Smoking cessation after long-term sick leave due to cancer in comparison with          cardiovascular disease: Japan Epidemiology Collaboration on Occupational Health          Study

Keisuke KUWAHARA; Motoki ENDO; Chihiro NISHIURA; Ai HORI; Takayuki OGASAWARA; Tohru NAKAGAWA; Toru HONDA; Shuichiro YAMAMOTO; Hiroko OKAZAKI; Teppei IMAI; Akiko NISHIHARA; Toshiaki MIYAMOTO; Naoko SASAKI; Akihiko UEHARA; Makoto YAMAMOTO; Taizo MURAKAMI; Makiko SHIMIZU; Masafumi EGUCHI; Takeshi KOCHI; Satsue NAGAHAMA; Kentaro TOMITA; Maki KONISHI; Huanhuan HU; Yosuke INOUE; Akiko NANRI; Naoki KUNUGITA; Isamu KABE; Tetsuya MIZOUE; Seitaro DOHI; for the Japan Epidemiology Collaboration on Occupational Health Study            Group

doi:10.2486/indhealth.2019-0136

Original Article

Smoking cessation after long-term sick leave due to cancer in comparison with cardiovascular disease: Japan Epidemiology Collaboration on Occupational Health Study

Keisuke KUWAHARA, Motoki ENDO, Chihiro NISHIURA, Ai HORI, Takayuki OGASAWARA, Tohru NAKAGAWA, Toru HONDA, Shuichiro YAMAMOTO, Hiroko OKAZAKI, Teppei IMAI, Akiko NISHIHARA, Toshiaki MIYAMOTO, Naoko SASAKI, Akihiko UEHARA, Makoto YAMAMOTO, Taizo MURAKAMI, Makiko SHIMIZU, Masafumi EGUCHI, Takeshi KOCHI, Satsue NAGAHAMA, Kentaro TOMITA, Maki KONISHI, Huanhuan HU, Yosuke INOUE, Akiko NANRI, Naoki KUNUGITA, Isamu KABE, Tetsuya MIZOUE, Seitaro DOHI, for the Japan Epidemiology Collaboration on Occupational Health Study Group

Author information

Keisuke KUWAHARA
National Center for Global Health and Medicine, Japan
Teikyo University Graduate School of Public Health, Japan
Motoki ENDO
Juntendo University Graduate School of Medicine, Japan
Chihiro NISHIURA
Tokyo Gas Co., Ltd., Japan
Ai HORI
Tokyo Gas Co., Ltd., Japan
University of Tsukuba, Japan
Takayuki OGASAWARA
Mitsubishi Fuso Truck and Bus Corporation, Japan
Tohru NAKAGAWA
Hitachi, Ltd., Japan
Toru HONDA
Hitachi, Ltd., Japan
Shuichiro YAMAMOTO
Hitachi, Ltd., Japan
Hiroko OKAZAKI
Mitsui Chemicals, Inc., Japan
Teppei IMAI
Azbil Corporation, Japan
Occupational Health Support Company for SMEs, Japan
Akiko NISHIHARA
Azbil Corporation, Japan
Toshiaki MIYAMOTO
Nippon Steel Corporation Kimitsu Works, Japan
Naoko SASAKI
Mitsubishi Fuso Truck and Bus Corporation, Japan
Akihiko UEHARA
Yamaha Corporation, Japan
Hidaka Tokushukai Hospital, Japan
Makoto YAMAMOTO
Yamaha Corporation, Japan
Taizo MURAKAMI
Mizue Medical Clinic, Keihin Occupational Health Center, Japan
Makiko SHIMIZU
Mizue Medical Clinic, Keihin Occupational Health Center, Japan
Masafumi EGUCHI
Furukawa Electric Co, Ltd., Japan
Takeshi KOCHI
Furukawa Electric Co, Ltd., Japan
Satsue NAGAHAMA
All Japan Labour Welfare Foundation, Japan
Kentaro TOMITA
Mitsubishi Plastics, Inc., Japan
Healthplant Co., Ltd., Japan
Maki KONISHI
National Center for Global Health and Medicine, Japan
Huanhuan HU
National Center for Global Health and Medicine, Japan
Yosuke INOUE
National Center for Global Health and Medicine, Japan
Akiko NANRI
National Center for Global Health and Medicine, Japan
Fukuoka Women’s University, Japan
Naoki KUNUGITA
University of Occupational and Environmental Health, Japan
Isamu KABE
Furukawa Electric Co, Ltd., Japan
Kubota Corporation, Japan
Tetsuya MIZOUE
National Center for Global Health and Medicine, Japan
Seitaro DOHI
Mitsui Chemicals, Inc., Japan
for the Japan Epidemiology Collaboration on Occupational Health Study Group
National Center for Global Health and Medicine, Japan

Keywords: Long-term sick leave, Cancer, Cardiovascular disease, Smoking cessation, Japan

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Supplementary material

2020 Volume 58 Issue 3 Pages 246-253

DOI https://doi.org/10.2486/indhealth.2019-0136

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Abstract

In occupational settings, smokers may take quitting smoking seriously if they experienced long-term sick leave due to cancer or cardiovascular disease (CVD). However, no study has elucidated the smoking cessation rate after long-term sick leave. We examined the smoking cessation rate after long-term sick leave due to cancer and CVD in Japan. We followed 23 survivors who experienced long-term sick leave due to cancer and 39 survivors who experienced long-term sick leave due to CVD who reported smoking at the last health exam before the leave. Their smoking habits before and after the leave were self-reported. Logistic regression was used to calculate adjusted smoking cessation rates. Smoking cessation rate after long-term sick leave due to cancer was approximately 70% and that due to CVD exceeded 80%. The adjusted smoking cessation rate was 67.6% (95% confidence interval [CI]: 47.0, 88.2) for cancer and 80.7% (95% CI: 67.7, 93.8) for CVD. Smoking cessation rate after a longer duration of sick leave (≥60 d) tended to increase for both CVD and cancer. Although any definite conclusion cannot be drawn, the data suggest that smoking cessation rate after long-term sick leave due to CVD is slightly higher than that for cancer.

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