scholarly journals Smoking cessation in the elderly and senile age

2021 ◽  
Vol 5 (7) ◽  
pp. 503-507
Author(s):  
O.N. Titova ◽  
◽  
O.A. Sukhovskaya ◽  
V.D. Kulikov ◽  
◽  
...  

Tobacco smoking remains the main modifiable cause of premature mortality worldwide, which is associated with 12% of fatal outcomes among adults aged 30 years and older. The review is devoted to the problem of smoking cessation in elderly and senile patients. Less dependence on nicotine, but at the same time, less willingness to give up smoking are noted as patterns of elderly smokers. Also, there are gender differences in smoking cessation: men are less likely to quit or reduce smoking, to use medications or any services to help stop smoking and to talk to doctors about smoking. Special attention is paid to the problems that elderly people face when trying to quit smoking. In particular, it was noted that the potential opportunities for successful smoking cessation in elderly people are being missed due to the fact that doctors are less likely to offer them interventions or give them specific advice on quitting smoking. At the same time, large-scale prospective cohort studies have shown that the life expectancy of people who gave up tobacco smoking over the age of 65 was longer. The impact of smoking during the COVID-19 course is considered separately, and the expediency of initiating elderly smokers to quit smoking in the conditions of the COVID-19 pandemic is substantiated. KEYWORDS: tobacco smoking, mortality, life expectancy, senile age, treatment. FOR CITATION: Titova O.N., Sukhovskaya O.A., Kulikov V.D. Smoking cessation in the elderly and senile age. Russian Medical Inquiry. 2021;5(7):503–507 (in Russ.). DOI: 10.32364/2587-6821-2021-5-7-503-507.

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 1012-1012
Author(s):  
C. D. Figueroa-Moseley ◽  
G. C. Williams ◽  
G. R. Morrow ◽  
P. Jean-Pierre ◽  
J. Carroll ◽  
...  

1012 Background: Few studies have examined the potential influence of an empowering Self Determination Theory (SDT) intervention on reducing smoking behaviors and outcomes for Whites and Blacks. Objectives: To determine if empowerment to stop smoking is associated with smoking outcomes in Whites and Blacks, and to examine if empowerment to stop smoking improved under the SDT Intervention vs. Usual Care conditions. Methods: A longitudinal randomized trial study was conducted to examine the effect of a SDT and health behavior change intervention for tobacco cessation among adult smokers. Participants were randomized into the SDT Intervention or the Usual Care condition. The present study includes data from a sample of 821 Whites and 177 Blacks who completed anonymous surveys at 1, 6, and 18-months intervals on empowerment to stop smoking (Perceived Competence Scale, Treatment Self-Regulation Questionnaire), demographics, and smoking behaviors. Results: Stepwise logistic regressions showed that empowerment to stop smoking was associated with quitting smoking at 1, 6, and 18 month follow-up for both treatment conditions. At one month, participants in the SDT Intervention with the highest levels of empowerment were 6.3 times more likely to quit smoking as compared with those in the usual care condition who were only 3.15 times as likely to quit smoking. Similar findings were found at 6 months and at 18 months (6- month SDT Intervention Empowerment High: (OR = 8.66, 95% C.I. 4.6, 16.3); 6 month Usual Care Empowerment High: (OR = 3.10, 95% C.I. 1.4, 7.0); 18- month SDT Intervention Empowerment High: (OR = 4.10, 95% C.I. 2.2, 7.5); 18 month Usual Care Empowerment High: (OR = 3.11, 95% C.I. 1.3, 7.7). In the SDT Intervention at 6 months being Black increased successful quitting by 2.4 times. Conclusions: Findings indicate that at each time-point the SDT Intervention empowered more participants to stop smoking than usual care alone. Findings also suggest that Blacks may increase their ability to stop smoking in the SDT Intervention condition. These preliminary findings highlight the need to further investigate the possible roles of empowerment interventions in smoking cessation among Whites and Blacks, especially cancer patients. No significant financial relationships to disclose.


2021 ◽  
Vol 9 ◽  
Author(s):  
Huiling Dong ◽  
Chunjing Du ◽  
Bingyi Wu ◽  
Qunhong Wu

Background: Child malnutrition is not only common in developing countries but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which provides a reference for formulating health-related policies under the concept of full lifecycle health.Methods: Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011, and 2014, this study took a total of 13,185 elderly people aged 65–99 years as the target population. By IMaCH software, with gender and income level as the control variables, the average life expectancy and healthy life expectancy of the elderly were measured. The x2test was used to explore the differences in the socioeconomic status of elderly people with or without starvation in childhood. Statistical differences between average life expectancy and healthy life expectancy were analyzed by rank tests.Results: (1) The results showed that there was a statistically significant difference in age, gender, residency, education level, and income level between the groups with or without starvation (P < 0.05). (2) Transition probabilities in health–disability, health–death, and disability–death all showed an upward trend with age (P < 0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience (P < 0.05). However, the probability of disability–health recovery showed a downward trend with age (P < 0.05), in which the elderly who experienced starvation in childhood were lower than those without starvation (P < 0.05). (3) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P < 0.05).Conclusions: The average life expectancy and healthy life expectancy of the elderly with childhood starvation are lower than those without childhood starvation. It shows that the negative impact of childhood starvation on health through the life course till old age has a persistent negative cumulative effect on the quantity and quality of life. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policymaking.


2021 ◽  
Author(s):  
Huiling Dong ◽  
Bingyi Wu ◽  
Qunhong Wu

Abstract Background: Child malnutrition is not only common in developing countries, but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which providing a reference for formulating health-related policies under the concept of full-life cycle health. Methods: Based on Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011 and 2014, this paper took a total of 13,185 elderly people aged 65-99 years as the target population. By IMaCH software, with age, gender, and income level as the control variables, and the average life expectancy and healthy life expectancy of the elderly was measured. The test was used to explore the differences in socio-economic status of elderly people with or without starvation in childhood. The paired t test was used to analyze the difference both average life expectancy and healthy life expectancy. Results: (1) Transition probabilities in health-disability, health-death, and disability-death all showed an upward trend with age(P<0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience(P<0.05). However, the probability of disability-health recovery showed a downward trend with age(P<0.05), whereas the elderly who experienced starvation in childhood were lower than those without starvation(P<0.05).(2) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P<0.05).Conclusions: The negative impact of childhood starvation on health through the life course till old age, has a persistent negative cumulative effect on the quantity and quality of life for the elderly. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policy-making.


2021 ◽  
Author(s):  
Huiling Dong ◽  
Bingyi Wu ◽  
Qunhong Wu

Abstract Background Child malnutrition is not only common in developing countries, but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which providing a reference for formulating health-related policies under the concept of full-life cycle health. Methods Based on Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011 and 2014, this paper took a total of 13,185 elderly people aged 65–99 years as the target population. By IMaCH software, with gender and income level as the control variables, and the average life expectancy and healthy life expectancy of the elderly was measured. The\({x}^{2}\)test was used to explore the differences in socio-economic status of elderly people with or without starvation in childhood. The paired t test was used to analyze the difference both average life expectancy and healthy life expectancy. Results (1) The results showed that there was a statistically significant difference in age, gender, residency, education level, and income level between the groups with or without starvation (P < 0.05).(2)Transition probabilities in health-disability, health-death, and disability-death all showed an upward trend with age(P < 0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience(P < 0.05). However, the probability of disability-health recovery showed a downward trend with age(P < 0.05), whereas the elderly who experienced starvation in childhood were lower than those without starvation(P < 0.05). (3) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P < 0.05). Conclusions The average life expectancy and healthy life expectancy of the elderly with childhood starvation both are lower than those without childhood starvation. It shows that the negative impact of childhood starvation on health through the life course till old age, has a persistent negative cumulative effect on the quantity and quality of life. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policy-making.


2014 ◽  
Vol 10 (2) ◽  
pp. 106-115 ◽  
Author(s):  
Melanie E. Bennett ◽  
Kristin Toffey ◽  
Faith Dickerson ◽  
Seth Himelhoch ◽  
Emily Katsafanas ◽  
...  

Introduction: The use of applications (apps) on smartphones and tablet devices is a fast growing component of health behaviour change efforts, including smoking cessation. While the content and utility of iPhone apps for smoking cessation have been systematically reviewed, Android apps have not been examined.Aims: This study reviewed and evaluated free Android apps for smoking cessation available for download from Google Play and Amazon's USA homepage in January 2013.Methods: Apps were reviewed; those targeting smoking cessation were identified and examined to ensure that they targeted tobacco smoking and were focused on quitting. Remaining apps were independently rated by three reviewers for 24 clinical strategies for smoking cessation. Results: Overall, 284 free apps were identified using the search terms ‘quit smoking’, ‘smoking cessation’, and ‘stop smoking’; 113 apps that targeted smoking cessation were downloaded for further review. Of these, 21 targeted tobacco smoking and were focused on quitting. These apps had moderate to low ratings for the 24 strategies, indicating that they lacked several of the most helpful strategies for quitting smoking. The apps were strongest in helping users track the number of cigarettes smoked. None connected users to on-line sources of support, referred users to smoking cessation counselling, or recommended the use of nicotine replacement therapies.Conclusions: While Android apps for smoking cessation have some strengths, they would benefit from incorporating a broader range of strategies for helping people quit smoking.


2020 ◽  
Author(s):  
huiling dong ◽  
Bingyi Wu ◽  
Qunhong Wu

Abstract Background: Child malnutrition is not only common in developing countries, but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly population, which providing a reference for formulating health-related policies under the concept of full-life cycle health. Methods: Based on CLHLS longitudinal data in 2008, 2011 and 2014, this paper took a total of 13,185 elderly people aged 65-99 years as the target population. By IMaCH software, with age, gender, and income level as the control variables, and the healthy life expectancy of the elderly in China was measured. The[test was used to explore the differences in socio-economic status of elderly people with or without starvation in childhood. The paired t test was used to analyze the difference both of healthy life expectancy and healthy life expectancy proportion accounted for remaining life. Results: (1) Transition probabilities in health-disability, health-death and disability-death(P<0.05) all showed an upward trend with age, where the elderly who experienced starvation in childhood were higher than those without such an experience. However, the probability of disability-health recovery showed a downward trend with age, whereas the elderly who experienced starvation in childhood were lower than those without starvation(P<0.05).(2) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P<0.05).Conclusions: The negative impact of childhood starvation on health through the life course till old age, has a persistent negative cumulative effect on the quantity and quality of life for the elderly population; Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policy-making.


2020 ◽  
Author(s):  
huiling Dong ◽  
Bingyi Wu ◽  
Qunhong Wu

Abstract Background: Child malnutrition is not only common in developing countries, but also an important issue faced by developed countries. This study aimed to explore the influence and degree of childhood starvation on the health of the elderly, which providing a reference for formulating health-related policies under the concept of full-life cycle health. Methods: Based on Chinese Longitudinal Healthy Longevity Survey (CLHLS) in 2008, 2011 and 2014, this paper took a total of 13,185 elderly people aged 65-99 years as the target population. By IMaCH software, with age, gender, and income level as the control variables, and the average life expectancy and healthy life expectancy of the elderly was measured. The test was used to explore the differences in socio-economic status of elderly people with or without starvation in childhood. The paired t test was used to analyze the difference both average life expectancy and healthy life expectancy. Results: (1) Transition probabilities in health-disability, health-death, and disability-death all showed an upward trend with age(P<0.05), where the elderly who experienced starvation in childhood were higher than those without such an experience(P<0.05). However, the probability of disability-health recovery showed a downward trend with age(P<0.05), whereas the elderly who experienced starvation in childhood were lower than those without starvation(P<0.05).(2) For the elderly who experienced starvation in childhood, the health indicators of the average life expectancy, healthy life expectancy, and healthy life expectancy proportion accounted for the remaining life were lower than those of the elderly without childhood starvation (P<0.05). Conclusions: The negative impact of childhood starvation on health through the life course till old age, has a persistent negative cumulative effect on the quantity and quality of life for the elderly. Therefore, it is important to pay attention to the nutritional status of children in poor families from the perspective of social policy-making.


2020 ◽  
Vol 18 (3) ◽  
pp. 221-228
Author(s):  
Piotr Czarnecki ◽  
◽  
Justyna Podgórska-Bednarz ◽  
Lidia Perenc ◽  
◽  
...  

Introduction. Physical activity is known to be an important factor influencing health throughout human life. This issue has become crucial for public health due to the aging of the population in both developed and developing countries. Aim. is to present a literature review on the forms of physical activity undertaken by the elderly, as well as on issues related to physical activity and the population aging. Material and methods. The study was prepared on the basis of a review of Polish and foreign literature. The following databases and data sources were used: EBSCO, ScienceDirect and Google Scholar. An additional source of data were the websites of the Central Statistical Office. Strictly defined key phrases were used during the collection of literature. The work has been divided into thematic subsections on the aging of the society, the impact of physical activity on health and the main topic, i.e. forms of physical activity selected by the elderly. Analysis of the literature. The number of elderly people in Polish society has increased by almost 3.7 million over three decades. Therefore, an important topic is prophylaxis aimed at increasing the number of days in good health, largely covering the broadly understood activation of the elderly. The available data indicate that only 12% of elderly people undertake physical activity once a week. The most common form of spending free time actively is walking (as many as 73% of people in this population declare this form of physical activity in one of the presented studies). Conclusion. Organized forms of physical activity are undertaken much less frequently by the analyzed age group mainly due to financial limitations and limited availability of sports infrastructure.


2018 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Irena Canjuga ◽  
Danica Železnik ◽  
Marijana Neuberg ◽  
Marija Božicevic ◽  
Tina Cikac

Purpose The purpose of this paper is to explore the impact of self-care on the prevalence of loneliness among elderly people living in retirement homes and older people living in their homes/communities. Design/methodology/approach The research was conducted through standardized SELSA-L assessment loneliness questionnaires and the Self Care Assessment Worksheet for self-care assessment. The results were processed using the Kruskal–Wallis test. Findings The obtained results have shown that impaired self-care ability affects the prevalence of loneliness among the elderly almost the same in both groups of participants. However, regarding the relationship between the state of health and self-care, only a statistically significant difference in the prevalence of loneliness is found in the case of the participants living in their homes, with the worst health condition affecting the poorer psychological care. Research limitations/implications It is necessary to point out the limitations of the research, primarily sample limitations and the selected design of the study. The sample consisted of two different and relatively small groups of participants which could adversely affect the representativeness of the sample and reduce the possibility of generalising the results. The next limiting factor is the age distribution the authors used in the research, where the age of the participants as a very important variable was collected by age range and not precisely which consequently resulted in inequality in subgroup sizes. Thus, the middle age (75–85) covers up to ten years, which is a huge range at an older age and can mean major differences in functional ability, and can impact the self-care assessment. Practical implications Nurses are indispensable in care for the elderly and they need to promote and encourage self-care of the elderly through health care. Elderly people living in retirement homes should be allowed to participate equally in health care in order to preserve their own autonomy and dignity. However, to benefit those who live in their homes, nurses should be connected to the local community and thus stimulate various forms of preventative (testing blood sugar levels, blood pressure and educating on the importance of preventive examinations) or recreational activities in the environment of elderly people with the goal of preserving their functional abilities. Originality/value The impact of self-care on loneliness was not sufficiently researched, and this paper contributed to understanding the complexity of loneliness phenomena among the elderly with the aim of developing a model of prevention.


2015 ◽  
Vol 12 (1) ◽  
pp. 32-37 ◽  
Author(s):  
El-Shadan Tautolo ◽  
Leon Iusitini ◽  
Steve Taylor ◽  
Janis Paterson

Aims: To examine the prevalence of smoking, motivations for cessation, and impact of tobacco excise tax increases amongst a cohort of Pacific fathers at 11 years after the birth of their child.Methods: Within the context of broader interviews, 723 Pacific fathers participating in the Pacific Islands Families (PIF) Study were surveyed about their smoking at the 11-year measurement point. Prevalence of smoking was calculated, alongside motivations to quit, and the impact of increases to the excise tax on tobacco.Results: Smoking prevalence amongst Pacific fathers remains high (38%) at 11 years postpartum, although 81% of smokers disclosed interest in quitting smoking. The strongest motivation to quit smoking was their ‘own health’ (n = 185, 82%), followed by ‘the cost’ (n = 148, 66%), and the impact on ‘their child's health’ (n = 113, 50%). Among smokers, 12% (n = 31) had never attempted to quit, whereas 63% (n = 159) had made multiple attempts. Approximately 70% (n = 191) of smokers indicated the New Zealand Government-initiated tobacco excise tax increases caused them to reduce their tobacco consumption.Conclusions: High smoking prevalence amongst this cohort raises serious concerns about the risks Pacific families and communities face from smoking. Maintaining a sustained series of tobacco excise tax increases, alongside the utilisation of information on key motivators for Pacific fathers to quit smoking, may prove more effective in supporting Pacific communities to achieve the New Zealand Government's Smokefree 2025 goal.


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