Smoking cessation and related factors in middle-aged and older Chinese adults: Evidence from a longitudinal study

Qiu, Dechao; Chen, Ting; Liu, Tai-Yi

doi:10.1371/journal.pone.0240806

Cited by 26 publications

(26 citation statements)

References 21 publications

(30 reference statements)

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“…It is a nationally representative longitudinal survey that collected information on Chinese residents aged 45 years and above and their spouses regarding assessments of social, economic and health circumstances. To ensure cross-study comparability of the results, the CHARLS was harmonised with leading international research studies in the Health and Retirement Study (HRS) and intended to provide a high-quality public microdatabase with a wide range of information that serves the needs of scientific and policy research on ageing-related issues 24…”

Section: Methodsmentioning

confidence: 99%

What factors are associated with utilisation of health services for the poor elderly? Evidence from a nationally representative longitudinal survey in China

Zeng

Tao

2022

BMJ Open

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ObjectivesTo investigate the status and factors of healthcare service utilisation among the poor elderly in China.MethodsWe selected the poor elderly from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2015. The main outcome measures include utilisation indicators for the probability and costs of outpatient/inpatient services. Based on modified Andersen behaviour model, a two-part model is designed to analyse the factors of the health service utilisation of the poor elderly.ResultsThe visit rate of outpatient services increased from 15.05% in 2011 to 21.26% in 2015, and the hospitalisation rate increased from 7.26% to 14.32%. The median cost of outpatient and inpatient services in 2015 for the poor elderly were 350 RMB and 10 000 RMB, respectively, and the out-of-pocket ratios were 85.2% and 53.3%, respectively. 78.44% of the people who actually needed healthcare did not use health services, and the main reason was financial difficulties (42.32%). The poor elderly who are higher educated, have children, live in central regions and have social security and a poor health status and who do not smoke or drink are more likely to use health services. The need factor plays a crucial role in determining health service utilisation.ConclusionsThe poor elderly tends to have a worse health status and a heavier medical burden but had a lower utilisation of health services. Predisposing, enabling, need and health behaviour variables should be considered to improve the health service utilisation and the health of the poor elderly.

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Section: Methodsmentioning

confidence: 99%

What factors are associated with utilisation of health services for the poor elderly? Evidence from a nationally representative longitudinal survey in China

Zeng

Tao

2022

BMJ Open

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“…All enrollees were notified, and informed consent was obtained before the interviews. We applied to the CHARLS team for data for this study and received anonymous enrollees ( 19 ).…”

Section: Methodsmentioning

confidence: 99%

Effects of Social Participation by Middle-Aged and Elderly Residents on the Utilization of Medical Services: Evidence From China

Liu

Qiu

Chen

2022

Front. Public Health

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ObjectivesAim to evaluate the effect of social participation on utilization of medical services among middle-aged and elderly residents in China.MethodsWe used data from the 2018 wave of the China Health and Retirement Longitudinal Study. Social participation is classified into three types. Furthermore, to control for confounding factors, our study computed propensity score matching (PSM) to evaluate the effect of social participation on the utilization of medical services.ResultThe result of PSM indicates that social participation significantly positively affects the utilization of outpatient services, the average treatment effect on the treated (ATT = 0.038***) and the utilization of inpatient services (ATT = 0.015**) by middle-aged and elderly residents. Furthermore, the utilization of outpatient health care services was significantly positively associated with leisure activities (ATT = 0.035***), social activities to help others (ATT = 0.031***), and learning activities to gain new knowledge (ATT = 0.034***) among middle-aged and elderly residents. The utilization of inpatient health care was significantly positively associated with leisure activities (ATT = 0.015***) but had no significant association with social deeds that help others and increased new knowledge among middle-aged and elderly residents.ConclusionThus, social participation significantly positively affects healthcare utilization by middle-aged and elderly residents. Hence, the government and society should provide more conveniences and promote social participation among middle-aged and elderly residents.

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“…The current study shows that older age and the absence of underlying diseases are not significant factors associated with successfully quitting smoking. In contrast, a largescale study in China found that older age was associated with higher odds of smoking abstinence [24]. Meanwhile, Joly et al found that smoking-related diseases do not facilitate smoking cessation or the maintenance of abstinence, as smokers with comorbidities may be discouraged from stopping since the diseases have already occurred [25].…”

Section: Discussionmentioning

confidence: 98%

“…All medical records of adult smokers (age ≥ 18 years old) who were prescribed varenicline as pharmacotherapy for smoking cessation between January 2017 and June 2018 were traced. The medical records (including abstinence and adverse events) were traced according to the quit smoking clinic visits schedule, at a bi-weekly time-point during the first 12 weeks (Week-2, 4, 6, 8, 10, 12) and four-weekly thereafter 20,24). Medical records of smokers who used pharmacotherapy other than varenicline for smoking cessation, of those who received less than four weeks of varenicline treatment, and of those who had missing data were excluded.…”

Section: Study Design and Populationmentioning

confidence: 99%

Abstinence Rate, Adverse Events and Withdrawal Symptoms after Varenicline Use and Predicting Factors of Smoking Abstinence: A Multicentre Single-State Study in Malaysia

Jiun

Chang

Tangiisuran

et al. 2022

IJERPH

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(1) Background: Varenicline is a widely prescribed agent in smoking cessation. However, the abstinence rate, the incidence of adverse events and withdrawal symptoms, have not been widely studied locally. This study aimed to determine the prevalence of smoking abstinence, adverse events and withdrawal symptoms associated with varenicline use, as well as possible factors contributing to successful smoking abstinence. (2) Methods: This was a retrospective, cohort study conducted in twenty-two government-operated smoking cessation clinics across the state of Perak, Malaysia. The medical records of adult smokers (age ≥ 18 years old) who were prescribed with varenicline between January 2017 and June 2018 were traced. The medical records of smokers who used pharmacotherapy other than varenicline, those who received less than four weeks of varenicline treatment, and with missing data were excluded. (3) Results: Sixty-eight out of 114 subjects (59.6%) successfully achieved smoking abstinence. Probable varenicline-induced chest pain was documented in three subjects. Altered behaviour (n = 2) and auditory hallucinations (n = 1) were also reported. Varenicline treatment duration is a significant predictive factor for successful smoking abstinence (odds ratio (OR) = 2.45; 95% confidence interval (CI) 1.74–3.45; p < 0.001), followed by age (OR = 1.25; 95% CI 1.005–1.564; p = 0.045), the presence of adverse events (OR = 0.096; 95% CI 0.014–0.644; p = 0.016) and withdrawal symptoms (OR = 0.032; 95% CI 0.016–0.835; p = 0.032). (4) Conclusion: Almost two-thirds of the subjects achieved smoking abstinence with varenicline. The duration of the treatment, as well as the patients’ ages had a significant influence on successful smoking abstinence. Rare cases of cardiovascular and neuropsychiatric-related adverse events were reported, warranting continuous surveillance and adverse drug reaction reporting.

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Smoking cessation and related factors in middle-aged and older Chinese adults: Evidence from a longitudinal study

Cited by 26 publications

References 21 publications

What factors are associated with utilisation of health services for the poor elderly? Evidence from a nationally representative longitudinal survey in China

What factors are associated with utilisation of health services for the poor elderly? Evidence from a nationally representative longitudinal survey in China

Effects of Social Participation by Middle-Aged and Elderly Residents on the Utilization of Medical Services: Evidence From China

Abstinence Rate, Adverse Events and Withdrawal Symptoms after Varenicline Use and Predicting Factors of Smoking Abstinence: A Multicentre Single-State Study in Malaysia

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