Jing Tian1, Alison J Venn1, Leigh Blizzard1, George C Patton2, Terry Dwyer1,3, Seana L Gall4. 1. Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool Street, Hobart, TAS, 7000, Australia. 2. Murdoch Childrens Research Institute, Melbourne, VIC, Australia. 3. The George Institute for Global Health, University of Oxford, Wellington Square, Oxford, UK. 4. Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool Street, Hobart, TAS, 7000, Australia. Seana.Gall@utas.edu.au.
Abstract
PURPOSE: The possibility that tobacco use affects health-related quality of life (HRQoL) has attracted interest. However, a lack of prospective evidence weakens the case for a causal relationship. The aim was to examine the longitudinal relationship between change in smoking status and change in HRQoL in young adults. METHODS: We conducted a population-based cohort study with data collected in 2004-2006 (aged 26-36) and 2009-2011 (aged 31-41). Exposure was change in self-reported smoking status during follow-up. Outcomes were changes in physical and mental HRQoL measured by SF-12. RESULTS: For physical HRQoL (n = 2080), quitters had a 2.12 (95 % confidence interval (CI) 0.73, 3.51) point improvement than continuing smokers, whereas former smokers who resumed smoking had a 2.08 (95 % CI 0.21, 3.94) point reduction than those who maintained cessation. Resumed smokers were 39 % (95 % CI 10, 75 %) more likely to have a clinically significant (>5 point) reduction of physical HRQoL than former smokers who maintained cessation. In contrast, quitters were 43 % (95 % CI 3, 98 %) more likely to have a clinically significant (>5 point) improvement in physical HRQoL than continuing smokers. Change in smoking status was not significantly associated with change in mental HRQoL (n = 1788). CONCLUSIONS: Smoking by young adults was cross-sectionally associated with lower physical HRQoL and longitudinally associated with reductions in physical HRQoL. The expectation of short- to medium-term gains in physical HRQoL as well as long-term health benefits may help motivate young adult smokers to quit.
PURPOSE: The possibility that tobacco use affects health-related quality of life (HRQoL) has attracted interest. However, a lack of prospective evidence weakens the case for a causal relationship. The aim was to examine the longitudinal relationship between change in smoking status and change in HRQoL in young adults. METHODS: We conducted a population-based cohort study with data collected in 2004-2006 (aged 26-36) and 2009-2011 (aged 31-41). Exposure was change in self-reported smoking status during follow-up. Outcomes were changes in physical and mental HRQoL measured by SF-12. RESULTS: For physical HRQoL (n = 2080), quitters had a 2.12 (95 % confidence interval (CI) 0.73, 3.51) point improvement than continuing smokers, whereas former smokers who resumed smoking had a 2.08 (95 % CI 0.21, 3.94) point reduction than those who maintained cessation. Resumed smokers were 39 % (95 % CI 10, 75 %) more likely to have a clinically significant (>5 point) reduction of physical HRQoL than former smokers who maintained cessation. In contrast, quitters were 43 % (95 % CI 3, 98 %) more likely to have a clinically significant (>5 point) improvement in physical HRQoL than continuing smokers. Change in smoking status was not significantly associated with change in mental HRQoL (n = 1788). CONCLUSIONS: Smoking by young adults was cross-sectionally associated with lower physical HRQoL and longitudinally associated with reductions in physical HRQoL. The expectation of short- to medium-term gains in physical HRQoL as well as long-term health benefits may help motivate young adult smokers to quit.
Authors: B Gandek; J E Ware; N K Aaronson; G Apolone; J B Bjorner; J E Brazier; M Bullinger; S Kaasa; A Leplege; L Prieto; M Sullivan Journal: J Clin Epidemiol Date: 1998-11 Impact factor: 6.437
Authors: Annemieke van Straten; Pim Cuijpers; Florence J van Zuuren; Niels Smits; Marianne Donker Journal: Qual Life Res Date: 2006-10-11 Impact factor: 4.147
Authors: Andressa Coelho Gomes; Maria Augusta Bessa Rebelo; Adriana Correa de Queiroz; Ana Paula Correa de Queiroz Herkrath; Fernando José Herkrath; Janete Maria Rebelo Vieira; Juliana Vianna Pereira; Mario Vianna Vettore Journal: Qual Life Res Date: 2019-08-29 Impact factor: 4.147
Authors: Ali Gholami; Shabnam Nadjafi; Farhad Moradpour; Zahra Mousavi Jahromi; Ali Montazeri; Mohamad-Reza Vaez-Mahdavi; Ali Asghar Haeri Mehrizi; Abbas Abbasi-Ghahramanloo; Sare Hatamian; Masoudreza Sohrabi; Mohsen Asadi-Lari Journal: Med J Islam Repub Iran Date: 2018-10-18
Authors: Fiona Schulte; Yan Chen; Yutaka Yasui; Maritza E Ruiz; Wendy Leisenring; Todd M Gibson; Paul C Nathan; Kevin C Oeffinger; Melissa M Hudson; Gregory T Armstrong; Leslie L Robison; Kevin R Krull; I-Chan Huang Journal: JAMA Netw Open Date: 2022-08-01