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Association between smoking cessation and short-term health-care use: results from an international prospective cohort study (ATTEMPT).
Addiction. 2013 Nov;108(11):1979-88
Publication Type
Emma Beard
Lion Shahab
Susan J Curry
Robert West
Author Affiliation
Cancer Research UK Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK.
Addiction. 2013 Nov;108(11):1979-88
Publication Type
Appointments and Schedules
Canada - epidemiology
Emergency Medical Services - utilization
France - epidemiology
Great Britain - epidemiology
Hospitalization - statistics & numerical data
Middle Aged
Patient Acceptance of Health Care - statistics & numerical data
Prospective Studies
Self Report
Smoking Cessation - statistics & numerical data
Spain - epidemiology
United States - epidemiology
Previous studies have found that smoking cessation is associated with a short-term increase in health-care use. This may be because 'sicker' smokers are more likely to stop smoking. The current study assessed the association between smoking cessation and health-care use, adjusting for pre-cessation physical and mental health conditions.
Data came from the ATTEMPT cohort, a multi-national prospective survey of smokers in the United States, Canada, United Kingdom, France and Spain, that lasted 18 months (with follow-ups every 3 months).
A total of 3645 smokers completed the baseline questionnaire. All participants smoked at least five cigarettes per day, intended to quit smoking within the next 3 months and were between 35 and 65 years of age.
Participants were asked questions about their socio-demographic and smoking characteristics, as well previous smoking-related morbidities. Participants were also asked to report their health-care use in the previous 3 months i.e. emergency room (ER) visits, hospitalization, whether hospitalization required surgery, and health-care appointments.
A total of 8252, 4779 and 1954 baseline episodes of smoking were available for 3, 6 and 12 months, respectively. Of these, 2.8% (n = 230), 0.9% (n = 40) and 0.7% (n = 14) were followed by 3, 6 and 12 months of abstinence. No significant differences were found among 3, 6 or 12 months of abstinence and ER visits, hospitalization and whether hospitalization required surgery or health-care visits. However, 6-month smoking cessation episodes were associated with higher odds of reporting an appointment with a dietician.
Smoking cessation does not appear to be associated with a substantial short-term increase or decrease in health-care use after adjusting for pre-cessation morbidities.
PubMed ID
23795578 View in PubMed
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