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Article: Smoking, respiratory disease and health service utilisation: The paradox

TitleSmoking, respiratory disease and health service utilisation: The paradox
Authors
KeywordsHealth services
Hong Kong
Need and demand
Smoking
Issue Date2005
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/socscimed
Citation
Social Science And Medicine, 2005, v. 60 n. 3, p. 483-490 How to Cite?
AbstractWe compared need for and utilisation of health services among young, healthy smokers who did not want to quit "the non-motivated", and "motivated smokers", relative to never-smokers. This cross-sectional study included 9915 Hong Kong police officers. We assessed smoking status, differentiating non-motivated from motivated smokers. Need was measured as the number of respiratory symptoms, and utilisation as the number of doctor consultations. All smokers had significantly more respiratory symptoms, but relatively lower utilisation. After adjusting for other factors, the odds ratio for utilisation was 0.77 (95% CI 0.64-0.93) for motivated smokers and 0.62 (95% CI 0.50-0.77) for non-motivated, relative to never-smokers (p for trend<0.001). Young, relatively healthy smokers, particularly the non-motivated, utilise less health services relative to the amount of symptoms. This has implications for planning smoking cessation services. © 2004 Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/48556
ISSN
2015 Impact Factor: 2.814
2015 SCImago Journal Rankings: 1.894
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorAdab, Pen_HK
dc.contributor.authorMcGhee, SMen_HK
dc.contributor.authorHedley, AJen_HK
dc.contributor.authorLam, THen_HK
dc.date.accessioned2008-05-22T04:17:03Z-
dc.date.available2008-05-22T04:17:03Z-
dc.date.issued2005en_HK
dc.identifier.citationSocial Science And Medicine, 2005, v. 60 n. 3, p. 483-490en_HK
dc.identifier.issn0277-9536en_HK
dc.identifier.urihttp://hdl.handle.net/10722/48556-
dc.description.abstractWe compared need for and utilisation of health services among young, healthy smokers who did not want to quit "the non-motivated", and "motivated smokers", relative to never-smokers. This cross-sectional study included 9915 Hong Kong police officers. We assessed smoking status, differentiating non-motivated from motivated smokers. Need was measured as the number of respiratory symptoms, and utilisation as the number of doctor consultations. All smokers had significantly more respiratory symptoms, but relatively lower utilisation. After adjusting for other factors, the odds ratio for utilisation was 0.77 (95% CI 0.64-0.93) for motivated smokers and 0.62 (95% CI 0.50-0.77) for non-motivated, relative to never-smokers (p for trend<0.001). Young, relatively healthy smokers, particularly the non-motivated, utilise less health services relative to the amount of symptoms. This has implications for planning smoking cessation services. © 2004 Elsevier Ltd. All rights reserved.en_HK
dc.format.extent71396 bytes-
dc.format.extent1807 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/socscimeden_HK
dc.relation.ispartofSocial Science and Medicineen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectHealth servicesen_HK
dc.subjectHong Kongen_HK
dc.subjectNeed and demanden_HK
dc.subjectSmokingen_HK
dc.titleSmoking, respiratory disease and health service utilisation: The paradoxen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0277-9536&volume=60&issue=3&spage=483&epage=490&date=2005&atitle=Smoking,+respiratory+disease+and+health+service+utilisation:+The+paradoxen_HK
dc.identifier.emailMcGhee, SM:smmcghee@hkucc.hku.hken_HK
dc.identifier.emailHedley, AJ:hrmrajh@hkucc.hku.hken_HK
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.authorityMcGhee, SM=rp00393en_HK
dc.identifier.authorityHedley, AJ=rp00357en_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.description.naturepostprinten_HK
dc.identifier.doi10.1016/j.socscimed.2004.06.001en_HK
dc.identifier.pmid15550297-
dc.identifier.scopuseid_2-s2.0-8644254939en_HK
dc.identifier.hkuros96819-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-8644254939&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume60en_HK
dc.identifier.issue3en_HK
dc.identifier.spage483en_HK
dc.identifier.epage490en_HK
dc.identifier.isiWOS:000226404000004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridAdab, P=6601949045en_HK
dc.identifier.scopusauthoridMcGhee, SM=7003288588en_HK
dc.identifier.scopusauthoridHedley, AJ=7102584095en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK

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