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Gepubliceerd in: Quality of Life Research 1/2013

01-02-2013

Quality-adjusted life expectancy (QALE) loss due to smoking in the United States

Auteurs: Haomiao Jia, Matthew M. Zack, William W. Thompson, Shanta R. Dube

Gepubliceerd in: Quality of Life Research | Uitgave 1/2013

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Abstract

Purpose

Estimate quality-adjusted life expectancy (QALE) loss due to smoking and examine trends and state differences in smoking-related QALE loss in the U.S.

Methods

Population health-related quality of life (HRQOL) scores were estimated from the Behavioral Risk Factor Surveillance System. This study constructed life tables based on U.S. mortality files and the mortality linked National Health Interview Survey and calculated QALE for smokers, non-smokers, and the total population.

Results

In 2009, an 18-year-old smoker was expected to have 43.5 (SE = 0.2) more years of QALE, and a non-smoker of the same age was expected to have 54.6 (SE = 0.2) more years of QALE. Therefore, smoking contributed 11.0 (SE = 0.2) years of QALE loss for smokers and 4.1 years (37%) of this loss resulted from reductions in HRQOL alone. At the population level, smoking was associated with 1.9 fewer years of QALE for U.S. adults throughout their lifetime, starting at age 18.

Conclusions

This study demonstrates an application of a recently developed QALE estimation methodology. The analyses show good precision and relatively small bias in estimating QALE––especially at the individual level. Although smokers may live longer today than before, they still have a high disease burden due to morbidities associated with poor HRQOL.
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Metagegevens
Titel
Quality-adjusted life expectancy (QALE) loss due to smoking in the United States
Auteurs
Haomiao Jia
Matthew M. Zack
William W. Thompson
Shanta R. Dube
Publicatiedatum
01-02-2013
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 1/2013
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-012-0118-6

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