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Primary health care utilisation and its costs among middle-aged smokers

Author

Listed:
  • Jaana Keto

    (University of Oulu)

  • Hanna Ventola

    (Institute of Biomedicine, University of Helsinki)

  • Jari Jokelainen

    (University of Oulu)

  • Markku Timonen

    (University of Oulu)

  • Kari Linden

    (Pfizer Oy)

  • Tero Ylisaukko-oja

    (University of Oulu)

  • Sirkka Keinänen-Kiukaanniemi

    (University of Oulu)

  • Juha Auvinen

    (University of Oulu)

Abstract

Objective To study and compare the utilisation of primary health care services among 46-year-old current smokers, ex-smokers and never-smokers, and to estimate the corresponding costs. Methods This population-based cohort study is based on the Northern Finland Birth Cohort 1966, which is a longitudinal research program in Finland’s two northernmost provinces. The study is based on data collected at the 46-year follow-up, during which a total of 4997 individuals completed questionnaires on their primary health care service utilisation. Primary health care covered visits to both occupational and public health care (typically community health centres). Results Current smokers visited primary health care professionals more often per year than never-smokers, regardless of gender (RR 1.24, 95 % confidence interval 1.10–1.43 for men; RR 1.10, 1.01–1.22 for women). When primary health care services were categorised based on the type of service provided, current smokers of both genders were more likely to visit a dentist (RR 1.56, 1.32–1.84 for men; RR 1.34, 1.15–1.55 for women) or a physician (RR 1.20, 1. 03–1.40 for men; RR 1.15, 1.02–1.30 for women) than their never-smoking counterparts (BMI adjusted for). For men, the total annual costs of primary health care visits were 28 % higher for current smokers versus never-smokers (P

Suggested Citation

  • Jaana Keto & Hanna Ventola & Jari Jokelainen & Markku Timonen & Kari Linden & Tero Ylisaukko-oja & Sirkka Keinänen-Kiukaanniemi & Juha Auvinen, 2017. "Primary health care utilisation and its costs among middle-aged smokers," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(3), pages 351-360, April.
    • Handle: RePEc:spr:eujhec:v:18:y:2017:i:3:d:10.1007_s10198-016-0793-2
    DOI: 10.1007/s10198-016-0793-2
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    References listed on IDEAS

    as
    1. Zeileis, Achim & Kleiber, Christian & Jackman, Simon, 2008. "Regression Models for Count Data in R," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 27(i08).
    2. Sunday Azagba & Mesbah Sharaf & Christina Xiao Liu, 2013. "Disparities in health care utilization by smoking status in Canada," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 913-925, December.
    3. repec:dau:papers:123456789/10510 is not listed on IDEAS
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    More about this item

    Keywords

    Smoking; Primary health care service utilisation; Visits to primary health care professionals; Costs of smoking; Ex-smokers;
    All these keywords.

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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