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If smoking increases absences, does quitting reduce them?

J L Sindelar1, N Duchovny, T A Falba

  • 1Department of Epidemiology and Public Health, Yale University, New Haven, Connecticut, USA.

Tobacco Control
|March 26, 2005
PubMed
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Smoking cessation initially increases work absences, but these decrease over time. Former smokers experience higher absences shortly after quitting compared to current smokers.

Area of Science:

  • Occupational Health
  • Public Health
  • Epidemiology

Background:

  • Smoking is a significant public health concern with known health implications.
  • Work absences due to illness impact productivity and economic outcomes.
  • Understanding the relationship between smoking cessation and work absences is crucial for employee well-being and organizational efficiency.

Purpose of the Study:

  • To investigate the association between smoking status, smoking cessation, and work absences.
  • To determine how the duration of time since quitting smoking affects absence rates.
  • To analyze the immediate and long-term effects of quitting on employee absenteeism.

Main Methods:

  • Utilized data from the Tobacco Use Supplements of the Current Population Surveys (1992/93, 1995/96, 1998/99).

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  • Included a large sample of full-time workers aged 18-64 years (n=383,778).
  • Analyzed sickness-related absences as a function of smoking status and time since quitting, controlling for demographic variables.

    • Main Results:

    • Initial analysis showed smoking increased absences, and quitting did not immediately reduce them.
    • Workers who quit within the last year, particularly the last three months, had higher absence rates than current smokers.
    • Absence rates for former smokers approached those of never-smokers as time since quitting increased.

    Conclusions:

    • Smokers who quit experience an initial increase in work absences, followed by a reduction over time.
    • The short-term increase in absences post-cessation may be partly attributed to quitting while ill.
    • Smoking cessation's impact on work absences is dynamic, with a delayed benefit observed over longer periods.