Secondhand Smoke and Women's Cognitive Function in China
Abstract
Exposure to secondhand smoke (SHS) is known to be harmful to health. However, the association between household SHS and cognitive function among middle-aged and older women in China is understudied. Lagged dependent variable regression was used to examine the association between household SHS exposure and the cognitive function of married women who had been exposed to SHS, using data from 2 waves of the China Health and Retirement Longitudinal Study (CHARLS, 2011-2013). Controlling for age, educational attainment, geographic residence, household expenditures, and chronic conditions (i.e., hypertension, diabetes, and depressive symptoms), the results indicated that longer SHS exposure was associated with a greater decline in memory over 2 years. After comparing differences across age groups, this pattern was significant for women aged 55-64 years. Furthermore, those who were illiterate, lived in rural areas, and reported depressive symptoms had a greater decline in memory. With evidence linking household SHS exposure with a higher risk of cognitive decline, effective education and public health intervention programs are urgently needed. Stronger tobacco control regulations and education about the dangers of household SHS are viable strategies to reduce the impending dementia epidemic in China.
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One study indicated that in women aged 55-64, second-hand smoke exposure was associated with more memory deterioration, and risk increased with exposure duration after controlling for other confounders.
“One study indicated that in women aged 55–64 years, second-hand smoke exposure was associated with more memory deterioration and the risk increased with exposure duration even after controlling for other confounding factors.”
From Dementia prevention, intervention, and care: 2020 report of the Lancet Commission (2020) · cites this paper as [115]
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Sorted by citations
Dementia prevention, intervention, and care: 2020 report of the Lancet Commission
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Retracted
- Authors
- Pan, X., Luo, Y., & Roberts, A. R.
- Affiliations
- Texas State University (US)
- Clemson University (US)
- Miami University (US)
- Corresponding author
- Pan, Xi
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-01-12
- Volume
- 187
- Issue
- 5
- Pages
- 911-918
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2784133364
- Cited by
- 46
- References
- 41
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 8 · 2021: 5 · 2020: 7 · 2019: 2 · 2018: 2 · 2017: 2
- FWCI
- 2.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Clemson University
- University of Miami
- Texas State University
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- passive smoking, household tobacco smoke exposure, cognitive function, memory decline, cognitive decline, middle-aged and older women, marital status, educational attainment, depressive symptoms, rural residence, dementia risk, tobacco control, China
- MeSH terms
- Aged, Aged, 80 and over, China, Cognition, Educational Status, Environmental Exposure, Female, Housing, Humans, Longitudinal Studies, Memory Disorders, Middle Aged, Regression Analysis, Rural Population, Tobacco Smoke Pollution, Cognitive Dysfunction
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