Yangsan Neuropsychiatry Hospital, 91 Moraedeul 1-gil, 626-310 Yangsan-si, Republic of Korea.
Arch Gerontol Geriatr. 2013 Jan-Feb;56(1):214-9. doi: 10.1016/j.archger.2012.08.018. Epub 2012 Sep 17.
The aims of this study were to investigate the prevalence of smoking and to explore the factors associated with smoking cessation. 1118 Koreans were randomly sampled from the residents aged 65 years or older living in Seongnam, Korea. Structured face-to-face interviews with neurological and physical examinations were conducted to the 714 respondents. A current smoker was defined as a person who had been smoking at least one cigarette per day for 1 year, and a past smoker as a person who used to smoke but had not smoked in the past 1 year. Nicotine dependence was defined as having the Fagerström Test for Nicotine Dependence (FTND) score of 4 or higher. Age- and gender-standardized prevalence of ever smoker, past smoker and current smoker among the elderly Koreans aged 65 and over were estimated to be 36.3% (95% CI=32.7-39.8), 24.4% (95% CI=21.2-27.5) and 11.9% (95% CI=9.5-14.3), respectively. Current smokers were much more prevalent in men (23.3%) than in women (3.9%), but did not decline with advancing age in both genders. 36.0% (21 men, 10 women) of the current smokers were nicotine-dependent. The smokers with depression or alcohol use disorder (AUD) were less likely and those who were educated more or inhaled smoke more deeply were more likely to quit smoking. Thus, smoking is common in the elderly men, and treatments of depression and AUD may be helpful in increasing smoking cessation rate among elderly Koreans.
本研究旨在调查韩国 65 岁及以上老年人的吸烟状况，并探讨与戒烟相关的因素。本研究从韩国城南市的居民中随机抽取了 1118 名 65 岁及以上的老年人作为研究对象。对 714 名应答者进行了面对面的结构化访谈和神经学及体格检查。当前吸烟者定义为至少每天吸 1 支烟，且持续吸烟 1 年以上的人群；既往吸烟者定义为曾经吸烟，但在过去 1 年内不吸烟的人群。尼古丁依赖程度则通过 Fagerström 尼古丁依赖量表（FTND）评分来定义，得分 4 分及以上为尼古丁依赖。本研究估计，年龄和性别标准化后，韩国 65 岁及以上老年人中曾吸烟者、既往吸烟者和当前吸烟者的比例分别为 36.3%（95%可信区间[CI]：32.7-39.8）、24.4%（95%CI：21.2-27.5）和 11.9%（95%CI：9.5-14.3）。男性（23.3%）中当前吸烟者的比例明显高于女性（3.9%），但在两性中，吸烟率并未随年龄增长而降低。36.0%（21 名男性，10 名女性）的当前吸烟者为尼古丁依赖者。患有抑郁症或酒精使用障碍（AUD）的吸烟者戒烟的可能性较低，而受教育程度较高或吸烟较深的吸烟者戒烟的可能性较高。因此，吸烟在老年男性中很常见，治疗抑郁症和 AUD 可能有助于提高韩国老年人的戒烟率。
