Cigarette smoking, mortality, institutional and community-based care utilization in an adult community.
Cigarette smoking, mortality, institutional and community-based care utilization in an adult community.
复制标题
成人社区中的吸烟、死亡率、机构和社区护理利用。
DOI：
10.1007/bf01321724
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发表时间：
1992
影响因子：
5.9
通讯作者：
Barrett-Connor,E
中科院分区：
文献类型：
--
作者：
Kaplan,RM;Wingard,DL;McPhillips,JB;Williams-Jones,D;Barrett-Connor,E
我们在一项前瞻性研究中评估了南加州社区630名老年居民的死亡率和卫生服务利用率。1973-1975年首次评估时，所有参与者的年龄都在65岁或以上。除了每年跟踪重要状况外，参与者在1984-1986年再次接受采访，并询问他们在过渡时期的养老院、医院和社区护理情况。1973-1975年的当前吸烟情况是男性和女性死亡率的重要预测指标。此外，前吸烟状况（1973-1975年之前）显著预测男性和女性的死亡率和住院使用率。然而，吸烟与疗养院的使用或三种社区护理服务的使用没有显著相关。需要更多的研究来确定吸烟与门诊服务使用之间的关系。死亡率和住院病人服务利用的调查结果再次证实了吸烟的危害。
We evaluated mortality and health services utilization in a prospective study of 630 older residents of a Southern California community. All participants were 65 years or older when initially evaluated in 1973–1975. In addition to being followed for vital status each year, participants were reinterviewed in 1984–1986 and asked about nursing home, hospital, and community-based care for the interim period. Current cigarette use in 1973–1975 was a significant predictor of mortality for both men and women. In addition, former smoking status (before 1973–1975) significantly predicted both mortality and hospital inpatient utilization in men and women combined. However, smoking was not significantly associated with nursing home utilization or use of three categories of community-based care services. More research is necessary to identify the relationship between cigarette smoking and outpatient service use. The findings for mortality and inpatient hospital service utilization reaffirm the hazards of cigarette smoking.