The impact of smoking, alcohol consumption, and physical activity on use of hospital services.

Abstract:

OBJECTIVES:This study investigated the associations of smoking, excess alcohol consumption, and physical inactivity with the use of hospital care. METHODS:A cohort of 19- to 63-year-old Finnish men (n = 2534) and women (n = 2668) were followed prospectively for 16 years. Number of hospital days was extracted from the national hospital discharge registry, while data concerning exposure variables were derived from the baseline questionnaire. RESULTS:After adjustment for confounders, male smokers had 70% (95% confidence interval [CI] = 49%, 95%) and female smokers had 49% (95% CI = 29%, 71%) more hospital days due to my cause than did those who had never smoked. Men consuming a moderate amount of alcohol had 21% (95% CI = 10%, 31%) fewer hospital days due to any cause than did nondrinkers. Men who had the lowest energy expenditure during leisure-time physical activity had 36% (95% CI = 15%, 63%) more hospital days than the most active men. The figure for women was 23% (95% CI = 4%, 44%). CONCLUSIONS:Smoking was strongly associated with an increased use of hospital services. The associations of alcohol consumption and leisure-time physical activity with use of hospital care depended on the diagnosis under study.

journal_name

Am J Public Health

authors

Haapanen-Niemi N,Miilunpalo S,Vuori I,Pasanen M,Oja P

doi

10.2105/ajph.89.5.691

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

691-8

issue

5

eissn

0090-0036

issn

1541-0048

journal_volume

89

pub_type

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