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Cigarette smoking and nursing home utilization in the United States: An estimate of 1993 national and state nursing home expenditures attributable to cigarette smoking

Posted on:2000-10-17Degree:Ph.DType:Dissertation
University:University of California, BerkeleyCandidate:Zhang, XiulanFull Text:PDF
GTID:1464390014463049Subject:Social work
Abstract/Summary:
his dissertation studied the relationship between cigarette smoking and cost of nursing home care. Based on the 1982 and 1987 National Health and Nutrition Examination Survey (NHANES I) Epidemiologic Follow-up Study (NHEFS), a national model of the effect of smoking on the proportion of time spent alive on an annual basis in a nursing home was estimated. The national model was then applied to each state's Behavioral Risk Factor Surveillance System (BRFSS) data set to derive the 1993 national and state estimates of smoking-attributable fractions and smoking-attributable expenditures of nursing home care.;This study demonstrated that cigarette smoking caused a higher use of nursing home care due to the adverse effects of smoking-related diseases, which in turn increased, the needs for institutional long-term care. This study also demonstrated that a smoking spouse increased the likelihood of widowhood for an individual, which increased his/her risk of nursing home utilization.;This study estimated the national total smoking-attributable fraction of nursing home expenditures in 1993 to be 22.03 percent. The smoking-attributable fraction through the effect of a smoking-related disease due to self-smoking was 8.54 percent. The smoking-attributable fraction through the effect of widowhood due to spousal smoking was 13.49 percent.;This study estimated that the 1993 total smoking-attributable nursing home expenditures were...
Keywords/Search Tags:Nursing home, Smoking, National, Health
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