Smoking and the compression of morbidity

WJ Nusselder, CWN Looman, PJM van de Mheen, H van de Mheen, JP Mackenbach

Research output: Contribution to journalArticleScientificpeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)566-574
JournalJournal of Epidemiology and Community Health
Volume54
Issue number8
DOIs
Publication statusPublished - 2000
Externally publishedYes

Keywords

  • HEALTH-CARE
  • LIFE
  • NETHERLANDS
  • EXPECTANCY
  • POPULATION
  • DISABILITY
  • PREDICTORS
  • MORTALITY
  • SMOKERS

Cite this

Nusselder, WJ., Looman, CWN., van de Mheen, PJM., van de Mheen, H., & Mackenbach, JP. (2000). Smoking and the compression of morbidity. Journal of Epidemiology and Community Health, 54(8), 566-574. https://doi.org/10.1136/jech.54.8.566
Nusselder, WJ ; Looman, CWN ; van de Mheen, PJM ; van de Mheen, H ; Mackenbach, JP. / Smoking and the compression of morbidity. In: Journal of Epidemiology and Community Health. 2000 ; Vol. 54, No. 8. pp. 566-574.
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Nusselder, WJ, Looman, CWN, van de Mheen, PJM, van de Mheen, H & Mackenbach, JP 2000, 'Smoking and the compression of morbidity' Journal of Epidemiology and Community Health, vol. 54, no. 8, pp. 566-574. https://doi.org/10.1136/jech.54.8.566

Smoking and the compression of morbidity. / Nusselder, WJ; Looman, CWN; van de Mheen, PJM; van de Mheen, H; Mackenbach, JP.

In: Journal of Epidemiology and Community Health, Vol. 54, No. 8, 2000, p. 566-574.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Smoking and the compression of morbidity

AU - Nusselder, WJ

AU - Looman, CWN

AU - van de Mheen, PJM

AU - van de Mheen, H

AU - Mackenbach, JP

PY - 2000

Y1 - 2000

N2 - ObjectiveTo examine whether eliminating smoking will lead to a reduction in the number of years lived with disability (that is, absolute compression of morbidity).DesignMultistate 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.SubjectsDutch 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 measuresLife expectancy with and without disability and total life expectancy at ages 30 and 70.ResultsA 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.ConclusionsEliminating 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.

AB - ObjectiveTo examine whether eliminating smoking will lead to a reduction in the number of years lived with disability (that is, absolute compression of morbidity).DesignMultistate 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.SubjectsDutch 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 measuresLife expectancy with and without disability and total life expectancy at ages 30 and 70.ResultsA 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.ConclusionsEliminating 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.

KW - HEALTH-CARE

KW - LIFE

KW - NETHERLANDS

KW - EXPECTANCY

KW - POPULATION

KW - DISABILITY

KW - PREDICTORS

KW - MORTALITY

KW - SMOKERS

U2 - 10.1136/jech.54.8.566

DO - 10.1136/jech.54.8.566

M3 - Article

VL - 54

SP - 566

EP - 574

JO - Journal of Epidemiology and Community Health

JF - Journal of Epidemiology and Community Health

SN - 0143-005X

IS - 8

ER -