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首页> 美国卫生研究院文献>Frontiers in Public Health >Migration Status and Smoking Behaviors in Later-Life in China—Evidence From the China Health and Retirement Longitudinal Study (CHARLS)
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Migration Status and Smoking Behaviors in Later-Life in China—Evidence From the China Health and Retirement Longitudinal Study (CHARLS)

机译：中国晚年人口的迁移状况和吸烟行为-来自中国健康与退休纵向研究（CHARLS）的证据

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>Background: China is the biggest consumer of tobacco in the world, with a high prevalence of smoking especially among men. Along with the rapid demographic change in China, the burden of diseases attributable to health behaviors, particularly smoking is steadily increasing. So, smoking has become a major risk factor for mortality in China. Smoking behaviors may be related to migration processes, as a result of both who migrates and post-migration experiences related to socioeconomic position, stress and acculturation. Existing studies that have examined smoking and migration in China have, however, only focused on temporary rural-to-urban migrants and focused on relatively younger migrants. This paper examines the association between smoking behaviors and a comprehensive assessment of migration status in later-life in China.>Methods: Using the China Health and Retirement Longitudinal Study (CHARLS), a nationally representative dataset, this paper studies smoking behaviors of rural-to-urban migrants, urban-to-urban migrants, rural return migrants, and urban return migrants. We compare them with corresponding non-migrant groups in both rural and urban locations in China. Using a model that controls for demographic factors, early-life circumstances, socioeconomic factors, and factors related to migration, we examine both the decision to start smoking and the decision to quit smoking. In addition, we also address pre-migration selection in our analyses.>Results: The results show rural-to-urban migrants are no more likely to start smoking compared with rural non-migrants, but they are more likely to quit smoking. While urban-to-urban migrants are more likely to start smoking compared with urban non-migrants, this effect is explained by the factors we include in the full model. Urban-to-urban migrants are, however, less likely to quit smoking. Moreover, both rural return migrants and urban return migrants seem to be more likely to start smoking and less likely to quit smoking compared with non-migrant groups.>Conclusion: There are strong associations between migration status and later-life smoking behaviors in China; these associations vary greatly according to different migration status and point to populations and factors that public health activities should focus on.
机译：>背景：中国是世界上最大的烟草消费国，吸烟率很高，尤其是在男性中。随着中国人口的快速变化，健康行为引起的疾病负担，尤其是吸烟正在稳步增加。因此，吸烟已成为中国死亡的主要危险因素。吸烟行为可能与移民过程有关，这是由于移民和与社会经济地位，压力和适应有关的移民后经历的结果。但是，现有的研究调查了中国的吸烟和移民现象，仅针对临时的从农村到城市的移民，而针对的是相对年轻的移民。本文研究了吸烟行为与中国晚年移民状况的综合评估之间的关联。>方法：使用具有全国代表性的数据集“中国卫生与退休纵向研究”（CHARLS）研究了农村到城市移民，城市到城市移民，农村返乡移民和城市返乡移民的吸烟行为。我们将它们与中国农村和城市地区相应的非移民群体进行比较。使用控制人口统计学因素，早期生活状况，社会经济因素以及与移民有关的因素的模型，我们研究了开始吸烟和戒烟的决定。此外，我们还在分析中着重介绍了移民前的选择。>结果：结果表明，与农村非移民相比，农村到城市的移民不太可能开始吸烟，但他们更多可能戒烟。尽管与城市非移民相比，城市到城市的移民更有可能开始吸烟，但这种影响可以通过我们完整模型中包含的因素来解释。但是，城市到城市的移民戒烟的可能性较小。此外，与非移民群体相比，农村返乡移民和城市返乡移民似乎更有可能开始吸烟，而戒烟的可能性较小。>结论：中国的生活吸烟行为；这些协会根据移民状况的不同而有很大差异，它们指向公共卫生活动应关注的人口和因素。

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