This report presents key findings on physical, mental, and social aspects of aging using data collected from 50,000 Canadians aged 45-85. It highlights insights related to: physical and psychological health, loneliness and social isolation, caregiving and care receiving, transportation and mobility, work and retirement, physical function, disability and falls, lesbian, gay and bisexual aging, and lifestyle and behaviour, among others. 210 pages. Last reviewed May 2018.

The Stroke Network of Southeastern Ontario in collaboration with Queen's University are offering this Interprofessional Primary Care team workshop on Friday, March 31st  from 12-4:30 pm as an accredited group learning activity at the Brockville Convention Centre.  Please see the pdf brochure for more details.  Register online here.

Older adults suffer a large proportion of health consequences from smoking and could benefit from cessation.

Why is it important?

  • Smoking is a risk factor for lung cancer, heart disease, stroke, chronic respiratory disease and fractures (6)
  • Smoking is the leading cause of premature death (5)
  • Rate of bone-density decline in older adults is accelerated by smoking (4)
  • Female smokers are at greater risk of post-menopausal osteoporosis (4)
  • Smoking cessation later in life adds years to life and also improves quality of life (1) (2)

Common Causes

  • Stress of unemployment,  homelessness, personal problems, financial strain, or physical/verbal abuse (8)
  • Addiction to alcohol, cocaine, or heroin can make one vulnerable to smoking (8)
  • Older smokers are less likely to believe smoking harms health or cessation offers benefits at advanced age (1)

Key Considerations

  • Talk to your physician about current smoking status: amount smoked, previous experience with quitting, other influential factors (e.g. addictions/medications/psychiatric problems), current interest in quitting, and any concerns (3)
  • Discuss appropriateness of smoking cessation products/medication with physician (e.g.  nicotine patch, nicotine gum, nicotine inhaler, nicotine lozenge, nicotine mouth spray, varenicline, bupropion, etc) (7)
  • Take advantage of alternative treatments such as counseling, group therapy, community smoking cessation programs- ask your family health team for information
  • Discuss strategies with health care staff to help manage stress, avoid weight gain, deal with setbacks (7)
  • Get involved in the plan to quit smoking and identify areas in which you will need help: choose a quit date, decide on a quit method, know your triggers, conquer cravings, manage withdrawal, build social supports, and control/maintain a “smoke-free” environment (7)
  • Friends and family can help by asking what they can do, being understanding and available, avoiding nagging, and celebrating success (7)
  • Those ready to quit can get support- QuitNow provides online forums and resources for caregivers/family members (7) (http://www.quitnow.ca/)

References



1. 
Brenner, H ,Gellert, C., Holleczek, B., Müller, H. & Schöttker, B.  (2013). Impact of smoking and quitting on
     cardiovascular outcomes and risk advancement periods among older adults
. European Journal of Epidemiology,
     28(8), 649-658.  Retrieved Feb. 2014 from:
     http://www.citeulike.org/user/denraymachin/article/12629715

2.  Health Canada. (2002). Healthy Aging: Tobacco Use and Smoking Cessation Among Seniors

     Retrieved February 26, 2014 from:
     http://publications.gc.ca/collections/Collection/H39-612-2002-5E.pdf

3.  Statistics Canada. (2012). Current Smoking Trends. Retrieved February 26, 2014 from:  
     http://www.statcan.gc.ca/pub/82-624-x/2012001/article/11676-eng.pdf

4. 
Statistics Canada. (2012). Smoking. Retrieved February 26, 2014 from:
     http://www.statcan.gc.ca/pub/82-625-x/2013001/article/11844-eng.htm

5. 
The Lung Association. (2014).  Quit Now. Retrieved February 27, 2014 from:
     http://www.quitnow.ca

6.  World Education. (2009). From the First to the Last Ash: The History, Economics & Hazards
     of Tobacco
. Retrieved February 26, 2014 from:
     http://healthliteracy.worlded.org/docs/tobacco/Unit3/1why_people_smoke.html

Older adults suffer a large proportion of health consequences from smoking and could benefit from cessation.

Why is it important?

  • Smoking is a risk factor for lung cancer, heart disease, stroke and chronic respiratory disease (7)
  • Smoking is the leading cause of premature death; heavy smokers can lose about 9 years of life expectancy (6)
  • Older smokers are at greater risks because they have smoked longer: 61% of senior non-smokers are actually former smokers;  and they tend to be heavier smokers as 86% smoked daily (7) (1)
  • Cessation later in life adds years to life and improves quality of life: e.g. risk of myocardial infarction and stroke is reduced by 40% or more  within 5 years after the last cigarette (1) (2)
  • Intensive smoking cessation treatment has been shown to significantly reduce re-hospitalization (9)

Common Causes

  • Stress of unemployment,  homelessness, personal problems, financial strain, or physical/verbal abuse (10)
  • Addiction to alcohol, cocaine, or heroin can make one vulnerable to smoking (10)
  • Older smokers are less likely than younger smokers to believe smoking harms health or cessation offers benefits at advanced age (1)