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The effect of cigarette smoking on musculoskeletal-related disability.

Authors
Lincoln-AE; Smith-GS; Amoroso-PJ; Bell-NS
Source
Am J Ind Med 2003 Apr; 43(4):337-349
NIOSHTIC No.
20029212
Abstract
This study describes cigarette smoking's effect on development of physical disability following initial musculoskeletal-related hospitalization. We followed 15,140 US Army personnel hospitalized for common musculoskeletal disorders between 1989-1996 for up to 8 years (1997) to assess risk for long-term physical disability. Trends between increased smoking level and long-term disability were identified for persons with knee injuries, rotator cuff injuries, and intervertebral disc displacement. In proportional hazards models, disability was significantly associated with heavy smoking among all subjects (relative hazard (RH) = 1.21). Both heavy smokers (RH = 1.49) and light to moderate smokers (RH = 1.44) were at greater risk for disability following meniscal injuries. Excess fraction due to smoking among subjects with meniscal injuries who currently smoke was 38%. Findings suggest an association between smoking and development of disability following meniscal injury. Given the high excess fraction of disability associated with smoking, other studies are needed to confirm this association.
Keywords
Cigarette-smoking; Smoking; Musculoskeletal-system-disorders; Military-personnel; Risk-factors; Risk-analysis; Disabled-workers; Injuries; Occupational-health; Occupational-hazards; Models
Contact
Andrew E. Lincoln, War-Related Illness and Injury Study Center, VA Medical Center, Mail stop 11, 50 Irving Street, NW, Washington DC 20422
CODEN
AJIMD8
Publication Date
20030401
Document Type
Journal Article
Email Address
Andrew.Lincoln@med.va.gov
Funding Type
Grant
Fiscal Year
2003
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003703
Issue of Publication
4
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
DC; MA; MD
Performing Organization
Johns Hopkins University - Baltimore
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