Smoke-free air for all generations

Understanding the effects of secondhand smoking on the health of older adults in order to better protect them.

Older adults are particularly vulnerable to secondhand smoke. As the body ages, it becomes more fragile: immune defenses weaken, the respiratory system loses efficiency, and the heart becomes more sensitive to external stressors. Consequently, involuntary inhalation of tobacco smoke can have serious health consequences for them, even at low levels of exposure​. 

However, protecting themselves from secondhand smoke is not always easy for older adults. Their limited mobility may prevent them from quickly moving away from a smoke-filled environment. They may also find it harder to voice their needs or assert themselves with neighbours or family members who smoke. Some hesitate to speak up for fear of being a nuisance or being perceived as demanding. 

It is therefore essential that we—whether as family members, caregivers, neighbors, or community members—remain attentive to these situations. As we will see on this page, there are concrete ways to help older adults effectively protect themselves from secondhand smoke. 

    Health risks include:

        • Cardiovascular diseases: increased risk of heart attack and stroke.
        • Chronic respiratory disorders: worsening of asthma and chronic obstructive pulmonary disease (COPD), persistent cough, and shortness of breath.
        • Lung cancer: the risk is increased even in the absence of active smoking.
        • Cognitive decline: several studies suggest a link between prolonged exposure and the deterioration of cognitive functions (memory, attention).
        • Sleep quality: exposure to smoke can also impair nighttime rest, which is essential for healthy aging.

    Where are older adults exposed to secondhand smoke? 

    Contrary to popular belief, the home is often the primary site of exposure to secondhand smoke, particularly when a family member or close contact smokes indoors. Long-term care facilities, retirement homes, and other shared living environments can also pose a risk, especially if they are poorly ventilated or lack strictly smoke-free areas. 

    For elderly people with reduced mobility, avoiding smoke-filled areas becomes very difficult, if not impossible. They cannot always move to another room or go outside for fresh air without assistance. This involuntary exposure can cause significant stress and a sense of helplessness, and may even lead to isolation or the abandonment of certain social activities due to the fear of being exposed to smoke. 

    Protecting older adults from secondhand smoke therefore also means enabling them to live peacefully, maintain their social connections, and preserve their quality of life. 

    How can we protect our seniors?

     

    For family and friends

    • Never smoke indoors; even an open window is not enough.
    • Create smoke-free areas at home.
    • Inform caregivers and visitors about the real risks of secondhand smoke.

    For facilities:

    • Implement clear, visible rules regarding non-smoking areas.
    • Raise awareness among staff and residents.
    • Facilitate access to sheltered, well-ventilated outdoor areas.