TY - JOUR
T1 - Trends in Cigarette Smoking Among Older Male Adults in China
T2 - An Urban–Rural Comparison
AU - Zhi, Kuiyun
AU - Wang, Lan
AU - Han, Yangdi
AU - Vaughn, Michael G.
AU - Qian, Zhengmin
AU - Chen, Yongjin
AU - Xie, Lili
AU - Huang, Jin
N1 - Publisher Copyright:
© The Author(s) 2017.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - This study compared urban/rural trends in cigarette smoking rates among older male adults in China. Data were derived from the China Health and Nutrition Survey (N = 5,147). Logistic models were computed to assess the occurrence of cigarette smoking between 1991 and 2011 across urban/rural administrative districts. Cigarette smoking rates remained consistent (about 50%) in rural villages over the last two decades but decreased by about 1.1 percentage points annually in urban neighborhoods. After adjusting for individual and community characteristics, divergent urban/rural trends in cigarette smoking rates did not vary statistically. Trends in cigarette smoking may be associated with unbalanced social and economic development in urban and rural China, and are an indicator of social determinants of health inequalities. Results suggest tobacco control policies and interventions should specifically focus on older adults vulnerable to economic inequality. Findings have implications for health and economic inequality among older adults in general.
AB - This study compared urban/rural trends in cigarette smoking rates among older male adults in China. Data were derived from the China Health and Nutrition Survey (N = 5,147). Logistic models were computed to assess the occurrence of cigarette smoking between 1991 and 2011 across urban/rural administrative districts. Cigarette smoking rates remained consistent (about 50%) in rural villages over the last two decades but decreased by about 1.1 percentage points annually in urban neighborhoods. After adjusting for individual and community characteristics, divergent urban/rural trends in cigarette smoking rates did not vary statistically. Trends in cigarette smoking may be associated with unbalanced social and economic development in urban and rural China, and are an indicator of social determinants of health inequalities. Results suggest tobacco control policies and interventions should specifically focus on older adults vulnerable to economic inequality. Findings have implications for health and economic inequality among older adults in general.
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U2 - 10.1177/0733464817716967
DO - 10.1177/0733464817716967
M3 - Article
C2 - 28653557
AN - SCOPUS:85066398891
SN - 0733-4648
VL - 38
SP - 884
EP - 901
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 6
ER -
