論文

査読有り 筆頭著者 本文へのリンクあり
2020年8月8日

Association between social isolation and smoking in Japan and England.

Journal of epidemiology
  • Takaaki Ikeda
  • ,
  • Noriko Cable
  • ,
  • Masashige Saito
  • ,
  • Shihoko Koyama
  • ,
  • Taishi Tsuji
  • ,
  • Taiji Noguchi
  • ,
  • Katsunori Kondo
  • ,
  • Ken Osaka
  • ,
  • Jun Aida

記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.2188/jea.JE20200138

BACKGROUND: Existing evidence suggest that those who are socially isolated are at risk for taking up or continuing smoking. This study investigated country-based differences in social isolation and smoking status. METHODS: We performed a repeated cross-sectional study using two waves of data from two ongoing aging studies: the English Longitudinal Study of Ageing and the Japan Gerontological Evaluation Study. Participants from both studies aged ≥65 years old were included. We applied a multilevel Poisson regression model to examine the association between social isolation and smoking status and adjusted for individual sociodemographic characteristics. We used the social isolation index which comprises the following domains: marital status; frequency of contact with friends, family, and children; and participation in social activities. Interaction terms between each country and social isolation were also entered into the mode. RESULTS: After exclusion of never smokers, we analyzed 75,905 participants (7,092 for ELSA and 68,813 for JAGES, respectively). Taking ex-smokers as the reference, social isolation was significantly associated with current smoking; the prevalence ratios (PRs; 95% credible intervals [CrIs]) were 1.06 (1.05-1.08) for men and 1.08 (1.04-1.11) for women. Taking Japan as a reference, the interaction term between country and social isolation was significant for both sexes, with increased PRs (95% CrIs) of 1.32 (1.14-1.50) for men and 1.30 (1.11-1.49) for women in England. CONCLUSIONS: Older people who were less socially isolated were more likely to quit smoking in England than in Japan, possibly explained by the strict tobacco control policies in England.

リンク情報
DOI
https://doi.org/10.2188/jea.JE20200138
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32779628
共同研究・競争的資金等の研究課題
心理社会的要因からみた筋骨格系疼痛の発症メカニズムと、疼痛の地域間格差の解明
ID情報
  • DOI : 10.2188/jea.JE20200138
  • ORCIDのPut Code : 78462705
  • PubMed ID : 32779628

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