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Smoking and the compression of morbidity

Bibliographic Data

ID11177584
AuthorsW J Nusselder (University of Amsterdam, corresponding author), C W N Looman (0009-0007-0766-1177, University of Amsterdam), P J Marang-van de Mheen (University of Amsterdam), H Van De Mheen (University of Amsterdam), J P Mackenbach (0000-0002-8954-6557, University of Amsterdam)
Year2000
Volume54
Issue8
Pages566-574
Publication date2000-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Epidemiology and Community Health (JOURNAL)
Journal identifiersISSN: 0143-005X • E-ISSN: 1470-2738
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jech.54.8.566
PMID10890867
OpenAlexW2116730279
LanguageEN
Citations received16
References cited17

OBJECTIVE: To examine whether eliminating smoking will lead to a reduction in the number of years lived with disability (that is, absolute compression of morbidity). DESIGN: Multistate life table calculations based on the longitudinal GLOBE study (the Netherlands) combined with the Longitudinal Study of Aging (LSOA, United States of America). SETTING: the Netherlands. SUBJECTS: Dutch nationals aged 30-74 years living in the city of Eindhoven and surrounding municipalities (GLOBE) and United States citizens age 70 and over (LSOA). MAIN OUTCOME MEASURES: Life expectancy with and without disability and total life expectancy at ages 30 and 70. RESULTS: A non-smoking population on balance spends fewer years with disability than a mixed smoking-non-smoking population. Although non-smokers have lower mortality risks and thus are exposed to disability over a longer period of time, their lower incidence of disability and higher recovery from disability yield a net reduction of the length of time spent with disability (at age 30: -0.9 years in men and -1.1 years in women) and increases the length of time lived without disability (2.5 and 1.9 years, for men and women, respectively). These outcomes indicate that elimination of smoking will extend life and the period of disability free life, and will compress disability into a shorter period. CONCLUSIONS: Eliminating smoking will not only extend life and result in an increase in the number of years lived without disability, but will also compress disability into a shorter period. This implies that the commonly found trade off between longer life and a longer period with disability does not apply. Interventions to discourage smoking should receive high priority

Environmental health · Incidence (geometry) · Life expectancy · Population · Population ageing · Years of potential life lost · Balance, Gait, and Falls Prevention · Demography · Health disparities and outcomes · Medicine · Smoking Behavior and Cessation · Gerontology

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Unique citing works16
Citations per year0.62
Citation span2000 - 2023 (24)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 15

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