Association between smoking cessation and short-term health-care use: results from an international prospective cohort study (ATTEMPT)

作者：Beard Emma^*; Shahab Lion; Curry Susan J; West Robert

来源：Addiction, 2013, 108(11): 1979-1988.

DOI：10.1111/add.12281

• Cigarettes
• cost-benefit analysis
• health-care costs
• health-care use
• hospitalization
• smoking cessation

Background and aimsPrevious studies have found that smoking cessation is associated with a short-term increase in health-care use. This may be because sicker%26apos; 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. %26lt;br%26gt;Design/settingData 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). %26lt;br%26gt;ParticipantsA 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. %26lt;br%26gt;MeasurementsParticipants 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. %26lt;br%26gt;FindingsA 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. %26lt;br%26gt;ConclusionSmoking 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.

• 出版日期2013-11