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KMID : 1231220230140040154
Journal of the Korean Society for Research on Nicotine and Tobacco
2023 Volume.14 No. 4 p.154 ~ p.165
Who Still Smokes in Older Age?
Kim Young-Mee

Cho Sung-Il
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.
KEYWORD
Smoking, Smoking cessation, Gender differences, Aged, Healthy aging
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