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Am J Public Health. 1999 May;89(5):691-8.

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

Author information

  • 1UKK Institute for Health Promotion Research, Tampere, Finland. nina.haapanen@uta.fi

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.

PMID:
10224980
PMCID:
PMC1508744
[PubMed - indexed for MEDLINE]
Free PMC Article
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