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The impact of smoking, alcohol consumption, and physical activity on use of hospital services

Author

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  • Haapanen-Niemi, N.
  • Miilunpalo, S.
  • Vuori, I.
  • Pasanen, M.
  • Oja, P.

Abstract

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 any 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.

Suggested Citation

  • Haapanen-Niemi, N. & Miilunpalo, S. & Vuori, I. & Pasanen, M. & Oja, P., 1999. "The impact of smoking, alcohol consumption, and physical activity on use of hospital services," American Journal of Public Health, American Public Health Association, vol. 89(5), pages 691-698.
    • Handle: RePEc:aph:ajpbhl:1999:89:5:691-698_4
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    Cited by:

    1. Lenzen, Sabrina & Gannon, Brenda & Rose, Christiern & Norton, Edward C., 2023. "The relationship between physical activity, cognitive function and health care use: A mediation analysis," Social Science & Medicine, Elsevier, vol. 335(C).
    2. Nazmi Sari, 2009. "Physical inactivity and its impact on healthcare utilization," Health Economics, John Wiley & Sons, Ltd., vol. 18(8), pages 885-901, August.
    3. Nazmi Sari, 2011. "Does Physical Exercise Affect Demand for Hospital Services? Evidence from Canadian Panel Data," Chapters, in: Plácido Rodríguez & Stefan Késenne & Brad R. Humphreys (ed.), The Economics of Sport, Health and Happiness, chapter 4, Edward Elgar Publishing.
    4. Johar, Meliyanni & Jones, Glenn & Savage, Elizabeth, 2013. "The effect of lifestyle choices on emergency department use in Australia," Health Policy, Elsevier, vol. 110(2), pages 280-290.
    5. 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.
    6. Martin Browning & Anne Møller Danø & Eskil Heinesen, 2003. "Job Displacement and Health Outcomes: A Representative Panel Study," CAM Working Papers 2003-14, University of Copenhagen. Department of Economics. Centre for Applied Microeconometrics.

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