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Who Still Smokes in Older Age?
J Korean Soc Res Nicotine Tob 2023; 14(4): 154-165
Published online December 30, 2023
© 2023 The Korean Society for Research on Nicotine and Tobacco.

Young-Mee Kim1, Sung-il Cho1,2*

1Institute of Health and Environment, Seoul National University, Seoul, 2Graduate School of Public Health, Seoul National University, Seoul, Korea
Correspondence to: *조성일
서울대학교 보건대학원
E-mail: persontime@hotmail.com
ORCID: https://orcid.org/0000-0003-4085-1494
Received December 11, 2023; Revised December 20, 2023; Accepted December 20, 2023.
This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, dis-tribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
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.
Keywords : Smoking; Smoking cessation; Gender differences; Aged; Healthy aging
References
  1. Das SK. Harmful health effects of cigarette smoking. Molecular and cellular biochemistry. 2003; 253: 159-65.
    Pubmed CrossRef
  2. Rezaei S, Sari AA, Arab M, Majdzadeh R, Poorasl AM. Economic burden of smoking: a systematic review of direct and indirect costs. Medical journal of the Islamic Republic of Iran. 2016; 30: 397.
  3. Ekpu VU, Brown AK. The economic impact of smoking and of reducing smoking prevalence: review of evidence. Tobacco use insights. 2015; 8: TUI. S15628.
    Pubmed KoreaMed CrossRef
  4. Because of Smoking Korea Disease Control and Prevention Agency; 2023.
  5. Chang Y, Kang H-Y, Lim D, Cho H-J, Khang Y-H. Long-term trends in smoking prevalence and its socioeconomic inequalities in Korea, 1992-2016. International journal for equity in health. 2019; 18: 1-10.
    Pubmed KoreaMed CrossRef
  6. Gellert C, Schöttker B, Brenner H. Smoking and all-cause mortality in older people: systematic review and meta-analysis. Archives of internal medicine. 2012; 172(11): 837-44.
    Pubmed CrossRef
  7. Hunt LJ, Covinsky KE, Cenzer I, Espejo E, Boscardin WJ, Leutwyler H, et al. The Epidemiology of Smoking in Older Adults: A National Cohort Study. Journal of General Internal Medicine. 2023; 38(7): 1697-704.
    Pubmed CrossRef
  8. Kleykamp BA, Heishman SJ. The older smoker. Jama. 2011; 306(8): 876-7.
    Pubmed KoreaMed CrossRef
  9. Current Smoking Rate (by Gender/Age Group): Ministry of Health and Welfare 2023.
  10. Khang Y-H, Cho H-J. Socioeconomic inequality in cigarette smoking: trends by gender, age, and socioeconomic position in South Korea, 1989-2003. Preventive medicine. 2006; 42(6): 415-22.
    Pubmed CrossRef
  11. Elder GH, Johnson MK. The life course and aging: Challenges, lessons, and new directions. Invitation to the life course: Routledge; 2018. p. 49-81.
  12. About KLoSA Korea Employment Information Service.
  13. Gehlert S. Social Engagement and a Healthy Aging Society. Public Health for an Aging Society. 2012; 205.
  14. Li C, Khan MM. Smoking and self-rated health status of older men in China. Aging and Health Research. 2022; 2(1): 100050.
    CrossRef
  15. Tan K. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The lancet. 2004.
  16. Statistics NCfH. Health, United States, 2020-2021. 2023.
    CrossRef
  17. Lin H, Chang C, Liu Z. Alcohol drinking as a mediator of the influence of smoking prevalence on second-hand smoke exposure in workplaces: a mediation analysis. Substance Abuse Treatment, Prevention, and Policy. 2020; 15: 1-9.
    Pubmed KoreaMed CrossRef
  18. Garnett C, Oldham M, Shahab L, Tattan-Birch H, Cox S. Characterising smoking and smoking cessation attempts by risk of alcohol dependence: A representative, cross-sectional study of adults in England between 2014-2021. The Lancet Regional Health-Europe. 2022; 18.
    Pubmed KoreaMed CrossRef
  19. Rosoff DB, Yoo J, Lohoff FW. Smoking is significantly associated with increased risk of COVID-19 and other respiratory infections. Communications biology. 2021; 4(1): 1230.
    Pubmed KoreaMed CrossRef
  20. Kahler CW, Spillane NS, Metrik J. Alcohol use and initial smoking lapses among heavy drinkers in smoking cessation treatment. Nicotine & Tobacco Research. 2010; 12(7): 781-5.
    Pubmed KoreaMed CrossRef
  21. Schaap MM, Kunst AE, Leinsalu M, Regidor E, Espelt A, Ekholm O, et al. Female ever-smoking, education, emancipation and economic development in 19 European countries. Social science & medicine. 2009; 68(7): 1271-8.
    Pubmed CrossRef
  22. Dare S, Mackay DF, Pell JP. Relationship between smoking and obesity: a cross-sectional study of 499,504 middle-aged adults in the UK general population. PloS one. 2015; 10(4): e0123579.
    Pubmed KoreaMed CrossRef
  23. Hassandra M, Goudas M, Theodorakis Y. Exercise and smoking: a literature overview. Health. 2015; 7(11).
    CrossRef
  24. Jamal A, Cheng Y, Homa D. Cigarette Smoking Among US Adults With Selected Chronic Diseases Associated With Smoking, 2010-2019. PREVENTING CHRONIC DISEASE. 2022; 19: E62.
    Pubmed KoreaMed CrossRef
  25. Wang R, Jiang Y, Yao C, Zhu M, Zhao Q, Huang L, et al. Prevalence of tobacco related chronic diseases and its role in smoking cessation among smokers in a rural area of Shanghai, China: a cross sectional study. BMC public health. 2019; 19: 1-10.
    Pubmed KoreaMed CrossRef
  26. Bath PA, Deeg D. Social engagement and health outcomes among older people: introduction to a special section. European journal of ageing. 2005; 2: 24-30.
    Pubmed KoreaMed CrossRef
  27. Krishnapillai A, Kee CC, Ariaratnam S, Jaffar A, Omar MA, Sanaudi RB, et al., editors. Social Support among Older Persons and Its Association with Smoking: Findings from the National Health and Morbidity Survey 2018. Healthcare; 2023: MDPI.
    CrossRef
  28. Kobayashi LC, Steptoe A. Social isolation, loneliness, and health behaviors at older ages: longitudinal cohort study. Annals of Behavioral Medicine. 2018; 52(7): 582-93.
    Pubmed KoreaMed CrossRef
  29. Philip KE, Bu F, Polkey MI, Brown J, Steptoe A, Hopkinson NS, et al. Relationship of smoking with current and future social isolation and loneliness: 12-year follow-up of older adults in England. The Lancet Regional Health-Europe. 2022; 14.
    Pubmed KoreaMed CrossRef
  30. Jung-Choi K-H, Khang Y-H, Cho H-J. Hidden female smokers in Asia: a comparison of self-reported with cotinine-verified smoking prevalence rates in representative national data from an Asian population. Tobacco control. 2012; 21(6): 536-42.
    Pubmed CrossRef