Introduction

Socioeconomic status (SES) at different stages of the life course impacts late-life health. However, whether SES across the life course impacts smoking cessation in late-life is not known. Purpose: Assess how life course SES impacts smoking cessation among older smokers.

Methods

We identified 5,124 smokers, 50 years and older, from the 1998 to 2018 waves of the Health and Retirement Study. The outcome was self-reported smoking cessation. The main exposure was life course SES, defined as: low child and low adult SES (persistent low); low child, high adult SES (upward mobility); high child, low adult SES (downward mobility); and high child, high adult SES (persistent high). A multilevel mixed-effect logistic model was used to examine how life course SES predicts smoking cessation at age 65 and over time, adjusted for covariates.

Results

Compared to those with persistent high SES, those with persistent low SES, upward and downward SES were more likely to be Hispanic or non-Hispanic Black. The adjusted results showed that at age 65, compared to those with persistent high SES, those with persistent low SES (OR= 0.69, 95 % CI = [0.51–0.92]), upward SES (OR= 0.49, [0.32–0.75]), and downward SES (OR= 0.55, [0.40–0.76]) were less likely to quit. However, as age increased, only those with downward or persistent low SES were significantly less likely to quit compared to those with persistent high SES.

Discussion

Social mobility of SES from childhood to adulthood significantly impacts smoking cessation. Both stages of the life course should be considered to understand smoking behaviors.

中文翻译：

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美国老年吸烟者生命历程中的社会经济地位和戒烟情况

介绍

生命历程不同阶段的社会经济地位 (SES) 会影响晚年健康。然而，尚不清楚整个生命过程中的社会经济地位是否会影响晚年戒烟。目的：评估生命历程 SES 如何影响老年吸烟者的戒烟。

方法

我们从 1998 年至 2018 年的健康与退休研究浪潮中确定了 5,124 名 50 岁及以上的吸烟者。结果是自我报告的戒烟。主要暴露是生命全程SES，定义为：低儿童和低成人SES（持续性低）；儿童低，成人 SES（向上流动性）高；儿童高，成人 SES（向下流动性）低；和高儿童，高成人 SES（持续性高）。使用多级混合效应逻辑模型来检查生命历程 SES 如何预测 65 岁及以后的戒烟，并针对协变量进行调整。

结果

与持续高 SES 的人相比，持续低 SES、向上和向下 SES 的人更有可能是西班牙裔或非西班牙裔黑人。调整后的结果显示，在 65 岁时，与持续高 SES 的人相比，持续低 SES (OR= 0.69, 95 % CI = [0.51–0.92])、向上 SES (OR= 0.49, [0.32–0.75]) 的人) 和向下的 SES (OR= 0.55, [0.40–0.76]) 不太可能戒烟。然而，随着年龄的增长，与持续高 SES 的人相比，只有低 SES 或持续低 SES 的人戒烟的可能性显着降低。

讨论

SES 从童年到成年的社会流动性显着影响戒烟。应考虑生命历程的两个阶段以了解吸烟行为。