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Age Differences in the Trends of Smoking Among California Adults: Results from the California Health Interview Survey 2001–2012

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Abstract

The aim is to study the trends of cigarette smoking from 2001 to 2012 using a California representative sample in the US. Data was taken from the California Health Interview Survey (CHIS) from 2001 to 2012, which is a population-based, biennial, random digit-dial telephone survey of the non-institutionalized population. The CHIS is the largest telephone survey in California and the largest state health survey in the US. 282,931 adults (n = 184,454 with age 18–60 and n = 98,477 with age >60) were included in the analysis. Data were weighted to be representative and adjusted for potential covariance and non-response biases. During 2001–2012, the prevalence of current smoking decreased from 18.86 to 15.4 % among adults age 18–60 (β = −0.8, p = 0.0041). As for adults age >60, the prevalence of current smoking trend decreased with variations, started from 9.66 % in 2001, slightly increased to 9.74 % in 2003, but then gradually decreased, falling to 8.18 % in 2012. In 2012, there was a 14 % reduction of daily smoking adults age 18–60 (OR 0.84, 95 % CI 0.76–0.93, p = 0.0006) compared to 2001, while no significant reduction of daily smoking was observed for those age >60. The reductions of smoking prevalence for adults younger than 60 are encouraging. However, there is a concern for smoking cessation rates among those older than 60 years of age, particularly for African Americans.

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References

  1. Centers for Disease Control and Prevention. (2011). Vital signs: Current cigarette smoking among adults aged ≥18 years—United States, 2005–2010. MMWR. Morbidity and Mortality Weekly Report, 60(35), 1207.

    Google Scholar 

  2. Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual causes of death in the United States, 2000. JAMA, 291(10), 1238–1245. doi:10.1001/jama.291.10.1238.

    Article  PubMed  Google Scholar 

  3. Danaei, G., Ding, E. L., Mozaffarian, D., et al. (2009). The preventable causes of death in the United States: Comparative risk assessment of dietary, lifestyle, and metabolic risk factors. PLoS Medicine, 6(4), e1000058. doi:10.1371/journal.pmed.1000058.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Collaborators USBoD. (2013). The state of US health, 1990–2010: Burden of diseases, injuries, and risk factors. JAMA, 310(6), 591–608. doi:10.1001/jama.2013.13805.

    Article  Google Scholar 

  5. Brega, A. G., Grigsby, J., Kooken, R., Hamman, R. F., & Baxter, J. (2008). The impact of executive cognitive functioning on rates of smoking cessation in the San Luis Valley Health and Aging Study. Age and Ageing, 37(5), 521–525. doi:10.1093/ageing/afn121.

    Article  PubMed  Google Scholar 

  6. US Department of Health and Human Services. (2014). The health consequences of smoking—50 years of progress: A report of the surgeon general (p. 17). Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health.

    Google Scholar 

  7. Agaku, I. T., King, B. A., & Dube, S. R. (2014). Current cigarette smoking among adults—United States, 2005–2012. MMWR. Morbidity and Mortality Weekly Report, 63(2), 29–34.

    PubMed  Google Scholar 

  8. Vincent, G. K., & Velkoff, V. A. (2010). The next four decades: The older population in the United States: 2010 to 2050: US Department of Commerce, Economics and Statistics Administration, US Census Bureau.

  9. Centers for Disease Control and Prevention. (2008). Cigarette smoking among adults—United States, 2007. MMWR. Morbidity and Mortality Weekly Report, 57(45), 1221–1226.

    Google Scholar 

  10. Husten, C. G., Shelton, D. M., Chrismon, J. H., Lin, Y. C., Mowery, P., & Powell, F. A. (1997). Cigarette smoking and smoking cessation among older adults: United States, 1965–94. Tobacco Control, 6(3), 175–180.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  11. Rimer, B. K., Orleans, C. T., Keintz, M. K., Cristinzio, S., & Fleisher, L. (1990). The older smoker. Status, challenges and opportunities for intervention. Chest, 97(3), 547–553.

    Article  CAS  PubMed  Google Scholar 

  12. California Health Interview Survey. (2008). CHIS 2001 Adult Public Use File, Release 4 [computer readable file]. Los Angeles, CA: UCLA Center for Health Policy Research.

    Google Scholar 

  13. California Health Interview Survey. (2010). CHIS 2003 Adult Public Use File, Release 3 [computer file]. Los Angeles, CA: UCLA Center for Health Policy Research.

    Google Scholar 

  14. California Health Interview Survey. (2012). CHIS 2005 adult survey. Los Angeles, CA: UCLA Center for Health Policy Research.

    Google Scholar 

  15. California Health Interview Survey. (2011). CHIS 2007 adult survey. Los Angeles, CA: UCLA Center for Health Policy Research.

    Google Scholar 

  16. California Health Interview Survey. (2012). CHIS 2009 adult survey. Los Angeles, CA: UCLA Center for Health Policy Research.

    Google Scholar 

  17. California Health Interview Survey. (2013). CHIS 2011–2012 adult survey. Los Angeles, CA: UCLA Center for Health Policy Research.

    Google Scholar 

  18. Filion, K. B., Steffen, L. M., Duval, S., Jacobs, D. R, Jr., Blackburn, H., & Luepker, R. V. (2011). Population-based smoking trends in older adults: The Minnesota Heart Survey. Journal of the American Geriatrics Society, 59(10), 1970–1971. doi:10.1111/j.1532-5415.2011.03610_7.x.

    Article  PubMed  Google Scholar 

  19. Ho, J. Y., & Elo, I. T. (2013). The contribution of smoking to black-white differences in U.S. mortality. Demography, 50(2), 545–568. doi:10.1007/s13524-012-0159-z.

    Article  PubMed Central  PubMed  Google Scholar 

  20. LaCroix, A., & Omenn, G. (1992). Older adults and smoking. Clinics in Geriatric Medicine, 8(1), 69–87.

    CAS  PubMed  Google Scholar 

  21. Andrawes, W. F., Bussy, C., & Belmin, J. (2005). Prevention of cardiovascular events in elderly people. Drugs and Aging, 22(10), 859–876.

    Article  CAS  PubMed  Google Scholar 

  22. Williams, M. A., Fleg, J. L., Ades, P. A., et al. (2002). Secondary prevention of coronary heart disease in the elderly (with emphasis on patients ≥75 years of age): An American Heart Association Scientific Statement from the Council on Clinical Cardiology Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention. Circulation, 105(14), 1735–1743.

    Article  PubMed  Google Scholar 

  23. Wolf, P. A., D’Agostino, R. B., Kannel, W. B., Bonita, R., & Belanger, A. J. (1988). Cigarette smoking as a risk factor for stroke: The Framingham Study. JAMA, 259(7), 1025–1029.

    Article  CAS  PubMed  Google Scholar 

  24. Tell, G. S., Howard, G., McKinney, W. M., & Toole, J. F. (1989). Cigarette smoking cessation and extracranial carotid atherosclerosis. JAMA, 261(8), 1178–1180.

    Article  CAS  PubMed  Google Scholar 

  25. Godtfredsen, N. S., Holst, C., Prescott, E., Vestbo, J., & Osler, M. (2002). Smoking reduction, smoking cessation, and mortality: A 16-year follow-up of 19,732 men and women from The Copenhagen Centre for Prospective Population Studies. American Journal of Epidemiology, 156(11), 994–1001.

    Article  PubMed  Google Scholar 

  26. Connett, J. E., Murray, R. P., Buist, A. S., et al. (2003). Changes in smoking status affect women more than men: Results of the Lung Health Study. American Journal of Epidemiology, 157(11), 973–979.

    Article  PubMed  Google Scholar 

  27. Kerr, S. M., Watson, H., Tolson, D., Lough, M., & Brown, M. (2004). Developing evidence-based smoking cessation training/education initiatives in partnership with older people and health professionals. Glasgow: Caledonian Nursing & Midwifery Research Centre.

    Google Scholar 

  28. Kleykamp, B. A., & Heishman, S. J. (2011). The older smoker. JAMA, 306(8), 876–877. doi:10.1001/jama.2011.1221.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  29. Stead, L. F., & Lancaster, T. (2005). Group behaviour therapy programmes for smoking cessation. The Cochrane Database of Systematic Reviews, 2, CD001007. doi:10.1002/14651858.CD001007.pub2.

    PubMed  Google Scholar 

  30. Lancaster, T., & Stead, L. F. (2005). Individual behavioural counselling for smoking cessation. The Cochrane Database of Systematic Reviews, 2, CD001292. doi:10.1002/14651858.CD001292.pub2.

    PubMed  Google Scholar 

  31. Clinical Practice Guideline Treating Tobacco Use and Dependence 2008 Update Panel, Liaisons, and Staff. (2008). A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service report. American Journal of Preventive Medicine, 35(2), 158–176. doi:10.1016/j.amepre.2008.04.009.

    Article  Google Scholar 

  32. Whitson, H. E., Heflin, M. T., & Burchett, B. M. (2006). Patterns and predictors of smoking cessation in an elderly cohort. Journal of the American Geriatrics Society, 54(3), 466–471. doi:10.1111/j.1532-5415.2005.00641.x.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors would like to thank the support of Data from the 2001, 2003, 2005, 2007, 2009 and 2011–2012 California Health Interview Survey.

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Correspondence to Yue Pan.

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Pan, Y., Wang, W., Wang, KS. et al. Age Differences in the Trends of Smoking Among California Adults: Results from the California Health Interview Survey 2001–2012. J Community Health 40, 1091–1098 (2015). https://doi.org/10.1007/s10900-015-0034-0

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