ArticleBMJ open2020
Impact of secondhand smoke exposure on cognitive function among middle-aged and older women in China: findings from three waves of the China Health and Retirement Longitudinal Study.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- Association between perceived exposure to secondhand smoke and depression independent of biomarker-measured exposure.BMC public health · 2025Article
- Association of cystatin C kidney function measures with motoric cognitive risk syndrome: evidence from two cohort studies.The journal of nutrition, health & aging · 2025Article
- A synergistic effect of secondhand smoke with vitamin D deficiency on cognitive impairment in older adults: a cross sectional study.Frontiers in nutrition · 2025Article
- What have observational studies taught us about brain health? An exploration of select cardiovascular risks and cognitive function.Cerebral circulation - cognition and behavior · 2024Article
- Urinary nicotine metabolites are associated with cognitive impairment among the elderly in southern China.Tobacco induced diseases · 2023Article
- Cohort study of the effects of occupation and environmental tobacco smoke on the incidence of Alzheimer's disease among seniors.Tobacco induced diseases · 2023Review
- Passive smoking as a risk factor among older adults: an ordered probability approach for Türkiye.Frontiers in public health · 2023Article
- Impact of Cigarette Smoking and Its Interaction with Hypertension and Diabetes on Cognitive Function in Older Americans.Journal of Alzheimer's disease : JAD · 2022Article
- Higher blood cotinine level is associated with worse cognitive functioning in non-smoking older adults.Frontiers in neuroscience · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine the association between secondhand smoke (SSH) and women's global cognitive function and cognitive subdomains.
designCohort study.
participantsData for this study were obtained from the China Health and Retirement Longitudinal Study (2011-2013-2015), and pooled analysis was applied to wave 1 and wave 2 (2011-2013), wave 2 and wave 3 (2013-2015) and wave 1 and wave 3 (2011-2015). Data from a total of 6875 Chinese women with normal cognitive function at baseline were selected for analysis, including 2981 who were interviewed in 2011, 2471 in 2013, and 1894 in 2015. MAIN OUTCOME MEASURES AND
methodsSHS was classified based on the number of exposed years (<25 years, ≥25 years to <30 years, ≥30 years to <40 years, ≥40 years). Global cognitive function, visuospatial ability, orientation and attention, and episodic memory function were used as measures of cognitive function. Three waves of data were pooled using a dummy variable to differentiate between 2-year and 4-year groups. LDV models were used to examine independent associations between SHS and cognitive function. Demographic factors, socioeconomic factors, baseline cognitive functioning and health conditions were controlled for in our models.
resultsSSH was found to be inversely and significantly associated with cognitive function. Compared with those who had not been exposed to household SSH, women who had lived with a smoking husband had a significantly faster cognition decline, especially in global cognitive function (β=-0.33, 95% CI=-0.66 to -0.01, p<0.01), visuospatial ability (β=-0.04, 95% CI=-0.08 to -0.01, p<0.05) and episodic memory function (β=-0.16, 95% CI=-0.31 to -0.01, p=0.031).
conclusionsHousehold SSH exposure for more than 40 years was associated with a more significant decline in global cognitive function, visuospatial ability and episodic memory function, but not in orientation and attention function among older Chinese women.
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