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Smoking and sickness absence: a systematic review and meta-analysis
| Content Provider | Directory of Open Access Journals (DOAJ) |
|---|---|
| Author | Sigrid A. Troelstra Pieter Coenen Cécile RL Boot Janneke Harting Anton E. Kunst Allard J. van der Beek |
| Abstract | OBJECTIVES: Evidence on the effect of smoking on sickness absence could guide workplace smoking cessation interventions and encourage employers to promote smoking cessation among their employees. This systematic review and meta-analysis aimed to summarize evidence on the association between smoking and sickness absence and determine whether there are differences in this association for study design, methodology, and sample characteristics. METHODS: We searched for studies that reported on smoking status and sickness absence, used empirical data, were published in a peer-reviewed journal in the last 25 years, and written in English. We conducted pooled analyses in which uni- and multivariate generalized linear regression models were applied. RESULTS: After screening 2551 unique records, 46 articles from 43 studies were included, of which 33 studies (with 1 240 723 participants) could be included in the pooled analyses. Smoking was associated with an 31% increase in risk of sickness absence compared to non-smoking (95% confidence interval (CI) 1.24–39). We did not find statistically significant different effect sizes for study location, gender, age, occupational class, study design, assessment of sickness absence, short- versus long-term sickness absence, and adjustment for relevant confounders. Furthermore, smoking was associated with 2.89 more sickness absence days per year compared to non-smoking (95% CI 2.08–3.70). CONCLUSIONS: We found robust evidence showing that smoking increases both the risk and number of sickness absence days in working populations, regardless of study location, gender, age, and occupational class. Encouraging smoking cessation at the workplace could therefore be beneficial for employers and employees. |
| Related Links | https://www.sjweh.fi/show_abstract.php?abstract_id=3848 |
| ISSN | 03553140 |
| e-ISSN | 1795990X |
| DOI | 10.5271/sjweh.3848 |
| Journal | Scandinavian Journal of Work, Environment & Health |
| Issue Number | 1 |
| Volume Number | 46 |
| Language | English |
| Publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| Publisher Date | 2020-01-01 |
| Publisher Place | Finland |
| Access Restriction | Open |
| Subject Keyword | Public aspects of medicine Sickness Absence Meta-regression Analysis Smoker Review Sick Leave Smoking Meta-analysis Absenteeism Systematic Review Tobacco |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health |
