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a Office for
Prevention and Health Services Assessment, Air Force Medical Operations
Agency, Brooks Air Force Base, Texas, USA, b SDSS, Inc, Natick, Massachusetts, and Department
of Social and Behavioral Sciences, Boston University School of Public
Health, Boston, Massachusetts, USA, c US Army Research Institute of Environmental
Medicine, Natick, Massachusetts, USA
Correspondence to: Major Anthony S Robbins, Office for Prevention and Health Services Assessment, 2602 Doolittle Road, Building 804, Brooks Air Force Base, Texas 78235-5249, USA; anthony.robbins{at}ophsa.brooks.af.mil
Received 18 November
1999; Revision received 24 February 2000;
Accepted 10 March 2000
OBJECTIVE
There are
relatively few published studies conducted among people of younger ages
examining short term outcomes of cigarette smoking, and only a small
number with outcomes important to employers. The present study was
designed to assess the short term effects of smoking on hospitalisation
and lost workdays.
DESIGN
Retrospective
cohort study.
SETTING
Military population.
SUBJECTS
87 991 men
and women serving on active duty in the US Army during 1987 to 1998 who
took a health risk appraisal two or more times and were followed for an
average of 2.4 years.
MAIN OUTCOME
MEASURES
Rate ratios for hospitalisations and lost
workdays, and fraction of hospitalisations and lost workdays
attributable to current smoking (population attributable fraction).
RESULTS
Compared with
never smokers, men and women who were current smokers had higher short
term rates of hospitalisation and lost workdays for a broad range of
conditions. Population attributable fractions (PAFs) for outcomes not
related to injury or pregnancy were 7.5% (men) and 5.0% (women) for
hospitalisation, and 14.1% (men) and 3.0% (women) for lost workdays.
Evidence suggests that current smoking may have been under reported in
this cohort, in which case the true PAFs would be higher than those reported.
CONCLUSIONS
In this
young healthy population, substantial fractions of hospitalisations and
lost workdays were attributable to current smoking, particularly among men.
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