-morbidity compared to never-smokers. Conclusions The prevalence of multimorbidity and smoking is high in people over 60 years of age in China. There was a correlation between having quit smoking and the risk of multimorbidity.

Published in Science Discovery (Volume 10, Issue 3)
DOI 10.11648/j.sd.20221003.12
Page(s) 105-109
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Smoking, Multimorbidity, Elderly

References
[1] Van Lerberghe W. The world health report 2008: primary health care: now more than ever [M]. World Health Organization, 2008.
[2] Garin N, Koyanagi A, Chatterji S, et al. Global multimorbidity patterns: a cross-sectional, population-based, multi-country study [J]. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 2016, 71 (2): 205-214.
[3] R Zhang, Y Lu, Shi L, et al. Prevalence and patterns of multim-orbidity among the elderly in China: a cross-sectional study using national survey data [J]. BMJ Open, 2019, 9 (8): e024268.
[4] He L, Biddle S J H, Lee J T, et al. The prevalence of multimorbidity and its association with physical activity and sleep duration in middle aged and elderly adults: a longitudinal analysis from China [J]. International Journal of Behavioral Nutrition and Physical Activity, 2021, 18 (1): 1-12.
[5] Makovski T T, Schmitz S, Zeegers M P, et al. Multimorbidity and quality of life: systematic literature review and meta-analys-is [J]. Ageing research reviews, 2019, 53: 100903.
[6] Vassilaki M, Aakre J A, Cha R H, et al. Multimorbidity and risk of mild cognitive impairment [J]. Journal of the American Geriatrics Society, 2015, 63 (9): 1783-1790.
[7] Woo J, Leung J. Multi-morbidity, dependency, and frailty singly or in combination have different impact on health outcomes [J]. Age, 2014, 36 (2): 923-931.
[8] 倪文庆, 孙苑潆, 袁雪丽, 等. 深圳市65岁及以上老年人多病共存情况及其影响因素分析 [J].中国慢性病预防与控制, 2021, 29 (4): 4。
[9] 管芳, 覃玉, 苏健, 等. 江苏省18-69岁男性自报慢性病与戒烟行为关系 [J].中华疾病控制杂志, 2019, 23 (10): 5。
[10] Hasse B, Tarr P E, Marques-Vidal P, et al. Strong Impact of Sm-oking on Multimorbidity and Cardiovascular Risk Among Human Im-munodeficiency Virus-Infected Individuals in Comparison With t-he General Population [J]. Open Forum Infectious Diseases, 2015, 2 (3): ofv108.
[11] Noubiap J J, Nansseu J R, Endomba F T, et al. Active smoking a-mong people with diabetes mellitus or hypertension in Africa: a systematic review and meta-analysis [J]. Scientific Reports, 2019, 9 (1): 588.
[12] WHO. (2020). Global Adult Tobacco Survey 2018 [EB/OL]. https://extranet.who.int/ncdsmicrodata/index.php/catalog/803/related- materials.
[13] Marinho V, Laks J, Coutinho ES, et al. Tobacco use among the e-lderly: a systematic review and meta-analysis [J]. Cad Saude Pu-blica, 2010, 1226 (12), 2213–2233.
[14] 姚芳, 黄桥梁, 孔凡龙, 等.苏州市60岁及以上老年人群吸烟现状及影响因素分析 [J].健康教育与健康促进, 2021, 16 (05): 477-480。
[15] 朱岑静, 景诗文, 张敏, 等.上海市某社区老年人吸烟情况及吸烟危害认知程度调查 [J].上海交通大学学报(医学版), 2017, 37 (10): 1422-1427。
[16] Zhao, Yaohui, John Strauss, Xinxin Chen, et al. (2020). China Health and Retirement Longitudinal Study Wave 4 User’s Guide, National School of Development, Peking University.
[17] Fortin M, Stewart M, Poitras M E, et al. A Systematic Review of Prevalence Studies on Multimorbidity: Toward a More Uniform Methodology [J]. Annals of Family Medicine, 2012, 10 (2): 142-151.
[18] Andresen E M, Malmgren J A, Carter W B, et al. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale) [J]. American Journal of Preventive Medicine, 1994, 10 (2): 77-84.
[19] Xu X, Mishra G D, Dobson A J, et al. Progression of diabetes, heart disease, and stroke multimorbidity in middle-aged women: A 20-year cohort study [J]. Plos Medicine, 2018, 15 (3): e1002516.
[20] Wang H, Wang J, Wong S, et al. Epidemiology of multimorbidity in China and implications for the healthcare system: cross-sectional survey among 162, 464 community household residents in southern China [J]. Bmc Medicine, 2014, 12 (1): 188.
[21] Wang SB, D'Arcy C, Yu YQ, et al. Prevalence and patterns of multimorbidity in northeastern China: a cross-sectional study [J]. Public Health, 2015, 129 (11): 1539-1546.
[22] Abdullah AS, Ho LM, Kwan YH, et al. Promoting smoking cessation among the elderly: what are the predictors of intention to quit and successful quitting? [J]. Journal of aging and health, 2006, 18 (4), 552–564.
[23] Burns DM. Cigarette smoking among the elderly: disease consequ-ences and the benefits of cessation [J]. American journal of hea-lth promotion, 2000, 14 (6), 357–361.
[24] Dhalwani N N, Francesco Z, O’Donovan Gary, et al. Association Between Lifestyle Factors and the Incidence of Multimorbidity in an Older English Population [J]. J Gerontol A Biol, Med, 2017, 72 (4): 528-534.
[25] M René, Alessandra M, Sara A, et al. Incidence and Predictors of Multimorbidity in the Elderly: A Population-Based Longitudinal Study [J]. Plos One, 2014, 9 (7): e103120.
[26] Wikström K, Lindström J, Harald K, et al. Clinical and lifesty-le-related risk factors for incident multimorbidity: 10-year f-ollow-up of Finnish population-based cohorts 1982-2012 [J]. Eur-opean journal of international medicine, 2015, 26 (3): 211-216. DOI: 10.1016/j.ejim.2015.02.012.
[27] Mishra VK, Srivastava S, T M, et al. Population attributable r-isk for multimorbidity among adult women in India: Do smoking tobacco, chewing tobacco and consuming alcohol make a differen-ce? [J]. PLoS One. 2021, 16 (11): e0259578. doi: 10.1371/journal.pone.0259578.
[28] Gellert C, Schöttker B, Brenner H. Smoking and all-cause morta-lity in older people: systematic review and meta-analysis [J]. Arch Intern Med. 2012; 172 (11): 837-844.
Cite This Article
  • APA Style

    Song Jia-rui, Cheng Xi. (2022). Effect of Tobacco Use on Multimorbidity in Older Adults over 60 Years of Age. Science Discovery, 10(3), 105-109. https://doi.org/10.11648/j.sd.20221003.12

    Copy | Download

    ACS Style

    Song Jia-rui; Cheng Xi. Effect of Tobacco Use on Multimorbidity in Older Adults over 60 Years of Age. Sci. Discov. 2022, 10(3), 105-109. doi: 10.11648/j.sd.20221003.12

    Copy | Download

    AMA Style

    Song Jia-rui, Cheng Xi. Effect of Tobacco Use on Multimorbidity in Older Adults over 60 Years of Age. Sci Discov. 2022;10(3):105-109. doi: 10.11648/j.sd.20221003.12

    Copy | Download

  • @article{10.11648/j.sd.20221003.12,
      author = {Song Jia-rui and Cheng Xi},
      title = {Effect of Tobacco Use on Multimorbidity in Older Adults over 60 Years of Age},
      journal = {Science Discovery},
      volume = {10},
      number = {3},
      pages = {105-109},
      doi = {10.11648/j.sd.20221003.12},
      url = {https://doi.org/10.11648/j.sd.20221003.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sd.20221003.12},
      abstract = {Background Under the background of population aging, the prevalence of comorbidity among the elderly in China is increasing. Tobacco use is one of the most important preventable risk factors for human health. Objective To explore tobacco use and the correlation between smoking and co-morbidities among older people aged 60 years or older in China, and to provide a reference for the prevention and control of co-morbidities. Methods Using data from the China health and retirement longitudinal study (CHARLS) database in 2018, 7,189 cases of non-disabled older adults aged 60 years or older were selected as study subjects. The correlation between smoking and co-morbidity was analyzed using multivariate logistic regression. Results The prevalence of smoking among older adults aged 60 years or older in China was 28.18%, and the prevalence of co-morbidity among older adults was 62.18%. After controlling for confounding factors, having quit smoking (OR=1.77, 95%CI: 1.49-2.11) was associated with a statistically significant higher risk of co-morbidity compared to never-smokers. Conclusions The prevalence of multimorbidity and smoking is high in people over 60 years of age in China. There was a correlation between having quit smoking and the risk of multimorbidity.},
     year = {2022}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Effect of Tobacco Use on Multimorbidity in Older Adults over 60 Years of Age
    AU  - Song Jia-rui
    AU  - Cheng Xi
    Y1  - 2022/05/19
    PY  - 2022
    N1  - https://doi.org/10.11648/j.sd.20221003.12
    DO  - 10.11648/j.sd.20221003.12
    T2  - Science Discovery
    JF  - Science Discovery
    JO  - Science Discovery
    SP  - 105
    EP  - 109
    PB  - Science Publishing Group
    SN  - 2331-0650
    UR  - https://doi.org/10.11648/j.sd.20221003.12
    AB  - Background Under the background of population aging, the prevalence of comorbidity among the elderly in China is increasing. Tobacco use is one of the most important preventable risk factors for human health. Objective To explore tobacco use and the correlation between smoking and co-morbidities among older people aged 60 years or older in China, and to provide a reference for the prevention and control of co-morbidities. Methods Using data from the China health and retirement longitudinal study (CHARLS) database in 2018, 7,189 cases of non-disabled older adults aged 60 years or older were selected as study subjects. The correlation between smoking and co-morbidity was analyzed using multivariate logistic regression. Results The prevalence of smoking among older adults aged 60 years or older in China was 28.18%, and the prevalence of co-morbidity among older adults was 62.18%. After controlling for confounding factors, having quit smoking (OR=1.77, 95%CI: 1.49-2.11) was associated with a statistically significant higher risk of co-morbidity compared to never-smokers. Conclusions The prevalence of multimorbidity and smoking is high in people over 60 years of age in China. There was a correlation between having quit smoking and the risk of multimorbidity.
    VL  - 10
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • School of Social Development and Public Policy, Beijing Normal University, Beijing, China

  • School of Social Development and Public Policy, Beijing Normal University, Beijing, China

  • Sections