Smoking Status, Changes in Smoking Status and Health-Related Quality of Life: Findings from the SUN (“Seguimiento Universidad de Navarra”) Cohort

Mario Guitérrez-Bedmar, María Seguí-Gómez, Enrique Gómez-Gracia, Maira Bes-Rastrollo and Miguel A. Martínez-González
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Mario Guitérrez-Bedmar: Universidad de Málaga (Spain), Dpt. of Preventive Medicine and Public Health / School of Medicine, Campus de Teatinos, 29071 Málaga, Spain
María Seguí-Gómez: Universidad de Navarra (Spain), Dpt. of Preventive Medicine and Public Health / School of Medicine, Irunlarrea 1, Edif. Investigación, 31080 Pamplona, Spain
Enrique Gómez-Gracia: Universidad de Málaga (Spain), Dpt. of Preventive Medicine and Public Health / School of Medicine, Campus de Teatinos, 29071 Málaga, Spain
Maira Bes-Rastrollo: Universidad de Navarra (Spain), Dpt. of Preventive Medicine and Public Health / School of Medicine, Irunlarrea 1, Edif. Investigación, 31080 Pamplona, Spain
Miguel A. Martínez-González: Universidad de Navarra (Spain), Dpt. of Preventive Medicine and Public Health / School of Medicine, Irunlarrea 1, Edif. Investigación, 31080 Pamplona, Spain

IJERPH, 2009, vol. 6, issue 1, 1-11

Abstract: We aimed to evaluate the association between smoking, changes in smoking, and quality of life in a cohort of Spanish university graduates. Smoking habits were self-reported at baseline and four years later. Quality of life was assessed using the Short Form-36 (SF-36) at year 4. Statistical differences in SF-36 scores between groups were determined using ANCOVA with age and sex as covariates. Out of 5,234 eligible participants over 2000-2006, there were 2,639 non-smoker participants, 1,419 ex-smokers, and 1,048 smokers. Within the previous four years, 435 participants became recent quitters and 205 starters. Comparing smoking and health status in year 4, non-smokers showed better scores than the other categories of ever smoking in all dimensions except in the vitality scale value, which was similar in non-smokers and in those smoking less than 15 cigarettes/day. Comparing changes in smoking and health in year 4, continuing smokers had statistically significant worse scores than non-smokers in general health, social functioning, role-emotional and mental health, whereas recent quitters showed statistically significant improvements in role-emotional and mental health over those who had continued smoking or those who became smokers. Our findings support a dose-response relationship between cigarette consumption and a worse quality of life in general and mental health in particular. They also support that changes in smoking have an impact on health.

Keywords: Health related quality of life; SF-36; Tobacco (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2009
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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