Prevalence and Predictors of Current and Former Tobacco Use among Older Adults in Indonesia

Document Type: Research Articles

Authors

1 ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand.

2 Department of Research and Innovation, University of Limpopo, Turfloop, South Africa.

3 HIV/AIDS/STIs and TB Research Programme, Human Sciences Research Council, Pretoria, South Africa.

Abstract

Purpose: The study aims to describe sociodemographic and health variable indices related to current and former
tobacco use among older adults who participated in the Indonesia Family Life Survey (IFLS-5) in 2014-15. Materials
and Methods: A national population-based cross-sectional study was conducted with a probability sample of 8001
aged 50 years or older Indonesians. Results: The overall prevalence of current tobacco use was 33.3% (62.2% in men
and 6.5% in women) and former tobacco use was 9.8% (17.4% among men and 2.8% in women), of which 64.4%
quit tobacco use when 50 years and older. In multinomial regression analysis, sociodemographic factors (being male,
lower education, lower economic status, living in Java and rural residence) and health variables (cancer or malignant
tumour, depression symptoms, functional disability and inadequate fruit and vegetable consumption) were associated
with current tobacco use. In addition, being overweight or obese, having had a stroke, and other lung conditions were
inversely associated with current tobacco use. Further, in adjusted analysis, sociodemographic factors (being 70 years
and older, being male, living in Sumatra) and having chronic conditions (dyslipidemia, heart problems, asthma, stomach
or digestive diseases and functional disability) were associated with former tobacco use. Conclusions: A high rate of
current tobacco use and low rate of former tobacco use was found, particularly among men. The identified risk factors
may help to better target this vulnerable population with tobacco cessation programmes.

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