How Does Tobacco Use Affect the Cognition of Older Adults? A Propensity Score Matching Analysis based on a Large-Scale Survey.

Evidence of a definitive association between tobacco consumption and cognition among older adults is sporadic in low-income and middle-income countries (LMICs). Though tobacco is a risk factor for various diseases including cancer, the extent of its impact on cognitive health among older population is limited. This study contributes to existing literature by highlighting poor cognitive outcomes among older adults who smoke tobacco and consume smokeless tobacco as compared to never tobacco users. Our findings emphasize the need to accelerate tobacco-free generation efforts in LMICs to reach a higher quality of life and active ageing in pursuit of achieving the sustainable development goal of 'good health and well-being'.