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Tob Control 2000;9:389-396 ( Winter )

Short term effects of cigarette smoking on hospitalisation and associated lost workdays in a young healthy population

Anthony S Robbinsa, Vincent P Fonsecaa, Susan Y Chaoa, Gary A Coila, Nicole S Bellb, Paul J Amorosoc

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.


Keywords: young men; hospitalisation; lost workdays; employers


© 2000 by Tobacco Control



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