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J Appl Gerontol. 2019 Jun;38(6):884-901. doi: 10.1177/0733464817716967. Epub 2017 Jun 27.

Trends in Cigarette Smoking Among Older Male Adults in China: An Urban-Rural Comparison.

Author information

1
1 Chongqing University, China.
2
2 Northwest Normal University, Lanzhou, China.
3
3 Fudan University, Shanghai, China.
4
4 Saint Louis University, St. Louis, MO, USA.
5
5 Renmin University of China, Beijing, China.

Abstract

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.

KEYWORDS:

economic inequality; health behavior; health disparity; tobacco

PMID:
28653557
DOI:
10.1177/0733464817716967

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