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老年人吸烟习惯的相关因素(班布伊健康与老龄化研究)

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

作者信息

Peixoto Sérgio Viana, Firmo Josélia Oliveira Araújo, Lima-Costa Maria Fernanda

机构信息

Fundação Oswaldo Cruz, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

出版信息

Rev Saude Publica. 2005 Oct;39(5):746-53. doi: 10.1590/s0034-89102005000500008. Epub 2005 Oct 24.

Abstract

OBJECTIVE

To 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 (> or =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.

RESULTS

The 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 (> or =80 years) and schooling (> or =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 > or =80 years) and schooling (4-7 and > or =8 years).

CONCLUSIONS

Smoking 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.

摘要

目的

描述老年人吸烟习惯的特征及相关因素。

方法

1997年在巴西东南部班布伊镇开展了一项基于人群的研究,纳入了1606名(92.2%)年龄≥60岁的老年人。通过访谈获取数据,并考虑社会人口学因素、健康状况、身体功能、医疗服务使用情况和用药情况。采用多项logistic回归评估吸烟习惯(当前吸烟者和既往吸烟者)与探索性变量之间的独立关联。

结果

男性当前吸烟率和既往吸烟率分别为31.4%和40.2%,女性分别为10.3%和11.2%(p<0.001)。在当前吸烟者中,男性每天吸烟数量更多,开始吸烟的时间比女性更早。在男性中,当前吸烟与年龄≥80岁和受教育年限≥8年呈独立负相关,与健康感知差和未婚呈正相关。在女性中,年龄75 - 79岁和≥80岁以及受教育年限4 - 7年和≥8年与当前吸烟呈独立负相关。

结论

在所研究社区的老年人中,吸烟是一个公共卫生问题,尤其是对男性而言。然而,在低受教育人群中,略高的受教育水平对男性和女性都是预防吸烟的保护因素。针对老年人群的戒烟项目应考虑这些研究结果。

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