吸烟、饮酒及体育活动对医院服务利用的影响。
The impact of smoking, alcohol consumption, and physical activity on use of hospital services.
作者信息
Haapanen-Niemi N, Miilunpalo S, Vuori I, Pasanen M, Oja P
机构信息
UKK Institute for Health Promotion Research, Tampere, Finland.
出版信息
Am J Public Health. 1999 May;89(5):691-8. doi: 10.2105/ajph.89.5.691.
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.
目的
本研究调查了吸烟、过量饮酒和缺乏体育锻炼与住院治疗之间的关联。
方法
对2534名19至63岁的芬兰男性和2668名女性组成的队列进行了为期16年的前瞻性随访。住院天数从国家医院出院登记处提取，而有关暴露变量的数据则来自基线调查问卷。
结果
在对混杂因素进行调整后，男性吸烟者因各种原因导致的住院天数比从不吸烟的人多70%（95%置信区间[CI]=49%，95%），女性吸烟者则多49%（95%CI=29%，71%）。适量饮酒的男性因任何原因导致的住院天数比不饮酒者少21%（95%CI=10%，31%）。在休闲体育活动中能量消耗最低的男性比最活跃的男性住院天数多36%（95%CI=15%，63%）。女性的这一数字为23%（95%CI=4%，44%）。
结论
吸烟与住院服务使用增加密切相关。饮酒和休闲体育活动与住院治疗的关联取决于所研究的诊断。
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