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Alcohol consumption, smoking and overweight as a burden for health care services utilization: a cross-sectional study in Estonia
University of Tartu, Tartu, Estonia / National Institute for Health Development, Tallinn, Estonia.
University of Tartu, Tartu, Estonia.
Södertörn University, School of Social Sciences, Sociology. Södertörn University, School of Social Sciences, SCOHOST (Stockholm Centre on Health of Societies in Transition). National Institute for Health Development, Tallinn, Estonia.ORCID iD: 0000-0003-4453-4760
2013 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 13, 772Article in journal (Refereed) Published
Abstract [en]

Background: Alcohol consumption, smoking and weight problems are common risk factors for different health problems. We examine how these risk factors are associated with the use of health care services.

Methods: Data for 6500 individuals in the 25-64 age group came from three cross-sectional postal surveys conducted in 2004, 2006, and 2008 in Estonia. The effect of alcohol consumption, smoking and weight problems on the use of primary and specialist care services, hospitalizations and ambulance calls was analysed separately for men and women by using binary logistic regression.

Results: Overweight and/or obesity were strongly related to the use of primary care and out-patient specialist services for both genders, and to hospitalizations and ambulance calls for women. Current smoking was related to ambulance calls for both genders, whereas smoking in the past was related to the use of primary care and specialist services among men and to hospitalizations among women. Beer drinking was negatively associated with all types of health care services and similar   association was found between wine drinking and hospitalizations. Wine drinking was positively related to specialist visits. The frequent drinking of strong alcohol led to an increased risk for ambulance calls. Drinking light alcoholic drinks was positively associated with all types of health care services (except ambulance calls) among men and with the use of specialist services among women.

Conclusions: Overweight and smoking had the largest impact on health care utilization in Estonia. Considering the high prevalence of these behavioural risk factors, health policies should prioritize preventive programs that promote healthy lifestyles in order to decrease the disease burden and to reduce health care costs.

Place, publisher, year, edition, pages
2013. Vol. 13, 772
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:sh:diva-19577DOI: 10.1186/1471-2458-13-772ISI: 000323616500001ScopusID: 2-s2.0-84882457623Local ID: 1332/42/2010OAI: oai:DiVA.org:sh-19577DiVA: diva2:642882
Projects
Health and Population Developments in Eastern Europe in the Conditions of Economic Crisis
Funder
The Foundation for Baltic and East European Studies, A052-10
Available from: 2013-08-23 Created: 2013-08-23 Last updated: 2016-10-10Bibliographically approved

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