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The effect of smoki...
The effect of smoking cessation on work disability risk : a longitudinal study analysing observational data as non-randomized nested pseudo-trials
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- Airaksinen, Jaakko (författare)
- Univ Helsinki, Dept Psychol & Logoped, Med, Haartmaninkatu 3,PL 21, FIN-00014 Helsinki, Finland; Finnish Inst Occupat Hlth, Dept Occupat Hlth, Helsinki, Finland
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- Ervasti, Jenni (författare)
- Department of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland
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- Pentti, Jaana (författare)
- Clinicum, University of Helsinki, Helsinki, Finland; Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland
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- Oksanen, Tuula (författare)
- Department of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland
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- Suominen, Sakari (författare)
- Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland
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- Vahtera, Jussi (författare)
- Department of Public Health, University of Turku and Turku University Hospital, Turku, Finland
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- Virtanen, Marianna (författare)
- Uppsala universitet,Folkhälsovetenskap,Department of Occupational Health, Finnish Institute of Occupational Health, Helsinki, Finland
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- Kivimäki, Mika (författare)
- Department 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
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(creator_code:org_t)
- 2019-02-27
- 2019
- Engelska.
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Ingår i: International Journal of Epidemiology. - : Oxford University Press (OUP). - 0300-5771 .- 1464-3685. ; 48:2, s. 415-422
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
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- ref (ämneskategori)
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