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  1. The impact of smoking and quitting on health care use.

    Article - En anglais

    Background 

    The magnitude and timing of the impact of effects of smoking cessation on inpatient and outpatient health care use are uncertain.

    Methods 

    Comparison of the use of outpatient and hospital services over time of 2440 persistent smokers and 244 biochemically verified quitters, all of whom were participants in two independent randomized trials of smoking cessation interventions.

    Results 

    Continued smokers in both trials experienced a 7% to 15% increase in outpatient visits and a 30% to 45% increase in hospital admissions over 5 to 6 years of follow-up.

    The positive slopes approached or reached statistical significance for all use variables in both trial populations.

    Among quitters, all health care use rates significantly increased during the year in which they quit ; after that, the rates declined progressively.

    By the fourth year after quitting, all use rates among quitters were lower than those for smokers.

    The increase in hospitalizations during the year of quitting was more often a cause rather than a consequence of successful smoking cessation.

    Conclusion 

    Successful smoking cessation appears to halt the progressive increase in the use of health services associated with continued smoking within a 4-year period.

    Mots-clés Pascal : Psychopathologie, Exploration, Homme, Service santé, Utilisation, Tabagisme, Arrêt

    Mots-clés Pascal anglais : Psychopathology, Exploration, Human, Health service, Use, Tobacco smoking, Shutdown

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0516690

    Code Inist : 002B18C05C. Création : 01/03/1996.