Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People

<b>Background:</b> We identify representative types of simultaneous tobacco use and alcohol consumption trajectories across the life course and estimate their association with cardiovascular and chronic respiratory diseases (CVDs and CRDs) among older people in Chile. <b>Methods:&l...

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Autores principales: Ignacio Madero-Cabib, Claudia Bambs
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Lenguaje:EN
Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:b1083ce154e0417eb621565853d2e4812021-11-11T16:25:38ZAssociation between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People10.3390/ijerph1821112751660-46011661-7827https://doaj.org/article/b1083ce154e0417eb621565853d2e4812021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11275https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601<b>Background:</b> We identify representative types of simultaneous tobacco use and alcohol consumption trajectories across the life course and estimate their association with cardiovascular and chronic respiratory diseases (CVDs and CRDs) among older people in Chile. <b>Methods:</b> We used data from a population-representative, face-to-face and longitudinal-retrospective survey focused on people aged 65–75 (N = 802). To reconstruct trajectory types, we employed weighted multichannel sequence analysis. Then, we estimated their associations with CVDs and CRDs through weighted logistic regression models. <b>Results:</b> Long-term exposure to tobacco use and alcohol consumption across life are associated with the highest CVD and CRD risks. Long-term nonsmokers and nondrinkers do not necessarily show the lowest CVDs and CRDs risks if these patterns are accompanied by health risk factors such as obesity or social disadvantages such as lower educational levels. Additionally, trajectories showing regular consumption in one domain but only in specific periods of life, whether early or late, while maintaining little or no consumption across life in the other domain, lead to lower CVDs or CRDs risks than trajectories indicating permanent consumption in both domains. <b>Conclusions:</b> A policy approach that considers CVDs and CRDs as conditions that strongly depend on previous individual experiences in diverse life domains can contribute to the improved design and evaluation of preventive strategies of tobacco use and alcohol consumption across the life course.Ignacio Madero-CabibClaudia BambsMDPI AGarticletobacco usealcohol consumptionchronic diseaseslife courseolder peopleChileMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11275, p 11275 (2021)
institution DOAJ
collection DOAJ
language EN
topic tobacco use
alcohol consumption
chronic diseases
life course
older people
Chile
Medicine
R
spellingShingle tobacco use
alcohol consumption
chronic diseases
life course
older people
Chile
Medicine
R
Ignacio Madero-Cabib
Claudia Bambs
Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People
description <b>Background:</b> We identify representative types of simultaneous tobacco use and alcohol consumption trajectories across the life course and estimate their association with cardiovascular and chronic respiratory diseases (CVDs and CRDs) among older people in Chile. <b>Methods:</b> We used data from a population-representative, face-to-face and longitudinal-retrospective survey focused on people aged 65–75 (N = 802). To reconstruct trajectory types, we employed weighted multichannel sequence analysis. Then, we estimated their associations with CVDs and CRDs through weighted logistic regression models. <b>Results:</b> Long-term exposure to tobacco use and alcohol consumption across life are associated with the highest CVD and CRD risks. Long-term nonsmokers and nondrinkers do not necessarily show the lowest CVDs and CRDs risks if these patterns are accompanied by health risk factors such as obesity or social disadvantages such as lower educational levels. Additionally, trajectories showing regular consumption in one domain but only in specific periods of life, whether early or late, while maintaining little or no consumption across life in the other domain, lead to lower CVDs or CRDs risks than trajectories indicating permanent consumption in both domains. <b>Conclusions:</b> A policy approach that considers CVDs and CRDs as conditions that strongly depend on previous individual experiences in diverse life domains can contribute to the improved design and evaluation of preventive strategies of tobacco use and alcohol consumption across the life course.
format article
author Ignacio Madero-Cabib
Claudia Bambs
author_facet Ignacio Madero-Cabib
Claudia Bambs
author_sort Ignacio Madero-Cabib
title Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People
title_short Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People
title_full Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People
title_fullStr Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People
title_full_unstemmed Association between Lifetime Tobacco Use and Alcohol Consumption Trajectories and Cardiovascular and Chronic Respiratory Diseases among Older People
title_sort association between lifetime tobacco use and alcohol consumption trajectories and cardiovascular and chronic respiratory diseases among older people
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/b1083ce154e0417eb621565853d2e481
work_keys_str_mv AT ignaciomaderocabib associationbetweenlifetimetobaccouseandalcoholconsumptiontrajectoriesandcardiovascularandchronicrespiratorydiseasesamongolderpeople
AT claudiabambs associationbetweenlifetimetobaccouseandalcoholconsumptiontrajectoriesandcardiovascularandchronicrespiratorydiseasesamongolderpeople
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