Tobacco use disorder in the older people

An integrative view

Keywords: health of the elderly, aged, tobacco use cessation, tobacco use disorderr, public health


Introduction: tobacco use disorder it’s a serious worldwide public health problem that affects all age groups, causing high avoidable morbidity and mortality rates.
Objective: describe what has been published about tobacco use disorder in the eldery population in the last five years.
Methodology: integrative literature review, where articles were searched in the following databases: PUBMED/MEDLINE, BVS/LILACS, SCOPUS and SCIELO, using the following Health Sciences Descriptors in English: “Tobacco Use Cessation’’ OR “Tobacco Use Disorder’’ AND “Health of the Elderly” OR “Aged” OR “Aged, 80 and over”. Publications that were fully available from 2016 to 2020.
Results: Of the 1642 papers recovered from the database, a total of 18 selected articles were reached. With the following categorization: mortality and other adverse clinical outcomes (5); smoking, geriatrics syndromes and other pathologies (4); public policies for tobacco control (3); quality of life and smoking (3); predictive factors for smoking cessation (3).
Conclusions: only one selected study was accomplished in Brazil, highlighting the need for Brazilian studies involving smoking in the eldery population, aiming at a better understanding of the involved aspects and future training and optimization of public policies.


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Author Biographies

Ibrahim Clós Mahmud, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil.

Mestre e doutorando em Gerontologia Biomédica pela Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) , Porto Alegre, RS, Brasil; Médico de Família e Comunidade (SBMFC). Bolsista CAPES-PROEX, Porto Alegre, RS, Brasil.

Erick da Rosa Lerner, Universidade Feevale (FEEVALE), Novo Hamburgo, RS, Brasil.

Acadêmico de Enfermagem na Universidade Feevale (FEEVALE), Novo Hamburgo, RS, Brasil.

Fabíola Bastos Giergowicz, Instituto Municipal da Estratégia da Saúde da Família, Porto Alegre, RS, Brasil.

Sanitarista e Especialista em Gestão da Saúde pela Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.

Jéssica Emmanouilidis, Secretaria Municipal de Saúde de Campo Bom, Campo Bom, RS, Brasil.

Especialista em Saúde da Família e Comunidade pelo Grupo Hospitalar Conceição (GHC), Porto Alegre, RS, Brasil; Farmacêutica e Coordenadora de Farmácia, Secretaria Municipal de Saúde de Campo Bom, Campo Bom, RS, Brasil.

Rita de Cássia Bernardo Spengler, Secretaria Municipal de Saúde de Campo Bom, Campo Bom, RS, Brasil.

Especialista em Saúde da Família pela Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brasil; Enfermeira e Coordenadora do Programa de Combate ao Tabagismo e do Núcleo Municipal de Educação em Saúde Coletiva (NUMESC), Secretaria Municipal de Saúde Campo Bom, RS, Brasil.

Rodolfo Herberto Schneider, Secretaria Municipal de Saúde de Campo Bom, Campo Bom, RS, Brasil.

Doutor em Medicina e Ciências da Saúde pela Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil. Médico Geriatra e Professor Permanente do Programa de Pós-Graduação em Gerontologia Biomédica da Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil. Membro da Comissão Científica do Instituto de Geriatria e Gerontologia, em Porto Alegre, RS, Brasil.


World Health Organization. Global Report on Trends in Prevalence of Tobacco Smoking 2000–2025, second edition. Geneva: World Health Organization [Internet]. 2018 [citado 2021 Maio 02]. Disponível em:

World Health Organization. Report on the Global Tobacco Epidemic, 2019: Offer help to quit tobacco use. Geneva: World Health Organization [Internet]. 2019 [citado 2021 Maio 02]. Disponível em:

Brasil. Ministério da Saúde. Secretaria de Atenção Especializada à Saúde. Secretaria de Ciência, Tecnologia, Inovação e Insumos Estratégicos em Saúde. Protocolo clínico e diretrizes terapêuticas de tabagismo. Brasília: Ministério da Saúde [Internet] 2020 [citado 2021 Maio 02] Disponível em:

Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto – enferm. 2008;17(4):758-64.

Melnyk B, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2015.

Gao X, Zhang Y, Saum K, Schöttker B, Breitling LP, Brenner H. Tobacco smoking and smoking-related DNA methylation are associated with the development of frailty among older adults. Epigenetics. 2017;12(2):149-56.

Stevens VL, Diver WR, Stoklosa M, Flanders WD, Westmaas JL, Jemal A, et al. A prospective cohort study of cigarette prices and smoking cessation in older smokers. Cancer Epidemiol Biomarkers Prev. 2017;26(7):1071-7.

Winpenny E, Elliott MN, Haas A, Haviland AM, Orr N, Shadel WG, et al. Advice to quit smoking and ratings of health care among medicare beneficiaries aged 65. Health Serv Res. 2017;52(1):207-19.

Inoue-Choi M, Liao LM, Reyes-Guzman C, Hartge P, Caporaso N, Freedman ND. Association of long-term, low-intensity smoking with all-cause and cause-specific mortality in the National Institutes of Health-AARP Diet and Health Study. JAMA Intern Med. 2017;177(1):87-95.

Nash SH, Liao LM, Harris TB, Freedman ND. Cigarette smoking and mortality in adults aged 70 years and older: Results From the NIH-AARP Cohort. Am J Prev Med. 2017;52(3):276-83.

Lam TH, Xu L, Jiang CQ, Zhang WS, Zhu F, Jin YL, et al. High relative risk of all-cause mortality attributed to smoking in China: Guangzhou Biobank cohort study. PLoS One. 2018;13(4):e0196610.

Inoue-Choi M, Hartge P, Park Y, Abnet CC, Freedman ND. Association between reductions of number of cigarettes smoked per day and mortality among older adults in the United States. Am J Epidemiol. 2019;188(2):363-71.

Rojewski AM, Tanner NT, Dai L, Ravenel JG, Gebregziabher M, Silvestri GA, et al. Tobacco dependence predicts higher lung cancer and mortality rates and lower rates of smoking cessation in the National Lung Screening Trial. Chest. 2018;154(1):110-18.

Noonan D, Silva S, Njuru J, Bishop T, Fish LJ, Simmons LA, et al. Feasibility of a text-based smoking cessation intervention in rural older adults. Health Educ Res. 2018;33(1):81-8.

Viana DA, Andrade FCD, Martins LC, Rodrigues LR, Dos Santos, Tavares DM. Differences in quality of life among older adults in Brazil according to smoking status and nicotine dependence. Health Qual Life Outcomes. 2019; 7(1):1.

Nishi SPE, Zhou J, Kuo YF, Sharma G, Goodwin J. Trends in tobacco use and tobacco cessation counselling codes among medicare beneficiaries, 2001-2014. BMC Health Serv Res. 2019;19(1):548.

Serrano-Alarcón M, Kunst AE, Bosdriesz JR, Perelman J. Tobacco control policies and smoking among older adults: a longitudinal analysis of 10 European countries. Addiction. 2019; 114(6):1076-85.

Kao YH, Celestin MD Jr, Walker CD, Yu Q, Couk J, Moody-Thomas S, et al. Smoking relapse and type 2 diabetes mellitus-related emergency department visits among senior patients with diabetes. Prev Chronic Dis. 2019;16:E164.

Pengpid S, Peltzer K. Prevalence and predictors of current and former tobacco use among older adults in Indonesia. Asian Pac J Cancer Prev. 2019;20(2):395-401.

Chang CP, Huang WH, You CH, Hwang LC, Lu IJ, Chan HL. Factors Correlated with smoking cessation success in older adults: A retrospective cohort study in Taiwan. Int J Environ Res Public Health. 2019;16(18):3462.

Mappin-Kasirer B, Pan H, Lewington S, Kizza J, Gray R, Clarke R, et al. Tobacco smoking and the risk of Parkinson disease: A 65-year follow-up of 30,000 male british doctors. Neurology. 2020;94(20):e2132-e2138.

Lu Y, Sugawara Y, Zhang S, Tomata Y, Tsuji I. Smoking cessation and incident dementia in elderly Japanese: the Ohsaki Cohort 2006 Study. Eur J Epidemiol. 2020;35(9):851-60.

Abdel-Hady D, El-Gilany AH. Tobacco use and its associated factors among older people: a community-based study in Egypt. EMHJ. 2020;26(1):68-74.

Malta DC, Andrade SSCA, Oliveira TP, Moura L, Prado RRD, Souza MFM. Probability of premature death for chronic non-communicable diseases, Brazil and Regions, projections to 2025. Rev Bras Epidemiol. 2019;22:e190030.

Center for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health. Reports of the Surgeon General. The Health Consequences of Smoking-50 Years of Progress: A Report of the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention. [Internet] 2014 [citado 2021 Maio 18]. Disponível em:

Holford TR, Meza R, Warner KE, Meernik C, Jeon J, Moolgavkar SH, et al. Tobacco control and the reduction in smoking-related premature deaths in the United States, 1964-2012. JAMA. 2014;311(2):164-71.

Senger AEV, Ely LS, Gandolfi T, Schneider RH, Gomes I, Carli GAD. Alcoolismo e tabagismo em idosos: relação com ingestão alimentar e aspectos socioeconômicos. Rev bras. geriatr. gerontol. 2011;14(4):713-19.

Garcia E, Ciochetta CI, Mendes DS, Everling EM, Souza SP, Bezerra OS. Essências em geriatria clínica. Porto Alegre: EDIPUCRS; 2018.

Freitas EV, Py L. Tratado de Geriatria e Gerontologia. 4. ed. Rio de Janeiro: Guanabara Koogan; 2018.

Anstey KJ, Von Sanden C, Salim A, O’Kearney R. Smoking as a risk factor for dementia and cognitive decline: a meta-analysis of prospective studies. Am J Epidemiol. 2007;166(4):367-78.

Choi D, Choi S, Park SM. Effect of smoking cessation on the risk of dementia: a longitudinal study. Ann Clin Transl Neurol. 2018;5(10):1192-9.

Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ. 2004;328(7455):1519.

Li X, Li W, Liu G, Shen X, Tang Y. Association between cigarette smoking and Parkinson’s disease: A meta-analysis. Arch Gerontol Geriatr. 2015;61(3):510-6.

American Diabetes Association. Standards of medical care in diabetes-2017 Abridged for primary care providers. Clin Diabetes. 2017;35(1):5-26.

Nilsson PM, Gudbjörnsdottir S, Eliasson B, Cederholm J. Steering Committee of the Swedish National Diabetes Register. Smoking is associated with increased HbA1c values and microalbuminuria in patients with diabetes--data from the National Diabetes Register in Sweden. Diabetes Metab. 2004;30(3):261-8.

Portes LH, Machado CV, Turci SRB, Figueiredo VC, Cavalcante TM, Silva VLDCE. Tobacco control policies in Brazil: a 30-year assessment. Ciên saúde coletiva. 2018;23(6):1837-48.

Surgeon General Report. Smoking and health: Report of the Advisory Committee of the Surgeon General of the Public Health Service Source: Information Resources Press [Internet]; 1964 [citado 2021 Maio 18]. Disponível em:

Nicita-Mauro V, Basile G, Maltese G, Nicita-Mauro C, Gangemi S, Caruso C. Smoking, health and ageing. Immun Ageing. 2008;5:10.

Carvalho AA, Gomes L, Loureiro AM. Smoking in elderly patients admitted to long-term care facilities. J Bras Pneumol. 2010;36(3):339-46.

Da Silva FMC. Papel do médico de família na cessação tabágica [dissertação]. [Porto, Portugal]: Universidade de Medicina do Porto; 2011.

Carvalho AA, Gomes L, Loureiro AL, Bezerra SJC. Controle do tabagismo em instituição de longa permanência para idosos: relato de experiência. Ciênc. saúde coletiva. 2013;18(4):1119-30.

Zaitune MPA, Barros MBA, Lima MG, César CLG, Carandina L, Goldbaum M, et al. Fatores associados ao tabagismo em idosos: Inquérito de Saúde no Estado de São Paulo (ISA-SP). Cad. Saúde Pública. 2012;28(3):583-96.

Araújo AJ, Menezes AMB, Dórea AJPS, Torres BS, Viegas CAA, Silva CAR, et al. Diretrizes para cessação do tabagismo. J. bras. pneumol. 2004;30(2):S1-S76.

Reichert J, Araújo AJ, Gonçalves CMC, Godoy I, Chatkin JM, Sales MPU, et al. Diretrizes para cessação do tabagismo - 2008. J. bras. pneumol. 2008;34(10):845-80.

How to Cite
Mahmud, I. C., Lerner, E. da R., Giergowicz, F. B., Emmanouilidis, J., Spengler, R. de C. B., & Schneider, R. H. (2021). Tobacco use disorder in the older people: An integrative view. Scientia Medica, 31(1), e41007.