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Ariaratnam S, Kee CC, Krishnapillai AD, Sanaudi R, Tohit NM, Ho KB, Ghazali SS, Omar MA. Smoking status and its relationship with depression among the elderly population in Malaysia: Findings from the National Health and Morbidity Survey 2018. Tob Induc Dis 2023; 21:109. [PMID: 37654502 PMCID: PMC10467346 DOI: 10.18332/tid/169682] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 07/12/2023] [Accepted: 07/16/2023] [Indexed: 09/02/2023] Open
Abstract
INTRODUCTION Literature exploring smoking status and its association with depression among the elderly population using nationwide data in Malaysia is limited. Hence, a nationwide survey to determine the prevalence of smoking and depression among the elderly (aged ≥60 years) population was undertaken. METHODS This secondary dataset analysis used data from the National Health and Morbidity Survey (NHMS) 2018. Data from 3914 participants were collected on elderly health in the Malaysian population. Sociodemographic characteristics were recorded. Smoking status was grouped as current smokers, former smokers, and non-smokers. A validated Malay language version of the Geriatric Depression Scale (M-GDS-14) was used to screen for depression among the elderly. RESULTS There was a significant association between smoking status with location, gender, employment status, marital status, ethnicity, education level, income, and depression. Current smokers are significantly higher in rural than urban areas. Among depressed participants, 65.7%, 17.1% and 17.2% were non-smokers, former smokers and current smokers, respectively. Multiple logistic regression showed that single (unmarried/separated/ divorced/widowed) participants were more likely to be depressed compared to married participants (AOR=1.68; 95% CI: 1.16-2.43). Whilst unemployed participants were more likely to be depressed than those who were employed (AOR=1.72; 95% CI: 1.22-2.44). Other Bumiputras were more likely to have depression compared to Malay, Chinese and Indian participants. Participants without formal education were more likely to be depressed compared to those having tertiary education. These participants have a 2-fold increased risk of depression (AOR=2.13; 95% CI: 1.02-4.45). Participants whose monthly salaries were <2000 MYR (AOR=3.67; 95% CI: 1.84-7.31) and 1000-1999 MYR (AOR=2.71; 95% CI: 1.23-5.94) were more likely to have depression compared with those who had received ≥3000 MYR. Ever smokers were more likely to be depressed than non-smokers (AOR=1.68; 95% CI: 1.23-2.29). CONCLUSIONS Elderly Malaysians are indeed at risk of developing depression particularly if they had ever smoked. Public health awareness and campaigning are pertinent to disseminate these outcomes in order to spread the awareness associated with smoking-related depression.
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Affiliation(s)
- Suthahar Ariaratnam
- Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia
| | - Cheong C. Kee
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Ambigga D. Krishnapillai
- Department of Family Medicine, Faculty of Medicine and Defence Health, National Defence University of Malaysia, Kuala Lumpur, Malaysia
| | - Ridwan Sanaudi
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia
| | - Noorlaili Mohd Tohit
- Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Kiau B. Ho
- Bandar Botanic Health Clinic, Klang, Malaysia
| | - Sazlina Shariff Ghazali
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
| | - Mohd Azahadi Omar
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Malaysia
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Krishnapillai A, Kee CC, Ariaratnam S, Jaffar A, Omar MA, Sanaudi RB, Sooryanarayana R, Kiau HB, Ghazali SS, Mohd Tohit N, Zainal Abidin SI. Social Support among Older Persons and Its Association with Smoking: Findings from the National Health and Morbidity Survey 2018. Healthcare (Basel) 2023; 11:2249. [PMID: 37628448 PMCID: PMC10454005 DOI: 10.3390/healthcare11162249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 08/01/2023] [Accepted: 08/08/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Globally, the average age of the world's population of older people continues to rise and having a good social support network becomes increasingly relevant with the aging populace. Overall, in Malaysia, social support prevalence was low among older persons. This study was conducted to determine the association between social support and smoking status among the older Malaysian population. METHODS Data were obtained from the National Health and Morbidity (NHMS) 2018 survey on the health of older Malaysian adults and analyzed. This cross-sectional population-based study used a two-stage stratified random sampling design. Sociodemographic characteristics, smoking status, and social support data were collected from respondents aged 60 years and more. A validated Malay language interviewer-administered questionnaire of 11-items, the Duke Social Support Index, was utilized to assess the social support status. A multivariable logistic regression analysis was used to assess the association of social support and smoking status among the respondents. RESULTS The prevalence of good social support was significantly higher among the 60-69 years old (73.1%) compared to the ≥80 years old respondents (50%). Multivariate logistic regression analysis showed that respondents aged ≥80 years old were 1.7 times more likely to have poor social support compared to those aged 60-69 years. Respondents with no formal education were 1.93 times more likely to have poor social support compared to respondents who had tertiary education. Respondents with an income of MYR 3000. Former smokers had good social support compared to current smokers (73.6% vs. 78.7%). For current smokers, they had poor social support, which is almost 1.42 times higher than that for non-smokers. CONCLUSION There was poor social support among older people who were current smokers, had an increased age, had no formal education and had a low income. The findings obtained from this study could assist policymakers to develop relevant strategies at the national level to enhance the social support status among older smokers and aid in their smoking cessation efforts.
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Affiliation(s)
- Ambigga Krishnapillai
- Department of Family Medicine, Faculty of Medicine and Health, National Defense, University of Malaysia, Sg. Besi 57000, Malaysia;
| | - Chee Cheong Kee
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia; (M.A.O.); (R.B.S.)
| | - Suthahar Ariaratnam
- Department of Psychiatry, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sg. Buloh 47000, Malaysia;
| | - Aida Jaffar
- Department of Family Medicine, Faculty of Medicine and Health, National Defense, University of Malaysia, Sg. Besi 57000, Malaysia;
| | - Mohd Azahadi Omar
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia; (M.A.O.); (R.B.S.)
| | - Ridwan B. Sanaudi
- Sector for Biostatistics and Data Repository, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Malaysia; (M.A.O.); (R.B.S.)
| | - Rajini Sooryanarayana
- Family Health Development Division, Ministry of Health Malaysia, Putrajaya 62590, Malaysia; (R.S.); (S.I.Z.A.)
| | - Ho Bee Kiau
- Klinik Kesihatan Bandar Botanik, Ministry of Health Malaysia, Klang 42000, Malaysia;
| | - Sazlina Shariff Ghazali
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia;
- Laboratory of Medical Gerontology, Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang 43400, Malaysia
| | - Noorlaili Mohd Tohit
- Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia;
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Chia F, Huang WY, Huang H, Wu CE. Promoting Healthy Behaviors in Older Adults to Optimize Health-Promoting Lifestyle: An Intervention Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1628. [PMID: 36674395 PMCID: PMC9866478 DOI: 10.3390/ijerph20021628] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 01/11/2023] [Accepted: 01/14/2023] [Indexed: 06/17/2023]
Abstract
Introduction: Exercise intervention is the easiest and most effective way to promote human health. This study combined technology and exercise to improve the health behavior of the older adults through a physical activity intervention and to enhance a health-promoting lifestyle. Materials and methods: A quasi-experimental research method was used to openly recruit 120 healthy male and female older adults over 65 years old (average age of males: 71.6 ± 1.25 years; average age of females: 72.3 ± 1.28 years), all of whom wore smart bracelets. The participants were monitored by special personnel during the same period of walking every Monday to Friday. All participants recorded their daily steps, distance walked, and calorie consumption data for a period of 8 weeks. Results: After 8 weeks of walking, all participants showed a positive medium−high correlation of various factors between healthy behaviors and the health-promoting lifestyle scales. In the post-tests of each factor of two scales, males had the highest correlation between regular physical activity and physical activity, and females had the highest correlation between regular physical activity and social support. The variabilities in the explanatory power of the health behaviors of males and females on the health-promoting lifestyle were R2 = 70.9% (p < 0.01) and R2 = 74.1% (p < 0.01), indicating that the variables of healthy behaviors have a positive effect on health-promoting lifestyles in male and female older adults. Conclusions: Walking interventions positively affect the health behaviors of older adults and encourage health-promoting lifestyles. The value of this study is in its contribution to health promotion and public health recommendations for older adults.
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Affiliation(s)
- Fan Chia
- Office of Physical Education and Sport, National Chung Hsin University, Taichung 402227, Taiwan
| | - Wei-Yang Huang
- Physical Education Leader, National Taiwan College of Performing Arts, Taipei 11464, Taiwan
| | - Hsuan Huang
- Department of Occupational Therapy, National Cheng Kung University, Tainan 701401, Taiwan
| | - Cheng-En Wu
- Office of Physical Education, Tamkang University, New Taipei City 251301, Taiwan
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Tan PPS, Sandhu RS, Zain SM, Hall D, Tan NC, Lim HM, Daud F, Pung YF. Health motivations and perceived barriers are determinants of self-care behaviour for the prevention of hypertension in a Malaysian community. PLoS One 2022; 17:e0278761. [PMID: 36477162 PMCID: PMC9728916 DOI: 10.1371/journal.pone.0278761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 11/22/2022] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION Self-care behaviour is fundamental in preventing hypertension in the general population. According to the Health Belief Model, health beliefs and perceptions influence the success in adopting disease prevention strategies. While factors influencing hypertension self-care behaviour have been examined previously in patient populations, they have not been assessed in the general community. METHODS This was a cross-sectional study conducted between 12 June 2020 to 26 July 2021. An online survey was administered via email and social media to Malaysians in the Selangor and Kuala Lumpur communities. Respondents were over 18 years old, without a formal diagnosis of hypertension. The survey evaluated hypertension knowledge, Health Belief Model constructs, self-care behaviour frequency, and motivators and barriers to self-care behaviour. Multiple linear regression was performed to determine the main predictors of self-care behaviour, and descriptive statistics were used to characterise motivators and barriers of each self-care behaviour. RESULTS Only health motivations (β = 0.217, p < 0.001) and perceived barriers (β = 0.571, p < 0.001) significantly influenced self-care behaviour. Maintaining a healthy diet, regular physical activity and blood pressure checks need to be improved in the community, particularly in reducing salt and calorie intake. Lack of time, limited choices and laziness are the biggest challenges that need to be tackled in adopting a healthy diet and an active lifestyle in the community. Many are ignorant towards their health status, therefore, do not prioritize blood pressure screenings, suggesting a need to enhance community blood pressure checks for early diagnosis of hypertension. CONCLUSION AND IMPLICATIONS Motivations and barriers were the main determinants of self-care behaviour in the Selangor and Kuala Lumpur community. Targeting these aspects of self-care behaviour should be considered when developing interventions and education programmes tailored to local cultural, environmental and personal factors, to more effectively reduce the hypertension prevalence and burden.
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Affiliation(s)
- Paulina Pei Suu Tan
- School of Pharmacy, University of Nottingham Malaysia, Semenyih, Selangor, Malaysia
| | - Ryand Singh Sandhu
- School of Pharmacy, University of Nottingham Malaysia, Semenyih, Selangor, Malaysia
| | - Shamsul Mohd Zain
- Department of Pharmacology, University Malaya, Kuala Lumpur, Malaysia
| | - Deborah Hall
- Department of Psychology, Heriot-Watt University Malaysia, Putrajaya, Malaysia
| | - Ngiap Chuan Tan
- Department of Research, SingHealth Polyclinics, Singapore, Singapore
| | - Hooi Min Lim
- Department of Primary Care Medicine, University Malaya Medical Centre, University of Malaya, Kuala Lumpur, Malaysia
| | - Faiz Daud
- Department of Community Health, University Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| | - Yuh-Fen Pung
- School of Pharmacy, University of Nottingham Malaysia, Semenyih, Selangor, Malaysia
- * E-mail:
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The Influence of Alcohol Consumption on Tobacco Use among Urban Older Adults: Evidence from Western China in 2017. SUSTAINABILITY 2022. [DOI: 10.3390/su14137752] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Background: Tobacco use is a global public health concern due to its association with a myriad of health hazards and costs. Previous studies have found that the disinhibiting influence of alcohol consumption may lead to an increase in tobacco use. In this study, we investigated why alcohol consumption is associated with tobacco use among older adults in Western China, and we attempted to explain the mechanisms that underlie the link between alcohol consumption and tobacco use. Methods: In this cross-sectional study, we employed a representative sample of 812 urban individuals aged 60 and older in 2017 in Western China. Results: We found that alcohol consumption (OR = 2.816, 95%CI: 1.770–4.479) was positively associated with tobacco use. Additionally, other factors, including gender (OR = 0.023, 95%CI: 0.009–0.060), age (OR = 0.758, 95%CI: 0.634–0.906), health literacy (OR = 0.977, 95%CI: 0.959–0.995) and functional impairment (OR = 0.871, 95%CI: 0.767–0.988) were also strongly related to tobacco use. Conclusions: Consistent with the results of existing studies, our findings demonstrated the disinhibiting influence of alcohol consumption on tobacco use, which confirmed the theoretical mechanisms that underlie the alcohol–tobacco link and implied the co-occurrence and co-use of alcohol and tobacco, which are used as “social lubricants” in the Chinese context. The importance of other factors related to tobacco use were also discussed. As the tobacco epidemic is combatted, joint interventions tailored to concurrent control over alcohol and tobacco need to be performed, and corresponding male-specific and age-specific health education and the reinforcement of health literacy must be considered as important priorities.
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Egbewale BE, Adejimi AA. Prevalence and Factors Associated with Self-Reported Ill-Health among the Elderly in Osun State, Southwestern Nigeria: A Cross Sectional Study. Niger Med J 2022; 63:155-162. [PMID: 38803705 PMCID: PMC11128156 DOI: 10.60787/nmj-63-2-82] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2024] Open
Abstract
Background Information on the determinants of ill-health among elderly, if available, would certainly provide a useful guide to policy makers in their plan for appropriate interventions for this subgroup of the population. This study therefore assessed ill-health status and its associated factors among the elderly in Osun State Nigeria. Methodology The study design was a descriptive cross-section involving 491 elderly drawn from a simple random sample of five local government areas LGAs in Osun State Nigeria, in 2017. Self-reported illness (es) two weeks before the survey was taken as measure of ill-health among the elderly. Bivariate and multivariate statistical methods were used for data analysis, p< 0.05 was reckoned statistically significant. Results Overall, 228 (46.4%) reported one health issue or the other two weeks before the survey. Regular source of income [OR=0.63, 95% CI=0.43, 0.95], ever smoked [OR=2.35, 95% CI=1.31, 4.21] and having any source of worry [OR=2.52, 95% CI=1.68, 3.79] were significantly associated with self-reported ill-health among elderly. Whereas, having regular source of income, engaging in physical exercise, and being satisfied with residential status were all found to be protective against illnesses by crude statistical analysis, only having a source of regular income had independent protective association against illness. Conclusions Prevalence of ill-health among elderly was considerably high. Factors significantly associated with ill-health include not having a regular source of income, ever smoked, and having any source of worry. Financial empowerment schemes and health education for elderly on harmful effect of smoking and excessive worrying on their health are hereby recommended.
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Affiliation(s)
| | - Adebola Afolake Adejimi
- Department of Community Medicine, Ladoke Akintola University of Technology, Ogbomoso, Nigeria
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Mistry SK, Ali ARMM, Yadav UN, Huda MN, Ghimire S, Rahman MA, Reza S, Huque R, Rahman MA. Perceived Change in Tobacco Use and Its Associated Factors among Older Adults Residing in Rohingya Refugee Camps during the COVID-19 Pandemic in Bangladesh. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312349. [PMID: 34886073 PMCID: PMC8657143 DOI: 10.3390/ijerph182312349] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 11/15/2021] [Accepted: 11/22/2021] [Indexed: 12/13/2022]
Abstract
This study explored the perceived change in tobacco use during the COVID-19 pandemic and its associated factors among older adults residing in Rohingya refugee camps, also referred to as Forcibly Displaced Myanmar Nationals in Bangladesh. The study followed a cross-sectional design and was conducted in October 2020 among 416 older adults aged 60 years and above. A purposive sampling technique was applied to identify eligible participants, and face-to-face interviews were conducted using a pre-tested semi-structured questionnaire to collect the data. Participants were asked if they noted any change in their tobacco use patterns (smoking or smokeless tobacco) during the COVID-19 pandemic compared to pre-pandemic. Binary logistic regression models determined the factors associated with the perceived change in tobacco use. More than one in five participants (22.4%) were current tobacco users, of whom 40.8% reported a perceived increase in tobacco use during the COVID-19 pandemic. Adjusted analysis revealed that participants who were concerned about COVID-19 had significantly (p < 0.05) lower odds of perceived increase in tobacco use (aOR = 0.22, 95% CI: 0.06–0.73), while older adults who were overwhelmed by COVID-19 (aOR = 0.26, 95% CI: 0.06–1.18) and communicated less frequently with others during the pandemic than before (aOR = 0.19, 95% CI: 0.03–1.20) had marginally significantly (p < 0.1) lower odds of perceived increase in tobacco use during this pandemic. Relevant stakeholders, policymakers, and practitioners need to focus on strengthening awareness-raising initiatives as part of an emergency preparedness plan to control tobacco use during such a crisis period.
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Affiliation(s)
- Sabuj Kanti Mistry
- ARCED Foundation, Dhaka 1216, Bangladesh;
- Centre for Primary Health Care and Equity, University of New South Wales, Kensington, NSW 2052, Australia;
- BRAC James P Grant School of Public Health, BRAC University, Dhaka 1213, Bangladesh
- Department of Public Health, Daffodil International University, Dhaka 1207, Bangladesh
- Correspondence: ; Tel.: +61-4068-63358
| | - ARM Mehrab Ali
- ARCED Foundation, Dhaka 1216, Bangladesh;
- Global Research and Data Support, Innovations for Poverty Action, New Haven, CT 06510, USA
| | - Uday Narayan Yadav
- Centre for Primary Health Care and Equity, University of New South Wales, Kensington, NSW 2052, Australia;
- National Centre for Epidemiology and Population Health, Research School of Population Health, The Australian National University, Canberra, ACT 2600, Australia
| | - Md. Nazmul Huda
- School of Health Sciences, Western Sydney University, Sydney, NSW 2560, Australia;
- The School of Liberal Arts and Social Sciences, Independent University, Dhaka 1229, Bangladesh
| | - Saruna Ghimire
- Department of Sociology and Gerontology and Scripps Gerontology Center, Miami University, Oxford, OH 45056, USA;
| | | | - Sompa Reza
- Institute of Nutrition and Food Science, University of Dhaka, Dhaka 1000, Bangladesh;
| | - Rumana Huque
- Department of Economics, University of Dhaka, Dhaka 1000, Bangladesh;
- ARK Foundation, Gulshan, Dhaka 1212, Bangladesh
| | - Muhammad Aziz Rahman
- School of Health, Federation University Australia, Berwick, VIC 3350, Australia;
- Department of Non-Communicable Diseases, Bangladesh University of Health Sciences (BUHS), Dhaka 1216, Bangladesh
- Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
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Smoking and Drinking Behaviors among Older Adults: A Comparative Analysis of Three Southeast Asian Countries. J Cross Cult Gerontol 2021; 36:369-386. [PMID: 34542780 DOI: 10.1007/s10823-021-09438-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/25/2021] [Indexed: 10/20/2022]
Abstract
Studies on the two major health-risk behaviors of smoking tobacco and drinking alcohol among older populations, particularly in Southeast Asia, are limited. This paper provides comparative analyses of the prevalences and correlates of smoking tobacco and drinking alcohol among older people in Myanmar, Vietnam, and Thailand, using data from the latest available national aging surveys in the three countries. The analyses were conducted within a multivariate framework. Gender-specific results show that smoking tobacco and drinking alcohol are more common among older men than women in all three countries. However, the prevalence of smoking and drinking among men declines at older ages. The multivariate analyses reveal that a higher level of education has a significant negative association with smoking and drinking in all three settings, but the magnitude and the direction of associations vary considerably between countries and genders. Area of residence is correlated with smoking among men in all three countries, whereas co-residential arrangements with spouse, children, or both significantly reduce alcohol consumption among men in Myanmar and among men and women in Thailand. In all three settings a significant complementary relationship between smoking and drinking is observed. From a policy perspective this implies that a successful reduction in smoking could be achieved through anti-drinking campaigns and vice versa.
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Xu G, Snetselaar LG, Strathearn L, Ryckman K, Nothwehr F, Torner J. Association of Attention-Deficit/Hyperactivity Disorder With E-Cigarette Use. Am J Prev Med 2021; 60:488-496. [PMID: 33745521 DOI: 10.1016/j.amepre.2020.11.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Revised: 11/02/2020] [Accepted: 11/06/2020] [Indexed: 10/21/2022]
Abstract
INTRODUCTION E-cigarette use in young people has emerged as a public health concern in the U.S. Previous studies have shown that individuals with attention-deficit/hyperactivity disorder are more likely to use conventional cigarettes. However, little is known about their use of E-cigarettes. This study examines the association of attention-deficit/hyperactivity disorder with E-cigarette and other tobacco product use among undergraduate and graduate students in the U.S. METHODS This study included data from 195,443 U.S. undergraduate and graduate students aged 18-39 years who participated in the National College Health Assessment surveys from spring 2017 to fall 2018. History of attention-deficit/hyperactivity disorder diagnosis and current use of conventional cigarettes, E-cigarettes, and other tobacco products were ascertained by questionnaires. Logistic regression models estimated the ORs and 99% CIs of use of conventional cigarettes, E-cigarettes, and other tobacco products according to attention-deficit/hyperactivity disorder history. RESULTS Among the 195,443 students, 16,800 (8.35%) were current conventional cigarette users and 15,863 (7.89%) were current E-cigarette users; 16,283 (8.10%) had a history of attention-deficit/hyperactivity disorder diagnosis. After adjustment for demographics, socioeconomics, lifestyle factors, BMI, anxiety, and depression, the OR of E-cigarette use among participants with attention-deficit/hyperactivity disorder, compared with those without attention-deficit/hyperactivity disorder, was 1.72 (99% CI=1.60, 1.85), which was comparable to the magnitude of associations for other tobacco products. CONCLUSIONS Among U.S. undergraduate and graduate students, there is a significant association between attention-deficit/hyperactivity disorder diagnosis and current use of E-cigarettes. Health consequences of E-cigarette use among individuals with an attention-deficit/hyperactivity disorder diagnosis warrant further investigation.
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Affiliation(s)
- Guifeng Xu
- Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa; Center for Disabilities and Development, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa
| | - Linda G Snetselaar
- Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa
| | - Lane Strathearn
- Center for Disabilities and Development, University of Iowa Stead Family Children's Hospital, Iowa City, Iowa; Division of Developmental and Behavioral Pediatrics, Stead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa
| | - Kelli Ryckman
- Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa
| | - Faryle Nothwehr
- Department of Community and Behavioral Health, University of Iowa, Iowa City, Iowa
| | - James Torner
- Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, Iowa.
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Mbulo L, Murty KS, Zhao L, Smith T, Palipudi K. Tobacco Use and Secondhand Smoke Exposure Among Older Adults in India. J Aging Health 2021; 33:565-576. [PMID: 33787381 DOI: 10.1177/08982643211000489] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives: Current tobacco use (CTU) and secondhand smoke (SHS) exposure among older adults in India (≥60 years) are prevalent in India and indicate the importance of addressing associated factors. Methods: Pooled Global Adult Tobacco Survey India 2009-2010 and 2016-2017 data (n = 17,299) for older adults examined prevalence of CTU and SHS exposure at home and/or in public places and associated socioeconomic and demographic correlates. Results: CTU among older adults in India was 44.6%, and SHS exposure at home and public places were 20.0% and 30.0%, respectively. Men, younger age-group, rural, lower education, lower wealth index, and lower knowledge were independently associated with CTU. Men, rural, lower education, lower wealth index, CTU, and lower knowledge were independently associated with SHS exposure at home. Men, younger age, and rural residence were associated with SHS exposure in public places. Conclusion: CTU and SHS exposure among older adults in India suggest targeted interventions to address associated social and demographic factors.
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Affiliation(s)
- Lazarous Mbulo
- Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | | | - Luhua Zhao
- Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Tenecia Smith
- Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Krishna Palipudi
- Global Tobacco Control Branch, Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
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Wang C, Jiang H, Zhu Y, Guo Y, Gan Y, Tian Q, Lou Y, Cao S, Lu Z. Association of the Time to First Cigarette and the Prevalence of Chronic Respiratory Diseases in Chinese Elderly Population. J Epidemiol 2021; 32:415-422. [PMID: 33746147 PMCID: PMC9359902 DOI: 10.2188/jea.je20200502] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Increasing number of studies has suggested the time to first cigarette after waking (TTFC) have significant positive effect on respiratory diseases. However, few of them are focused on Chinese population. This study aims to estimate the impact of TTFC on the prevalence of chronic respiratory diseases (CRD) in Chinese elderly and explore the association in different sub-populations. METHODS Cross-sectional data of demographic characteristics, living environment, smoking-related variables, and CRD were drawn from the Chinese Longitudinal Healthy Longevity Survey in 2018. Multivariate stepwise logistic regression analyses were conducted to examine the association of the TTFC with the prevalence of CRD. RESULTS This study includes 13208 subjects aged 52 years and older, with a mean age of 85.3 years. Of them, 3779 participants are ex- or current smokers (44.9% had the TTFC ≤30 minutes, 55.1% >30 minutes) and 1503 have suffered from CRD. Compared with non-smokers, participants with TTFC ≤30 minutes seemed to have higher prevalence of CRD (OR 1.97; 95% CI, 1.65-2.35) than those with TTFC >30 minutes (OR 1.70; 95% CI, 1.44-2.00), although the difference was statistically insignificant (Pinteraction=0.12). Compared with TTFC >30 minutes, TTFC ≤30 minutes could drive a higher prevalence of CRD among female participants, those aged 90 years and older, urban residents, and those ex-smokers (Pinteraction<0.05). CONCLUSIONS Shorter TTFC relates to higher prevalences of CRD in Chinese older females, those aged 90 years and older, urban residents, and ex-smokers. Delaying TTFC might particially reduce its detrimental impact on respiratory disease in these specific subpopulations.
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Affiliation(s)
- Chao Wang
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology
| | - Heng Jiang
- Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University.,Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne
| | - Yi Zhu
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology
| | - Yingying Guo
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
| | - Yong Gan
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology
| | - Qingfeng Tian
- Department of Social Medicine and Health Management, School of Public Health, Zhengzhou University
| | - Yiling Lou
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology
| | - Shiyi Cao
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology
| | - Zuxun Lu
- Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology
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12
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Ibrahim NI, Ahmad MS, Szulfarina M, Sayed Mohd Zaris SNA, Zainal Abidin NA, Mohamed IN, Mohamed N, Mokhtar SA, Shuid AN. Risk Factors of Osteoporosis and Post-Discharged Supplements and Drugs Intake in Patients with Lower Body Fractures. IRANIAN JOURNAL OF PUBLIC HEALTH 2021; 50:415-417. [PMID: 33748009 PMCID: PMC7956095 DOI: 10.18502/ijph.v50i2.5364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Nurul Izzah Ibrahim
- Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
| | - Mohd Sharkawi Ahmad
- Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
| | - Mohamed Szulfarina
- Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
| | - Sharifah Nurul Aqilah Sayed Mohd Zaris
- Department of Orthopedics and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
| | - Nor Azlin Zainal Abidin
- Department of Orthopedics & Traumatology, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur, Malaysia
| | - Isa Naina Mohamed
- Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
| | - Norazlina Mohamed
- Department of Pharmacology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
| | - Sabarul Afian Mokhtar
- Department of Orthopedics and Traumatology, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia
| | - Ahmad Nazrun Shuid
- Department of Pharmacology, Faculty of Medicine UiTM, Sg Buloh Campus, Selangor, Malaysia
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13
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Alali WQ, Longenecker JC, Alwotyan R, AlKandari H, Al-Mulla F, Al Duwairi Q. Prevalence of smoking in the Kuwaiti adult population in 2014: a cross-sectional study. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2021; 28:10053-10067. [PMID: 33161520 PMCID: PMC7648895 DOI: 10.1007/s11356-020-11464-x] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 10/28/2020] [Indexed: 05/06/2023]
Abstract
The study objective was to assess tobacco smoking prevalence in Kuwaiti adults in relation to sociodemographic characteristics. A cross-sectional study survey was conducted in 2014 on 3917 Kuwaiti citizens (18-69 years) following the World Health Organization (WHO) STEPwise Approach to Surveillance (STEPS) methodology. The study assessed prevalence of self-reported ever-smoking or currently smoking tobacco products and exposure to secondhand smoke in relation to demographic and smoking-related characteristics. The prevalence of "ever smoker" in men and women was 49.9% and 4.4%, respectively, whereas the prevalence of "current smoker" was 39.2% and 3.3%, respectively. Sex (adjusted OR [AOR], 19.2 [95% confidence interval (CI) 13.0-28.3], male versus female) was significantly associated with current smoking. Among daily smokers, 87.1% used manufactured cigarettes. The average daily number of manufactured cigarettes for men and women was 21.8 and 13.0, respectively. Mean age at smoking initiation was 17.5 years (95% CI 17.2-17.9). The prevalence of secondhand smoke at home and work was 38.6% and 29.9%, respectively. Half of Kuwaiti men have smoked at some point in their life with most of these being current smokers. Secondhand smoke is a common exposure at home and work, posing serious health risks to the population.
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Affiliation(s)
- Walid Q Alali
- Department of Epidemiology and Biostatistics, Faculty of Public Health, Kuwait University, Safat, Kuwait.
- Department of Population Health, Dasman Diabetes Institute, Kuwait City, Kuwait.
| | - Joseph C Longenecker
- Faculty of Medicine and Faculty of Public Health, Kuwait University, Safat, Kuwait
| | - Rehab Alwotyan
- Primary Health Care Department, Ministry of Health, Kuwait City, Kuwait
| | - Hessa AlKandari
- Department of Population Health, Dasman Diabetes Institute, Kuwait City, Kuwait
- Department of Pediatrics, Ministry of Health, Kuwait City, Kuwait
| | - Fahd Al-Mulla
- Department of Population Health, Dasman Diabetes Institute, Kuwait City, Kuwait
| | - Qais Al Duwairi
- Department of Population Health, Dasman Diabetes Institute, Kuwait City, Kuwait
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14
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Gupta P, Man REK, Fenwick EK, Aravindhan A, Gan ATL, Thakur S, Soh BLP, Wood JM, Black AA, Chan A, Ng D, Hean TK, Goh E, Mary CFF, Loo J, Forde CG, Sabanayagam C, Cheng CY, Wong TY, Lamoureux EL. Rationale and Methodology of The PopulatION HEalth and Eye Disease PRofile in Elderly Singaporeans Study [PIONEER]. Aging Dis 2020; 11:1444-1458. [PMID: 33269099 PMCID: PMC7673841 DOI: 10.14336/ad.2020.0206] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Accepted: 02/06/2020] [Indexed: 12/23/2022] Open
Abstract
To describe the rationale, design and methodology of a geographically-representative and population-based study investigating the epidemiology, impact, personal and economic burden of age-related eye diseases, declining visual and other sensory systems in Asians aged >60 years in Singapore.PIONEER (The PopulatION HEalth and Eye Disease PRofilE in Elderly Singaporeans Study) is currently a cross-sectional study targeting 3152 Chinese, Malay and Indian adults who are Singapore citizens or permanent residents aged 60 years and older living across Singapore. The study is intended to be longitudinal, with several waves of data planned to be collected in the future. The sampling frame consisted of 7000 names derived from age, gender and ethnicity-stratified random sampling of individuals >60 years. Selected individuals were invited via letters, home visits, and telephone calls for a clinical assessment at the Singapore Eye Research Institute. Individuals with limited mobility were examined in a custom-designed mobile eye clinic. Questionnaires were subsequently administered at participants' homes by trained interviewers in their preferred language. A total of 3,299 participants (from East, West, North and South Singapore) were approached from December 2017 to November 2019. Of these, 953 (28.5%) were deemed ineligible. Out of 2,346 eligible participants, 904 (38.5%) refused, and 1,442 (61.5%) attended our clinical testing protocol, giving an initial response rate of 61.5%. Of these, 1,170 (81%) were cognitively able to complete the questionnaire assessment. The mean age±SD of our participants was 73.8±8.6 years; n=798 (55.3%) were female; and 828 (57.4%) were of Chinese ethnicity. The findings from this study will allow a deeper understanding of the risk factors and impact of aging in Asian populations, particularly in relation to the visual function and other functional system.
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Affiliation(s)
- Preeti Gupta
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
| | - Ryan Eyn Kidd Man
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
| | - Eva K Fenwick
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
- Duke-NUS Medical School, Singapore.
| | - Amudha Aravindhan
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
| | - Alfred TL Gan
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
| | - Sahil Thakur
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
| | | | - Joanne M Wood
- Queensland University of Technology, Brisbane, Australia.
| | - Alex A Black
- Queensland University of Technology, Brisbane, Australia.
| | | | - David Ng
- Duke-NUS Medical School, Singapore.
| | | | | | | | - Jenny Loo
- National University Hospital, Singapore.
| | - Ciaran Gerard Forde
- Singapore Institute for Clinical Sciences, National University of Singapore, Singapore.
| | - Charumathi Sabanayagam
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
- Duke-NUS Medical School, Singapore.
| | - Ching-Yu Cheng
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
- Duke-NUS Medical School, Singapore.
- Department of Ophthalmology, National University of Singapore, Singapore
| | - Tien Yin Wong
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
- Duke-NUS Medical School, Singapore.
- Department of Ophthalmology, National University of Singapore, Singapore
| | - Ecosse L Lamoureux
- Singapore Eye Research Institute and Singapore National Eye Centre, Singapore.
- Duke-NUS Medical School, Singapore.
- Department of Ophthalmology, National University of Singapore, Singapore
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15
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Cardiovascular disease risk factors among older people: Data from the National Health and Morbidity Survey 2015. PLoS One 2020; 15:e0240826. [PMID: 33085718 PMCID: PMC7577487 DOI: 10.1371/journal.pone.0240826] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 10/02/2020] [Indexed: 12/27/2022] Open
Abstract
Study on cardiovascular disease (CVD) risk factors and their prevalence among the older people in Malaysia is limited. We aimed to determine the prevalence and factors associated with CVD risk factors using the non-laboratory Framingham Generalized 10-Year CVD risk score among older people in Malaysia. This was a population-based cross-sectional study using data of 3,375 participants aged ≥60 years from the National Health and Morbidity Survey 2015. Sociodemographic, health factors and clinical assessments (anthropometry and blood pressure) were included. Complex survey analysis was used to obtain prevalence with 95% confidence intervals (CI). We applied ordinal regression to determine the factors associated with CVD risk. The prevalence for the high 10-year CVD risk was 72.1%. Body mass index was higher among those aged 60–69 years in men (25.4kg/m2, 95%CI 25.1–25.8) and women (26.7kg/m2, 95%CI 26.3–27.1) than the other age groups. The factors associated with moderate and high 10-year CVD risk were Malay ethnicity (Odds Ratio(OR) 0.76, 95%CI 0.63–0.92, p = 0.004), unmarried status (OR 1.55, 95%CI 1.22–1.97, p<0.001) and physically inactive (OR 0.72, 95%CI 0.55–0.95, p = 0.020). There is a need for future study to evaluate preventive strategies to improve the health of older people in order to promote healthy ageing.
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16
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Ong SK, Kahan SZ, Lai DTC, Si-Ramlee KA, Abdullah MA, Sidup N, Kamis Z, Chong CL. Prevalence of undetected hypertension and its association with socio-demographic and non-communicable diseases risk factors in Brunei Darussalam. J Public Health (Oxf) 2020. [DOI: 10.1007/s10389-020-01287-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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17
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Vatankhah S, Naghdi S, Ghiasvand H, Armoon B, Ahounabr E. Current cigarette smoking among Iranian elders; what are the prevalence, inequality and socioeconomic determinants? An analysis on Iranian Rural and Urban Income-Expenditure Survey 2017. J Addict Dis 2020; 38:257-262. [PMID: 32293235 DOI: 10.1080/10550887.2020.1747932] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
This study aims to investigate the current prevalence of smoking, socioeconomic inequality, and main determinants of it among Iranian ≥60 years in 2017. The data of Iranian Rural and Urban Income-Expenditure Survey for 2017 have been obtained from Statistical Center of Iran. The prevalence rate of current smoking, inequality of current smoking through calculating the Concentration Index, and the main socioeconomic determinants of it have been investigated. The current prevalence of tobacco use in the elderly in Iran was about 11%; of which, 9% belonged to men and 2% to women. The most prevalent current tobacco uses in the elderly belonged to the age group of 70-79 years. This rate was lower in the two other borderline groups (under 70 and over 80 years of age). Furthermore, its prevalence was higher in the unemployed and married elderly, compared to their counterparts within each subgroup. Current cigarette smoking is among health problems, especially among the elderly, and its prevalence is significant in Iran.
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Affiliation(s)
- Soudabeh Vatankhah
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Seyran Naghdi
- Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Hesam Ghiasvand
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Bahram Armoon
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Elaheh Ahounabr
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
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18
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Okonoda KM, James BO, Maigari YT, Nwoga CN, Piwuna CG, Envuladu EA. Factors Associated with Tobacco Use among Community Dwelling Older Adults in Jos South, Nigeria. Health (London) 2020. [DOI: 10.4236/health.2020.128077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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19
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de Saxe Zerden L, Wu S, Wu Q, Fraser M. Welfare Participation in Childhood as a Predictor of Cigarette Use in Adulthood in the United States. JOURNAL OF THE SOCIETY FOR SOCIAL WORK AND RESEARCH 2019; 10:371-396. [PMID: 33312436 PMCID: PMC7731612 DOI: 10.1086/703542] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
OBJECTIVE Smoking is widely acknowledged as a high-risk behavior associated with poor physical health outcomes. We use Add Health Wave I and Wave IV data (N = 15,701) to explore whether childhood welfare participation predicts smoking behaviors in adulthood. METHOD We conducted propensity score matching and dosage analysis of welfare participation to explore whether childhood welfare participation had different effects on smoking behaviors in adulthood. We used 3 approaches for dealing with the survey weight and propensity score weights for post-matching regression analyses. RESULTS Adults who as children lived in families that participated in welfare programs were more likely to smoke when compared to young adults whose families did not participate in welfare programs. Being from a smoking household, having smoked before adulthood, having peer smokers, and race/ethnicity increased the risk for smoking. Protective factors associated with decreased smoking behaviors included being female, higher parental education, and being older. CONCLUSIONS Risk related to cigarette use in adulthood varies based on welfare dosage in childhood. The development and implementation of interventions specific to subpopulations among welfare recipient families may make programs more effective.
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Viana DA, Andrade FCD, Martins LC, Rodrigues LR, dos Santos Tavares DM. Differences in quality of life among older adults in Brazil according to smoking status and nicotine dependence. Health Qual Life Outcomes 2019; 17:1. [PMID: 30606205 PMCID: PMC6318844 DOI: 10.1186/s12955-018-1072-y] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 12/17/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Research on quality of life QOL is limited in Brazil and few studies have examined the association between smoking status and quality of life. This study addresses this gap and also examines the association between smoking, nicotine dependence, and duration of smoking cessation on (QOL) among older adults in an urban area in Brazil. METHODS Data are from a household survey conducted in urban areas of Uberaba, Brazil, in 2012 (n = 980). Multivariable linear regressions were used to evaluate the association between smoking, nicotine dependence based on Fageström test, and smoking cessation on the World Health Organization Quality of Life WHOQOL-BREF and Quality of Life Assessment for Older Adults WHOQOL-OLD. RESULTS The mean age of older adults in the study was 74.0 (SD = 6.9 years) and 64% of participants were women. The majority, 55% had never smoked, 12.4% were current smokers, and 32.7% were past-smokers. Current smokers had lower scores for social participation (β = - 2.6) and intimacy (β = - 3.8) than never smokers. Smokers with high or very high dependence reported higher levels of fear and concern about death and pain before death than those with low or very low dependence (β = - 10.6). However, smokers with medium levels of nicotine dependence had higher scores on social relationship. Longer cessation time was positively associated with higher scores for psychological health. CONCLUSIONS Except for the positive association between medium levels of nicotine dependence and better social relationships, smoking and higher levels of nicotine dependence were associated with worse QOL among older adults in Brazil. Nonetheless, smoking cessation had positive effects in QOL. Campaigns targeting older adults should point to the negative impact of tobacco use on QOL and the benefits of smoking cessation.
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Affiliation(s)
- Dayane Aparecida Viana
- Gerontology program, Universidade Estadual de Campinas, Rua Tessália Vieira de Camargo, Campinas, SP 126 Brazil
| | | | - Luiz Claudio Martins
- Gerontology program, Universidade Estadual de Campinas, Rua Tessália Vieira de Camargo, Campinas, SP 126 Brazil
| | - Leiner Resende Rodrigues
- Nursing, Education and Community Health Department, Universidade Federal do Triângulo Mineiro – Uberaba, Av. Getúlio Guaritá, Uberaba, MG 107 Brazil
| | - Darlene Mara dos Santos Tavares
- Nursing, Education and Community Health Department, Universidade Federal do Triângulo Mineiro – Uberaba, Av. Getúlio Guaritá, Uberaba, MG 107 Brazil
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21
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Lim KH, Teh CH, Pan S, Ling MY, Yusoff MFM, Ghazali SM, Kee CC, Lim KK, Chong KH, Lim HL. Prevalence and factors associated with smoking among adults in Malaysia: Findings from the National Health and Morbidity Survey (NHMS) 2015. Tob Induc Dis 2018; 16:01. [PMID: 31516402 PMCID: PMC6659615 DOI: 10.18332/tid/82190] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Revised: 12/28/2017] [Accepted: 01/08/2018] [Indexed: 01/18/2023] Open
Abstract
INTRODUCTION The continuous monitoring of smoking prevalence and its associated factors is an integral part of anti-smoking programmes and valuable for the evaluation of the effectiveness of anti-smoking measures and policies. This study aimed at determining prevalence of smoking and identifying socio-demographic factors associated with smoking among adults in Malaysia aged 15 years and over. METHODS This is a cross-sectional study with a representative sample of 21 445 adults in Malaysia, aged 15 years and over, selected via a stratified, two-stage proportionate-to-size sampling method. Data were obtained from face-to-face interviews by trained research assistants, using a standard validated questionnaire. Multivariable logistic regression was performed to determine socio-demographic factors associated with smoking among Malaysians. RESULTS The overall prevalence of smoking was 22.8% (95% CI: 21.9-23.8%), with males having a significantly higher prevalence compared to females (43.0%, 95% CI: 41.1-44.6 vs 1.4%, 95% CI: 1.1-1.7). The highest smoking prevalence was observed among other ethnicities (35.7%), those aged 25-44 years (59.3%), and low educational attainment (25.2%). Males, those with lower educational attainment and Malays were significantly associated with smoking. CONCLUSIONS The prevalence of smoking among Malaysians, aged 15 years and over, remains high despite the implementation of several anti-smoking measures over the past decades. Specially tailored anti-smoking policies or measures, particularly targeting males, the Malays, younger adults and those with lower educational attainment, are greatly warranted to reduce the prevalence of smoking in Malaysia.
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Affiliation(s)
- Kuang H. Lim
- Institute for Medical Research, Kuala Lumpur, Malaysia
| | - Chien H. Teh
- Institute for Medical Research, Kuala Lumpur, Malaysia
| | - Sayan Pan
- Institute of Public Health, Kuala Lumpur, Malaysia
| | - Miaw Yn Ling
- Institute of Public Health, Kuala Lumpur, Malaysia
| | | | | | - Chee C. Kee
- Institute for Medical Research, Kuala Lumpur, Malaysia
| | - Kuang K. Lim
- Institute of Public Health, Kuala Lumpur, Malaysia
| | - Kar H. Chong
- Hospital Sultan Haji Ahmad Shah, Pahang Darul Makmur, Malaysia
| | - Hui L. Lim
- Hospital Sultan Haji Ahmad Shah, Pahang Darul Makmur, Malaysia
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22
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Ahmad NA, Mohamad Kasim N, Mahmud NA, Mohd Yusof Y, Othman S, Chan YY, Abd Razak MA, Yusof M, Omar M, Abdul Aziz FA, Jamaluddin R, Ibrahim Wong N, Aris T. Prevalence and determinants of disability among adults in Malaysia: results from the National Health and Morbidity Survey (NHMS) 2015. BMC Public Health 2017; 17:756. [PMID: 28962562 PMCID: PMC5622591 DOI: 10.1186/s12889-017-4793-7] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Accepted: 09/21/2017] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND Reliable national data on disability which is internationally comparable is needed in Malaysia. This study aims to examine the prevalence of disability among adults in Malaysia and its determinants, particularly the socioeconomic factors and comorbidities. METHODS This study was based on the disability module, which is part of the National Health and Morbidity Survey 2015. This survey was implemented using a multi-stage stratified sampling design. A locally validated Washington Group questionnaire was used to collect data on disability. RESULTS Based on the definition of having at least one domain scored "a lot of difficulty or unable to do at all" or at least "some difficulty" scored in two domains, the prevalence of disability among adults in Malaysia was 11.8% (95% CI: 11.15, 12.53). Logistic regression analysis performed showed that population at risk of having disability in Malaysia were those of older people, ethnic minority, low level of education, single, obese, physically inactive and having mental health problems. Among older people, disability was significantly higher among those with no formal education, having mental health problems and physically inactive. CONCLUSIONS The prevalence of disability among adults in Malaysia is comparable to WHO estimates and most developing countries. Planning for healthcare services should consider at-risk population, particularly older people and those from disadvantaged background to ensure equity healthcare.
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Affiliation(s)
- Noor Ani Ahmad
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Noraida Mohamad Kasim
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Nur Azna Mahmud
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Yusniza Mohd Yusof
- Cheras Rehabilitation Hospital, Ministry of Health, Bandar Tun Razak, 56000 Kuala Lumpur, Malaysia
| | - Salimah Othman
- Family Health and Development Division, Ministry of Health Malaysia, Kompleks E, Pusat Pentadbiran Kerajaan Persekutuan, 62590 Putrajaya, Malaysia
| | - Ying Ying Chan
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Mohamad Aznuddin Abd Razak
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Muslimah Yusof
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Maisarah Omar
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Fazly Azry Abdul Aziz
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Rasidah Jamaluddin
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Norazizah Ibrahim Wong
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
| | - Tahir Aris
- Centre for Family Health Research, Institute for Public Health, Ministry of Health, Jln Bangsar, 50590 Kuala Lumpur, Malaysia
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López R, Smith PC, Göstemeyer G, Schwendicke F. Ageing, dental caries and periodontal diseases. J Clin Periodontol 2017; 44 Suppl 18:S145-S152. [DOI: 10.1111/jcpe.12683] [Citation(s) in RCA: 115] [Impact Index Per Article: 16.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/01/2016] [Indexed: 12/30/2022]
Affiliation(s)
- Rodrigo López
- Section of Periodontology; Department of Dentistry and Oral Health; Aarhus University; Aarhus Denmark
| | - Patricio C Smith
- Dentistry Academic Unit; Faculty of Medicine; Pontificia Universidad Católica de Chile; Santiago Chile
| | - Gerd Göstemeyer
- Department of Operative and Preventive Dentistry; Charité - Universitätsmedizin Berlin; Berlin Germany
| | - Falk Schwendicke
- Department of Operative and Preventive Dentistry; Charité - Universitätsmedizin Berlin; Berlin Germany
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Ismail S, Abdul Rahman H, Abidin EZ, Isha ASN, Abu Bakar S, Zulkifley NA, Fuad AFA. The effect of faith-based smoking cessation intervention during Ramadan among Malay smokers. Qatar Med J 2017; 2016:16. [PMID: 28293538 PMCID: PMC5344073 DOI: 10.5339/qmj.2016.16] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2016] [Accepted: 10/31/2016] [Indexed: 11/18/2022] Open
Abstract
Objectives: To study the effects of a faith-based smoking cessation intervention during Ramadan among Malay male smokers working in public offices. Methods: This was a quasi-experimental study conducted during Ramadan 2015. The intervention was developed based on the constructs within the Theory of Planned Behaviour. The intervention intended to increase the intention and the perceived behaviour control to stop smoking among Muslim smokers during Ramadan. The outcomes measured were changes in the Fagerstrom Test for Nicotine Dependence score and saliva cotinine levels. Data were collected at baseline (5 days before Ramadan), during Ramadan (21st day of Ramadan) and post-Ramadan (21 days after Ramadan). Statistical tests to examine changes within and between groups were carried out and the significance level was set at p < 0.05. Results: During Ramadan, the saliva cotinine level decreased significantly in both groups (p = 0.001 in the control group and p = < 0.001 in the intervention group). However, after Ramadan, it remained significant only in the intervention group (p = 0.025). A significant change between the groups was only noticed during Ramadan (p = 0.049). Conclusion: The reduction in the saliva cotinine level was found to be more sustainable post-Ramadan in the intervention group. This finding could indicate the positive effect of using this culturally-competent intervention to encourage smoking cessation during Ramadan.
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Affiliation(s)
- Suriani Ismail
- Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor Darul Ehsan, Malaysia
| | - Hejar Abdul Rahman
- Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor Darul Ehsan, Malaysia
| | - Emelia Zainal Abidin
- Department of Occupational and Environmental Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor Darul Ehsan, Malaysia
| | - Ahmad Sharul Nizam Isha
- Department of Management & Humanities, University Technology Petronas, Tronoh, Perak, Malaysia
| | | | - Nur Aishah Zulkifley
- Student, Master of Science in Health Promotion, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor Darul Ehsan, Malaysia
| | - Ahmad Farhan Ahmad Fuad
- Student, Master of Public Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor Darul Ehsan, Malaysia
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