Does urban-rural disparity exist in nicotine and alcohol dependence among Chinese older adults?

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-02-14 DOI:10.1080/16066359.2023.2178645

Yen-Han Lee, Yen-Chang Chang, Yu-Chi Chi, M. Shelley

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引用次数: 1

Abstract

Abstract Background China is a large country with substantial urban-rural disparity. With the increasing concerns related to the rapid growth of the older adult population and problems related to smoking and alcohol consumption, this study aims to examine the potential urban-rural disparity associated with nicotine or alcohol dependence among Chinese older adults. Methods We used three waves of the Chinese Longitudinal Healthy Longevity Survey and included older adults who were 65 years old or above (CLHLS; n = 18,207). The Heckman two-step selection procedure was applied to reduce potential selection bias. The first and the second steps of the Heckman two-step selection procedure all included multivariable logistic regressions. Results In the final study sample, approximately 8.1% and 4.0% of older adults reported nicotine and alcohol dependence, respectively. In the first step of the Heckman selection procedure, urban residents were less likely to become current smokers and alcohol users than rural residents (all p < .05). However, urban-rural disparity was not associated with either nicotine or alcohol dependence (all p > .05). Conclusions We did not observe the urban-rural disparity in nicotine and alcohol dependence among Chinese older adults. Chinese policymakers should continue to strengthen national policy to combat smoking and alcohol consumption, especially older adults.

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中国老年人尼古丁和酒精依赖是否存在城乡差异?

背景中国是一个城乡差距较大的大国。随着老年人人口的快速增长以及与吸烟和酒精消费相关的问题越来越受到关注，本研究旨在研究中国老年人尼古丁或酒精依赖相关的潜在城乡差异。方法采用三波中国纵向健康寿命调查，纳入65岁及以上的老年人(CLHLS;n = 18,207)。采用Heckman两步选择程序来减少潜在的选择偏差。Heckman两步选择程序的第一步和第二步都包括多变量逻辑回归。结果在最后的研究样本中，大约8.1%和4.0%的老年人分别报告了尼古丁和酒精依赖。在Heckman选择程序的第一步中，城市居民成为吸烟者和酗酒者的可能性低于农村居民(均p . 0.05)。结论我们没有观察到中国老年人尼古丁和酒精依赖的城乡差异。中国的政策制定者应该继续加强国家政策，打击吸烟和饮酒，尤其是老年人。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.