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Predictors of smoking cessation in old-old age

Menée en Israël auprès d'un échantillon de 619 personnes âgées de 75 à 94 ans, cette étude identifie les facteurs prédictifs associés au sevrage tabagique

Introduction : There is a dearth of knowledge on smoking cessation in older adults. This study examined predictors of smoking cessation in persons over age 75.

Methods : This study is a secondary analysis of a prospective longitudinal study. A sample of 619 older persons aged 75-94 was drawn from a representative cohort of older persons in Israel and was examined longitudinally. By means of interviews, we assessed smoking, health, Activities of Daily Living (ADL), Instrumental ADL, cognitive dysfunction, and wellbeing.

Results : Continuing smokers tended to be lonelier. Participants who quit smoking took more medications and had greater cognitive dysfunction compared to those who continued smoking. These circumstances may precipitate smoking cessation.

Conclusions : Greater cognitive dysfunction and high medication use or the physical causes for high medication use may precipitate smoking cessation in persons aged 75-94, through either a greater influence of caregivers on one’s lifestyle or a greater recognition of one’s impending death.

Nicotine & Tobacco Research , résumé, 2016

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