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The effect of smoki...
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Airaksinen, JaakkoUniv Helsinki, Dept Psychol & Logoped, Med, Haartmaninkatu 3,PL 21, FIN-00014 Helsinki, Finland; Finnish Inst Occupat Hlth, Dept Occupat Hlth, Helsinki, Finland
(författare)
The effect of smoking cessation on work disability risk : a longitudinal study analysing observational data as non-randomized nested pseudo-trials
- Artikel/kapitelEngelska2019
Förlag, utgivningsår, omfång ...
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2019-02-27
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Oxford University Press (OUP),2019
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electronicrdacarrier
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LIBRIS-ID:oai:DiVA.org:uu-390154
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-390154URI
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https://doi.org/10.1093/ije/dyz020DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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BackgroundSmoking increases disability risk, but the extent to which smoking cessation reduces the risk of work disability is unclear. We used non-randomized nested pseudo-trials to estimate the benefits of smoking cessation for preventing work disability.MethodsWe analysed longitudinal data on smoking status and work disability [long-term sickness absence (≥90 days) or disability pension] from two independent prospective cohort studies—the Finnish Public Sector study (FPS) (n = 7393) and the Health and Social Support study (HeSSup) (n = 2701)—as ‘nested pseudo-trials’. All the 10 094 participants were smokers at Time 1 and free of long-term work disability at Time 2. We compared the work disability risk after Time 2 of the participants who smoked at Time 1 and Time 2 with that of those who quit smoking between these times.ResultsOf the participants in pseudo-trials, 2964 quit smoking between Times 1 and 2. During the mean follow-up of 4.8 to 8.6 years after Time 2, there were 2197 incident cases of work disability across the trials. Quitting smoking was associated with a reduced risk of any work disability [summary hazard ratio = 0.89, 95% confidence interval (CI) 0.81–0.98]. The hazard ratio for the association between quitting smoking and permanent disability pension (928 cases) was of similar magnitude, but less precisely estimated (0.91, 95% CI 0.81–1.02). Among the participants with high scores on the work disability risk score (top third), smoking cessation reduced the risk of disability pension by three percentage points. Among those with a low risk score (bottom third), smoking cessation reduced the risk by half a percentage point.ConclusionsOur results suggest an approximately 10% hazard reduction of work disability as a result of quitting smoking.
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Ervasti, JenniDepartment of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland
(författare)
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Pentti, JaanaClinicum, University of Helsinki, Helsinki, Finland; Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland
(författare)
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Oksanen, TuulaDepartment of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland
(författare)
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Suominen, SakariDepartment of Public Health, University of Turku and Turku University Hospital, Turku, Finland
(författare)
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Vahtera, JussiDepartment of Public Health, University of Turku and Turku University Hospital, Turku, Finland
(författare)
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Virtanen, MariannaUppsala universitet,Folkhälsovetenskap,Department of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland(Swepub:uu)marvi534
(författare)
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Kivimäki, MikaDepartment of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland; Clinicum, University of Helsinki, Helsinki, Finland; Department of Epidemiology and Public Health, University College London, London, UK
(författare)
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Univ Helsinki, Dept Psychol & Logoped, Med, Haartmaninkatu 3,PL 21, FIN-00014 Helsinki, Finland; Finnish Inst Occupat Hlth, Dept Occupat Hlth, Helsinki, FinlandDepartment of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:International Journal of Epidemiology: Oxford University Press (OUP)48:2, s. 415-4220300-57711464-3685
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