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The association between cigarette smoking and health care service utilization among middle-aged and elderly adults in China

Bibliographic Data

ID22074728
AuthorsJiarui Song (0000-0003-1376-1389, Beijing Normal University), Chenggang Jin (0000-0003-0557-7661, Beijing Normal University), Xi Cheng (0009-0000-0753-5620, Beijing Normal University, corresponding author)
Year2022
Volume10
Pages952357-952357
Publication date2022-11-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.952357
PMID36408002
OpenAlexW4308125676
LanguageEN
Citations received1
References cited31

Objective: To assess the associations between tobacco use and health care service utilization in Chinese individuals aged more or equal to 40 years old. Method: This research was a cross-sectional study using data from eight provinces in China, and the final sample consisted of 4,733 observations (4,749 participants) aged more or equal to 40 years old. The dependent variable was health care utilization measured by outpatient and inpatient service utilization. Descriptive statistics were used to summarize the socio-demographic characteristics of the sample according to smoking status. The association between tobacco use and health care service utilization was examined by an instrumental variable (IV) probit model. Results: Of the respondents interviewed in 2020, 3,116 (65.84%) were never smokers, 654 (13.82%) were smokers with the smoking index (SI) <400, and 963(20.34%) were smokers with SI≥400. Smokers with SI <400 reported a 6.80% higher probability of using outpatient services. Smokers with SI <400 and SI≥400 reported a 3.10 and 4.20% higher average probability of using ≥3 outpatient visits than never smokers, respectively. Additionally, smokers with SI <400 and SI≥400 reported a 6.30 and 6.20% higher average probability of using inpatient services than those who had not smoked. Moreover, smokers with SI≥400 were more likely to have had ≥2 hospital visits than nonsmokers. Conclusions: Smokers make greater use of health care services. Control of smoking may ease the burden of related health care utilization

Environmental health · Health care · Inpatient care · Public health · Tobacco control · Demography · Health Promotion and Cardiovascular Prevention · Healthcare Systems and Reforms · Medicine · Nursing · Smoking Behavior and Cessation

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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