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The Association of Tobacco Control Policies and the Risk of Acute Myocardial Infarction Using Hospital Admissions Data

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  • Carmen Jan
  • Marcos Lee
  • Reina Roa
  • Víctor Herrera
  • Michael Politis
  • Jorge Motta

Abstract

Objective: To evaluate the association of a nationwide comprehensive smoking ban (CSB) and tobacco tax increase (TTI) on the risk of acute myocardial infarctions (AMI) in Panama for the period of 2006 – 2010 using hospital admissions data. Methods: Data of AMI cases was gathered from public and private hospitals in the country for the period of January 1, 2006 to December 31, 2010. The number of AMI cases was calculated on a monthly basis. The risk of AMI was estimated for the pre-CSB period (January 2006 to April 2008) and was used as a reference point. Three post-intervention periods were examined: (1) post-CSB from May 2008 to April 2009 (12 months); (2) post-CSB from May 2009 to November 2009 (7 months); and (3) post-TTI from December 2009 to December 2010 (13 months). Relative risks (RR) of AMI were estimated for each post intervention periods by using a Poisson regression model. Mortality registries for the country attributed to myocardial infarction (MI) were obtained from January 2001 to December 2012. The annual percentage change (APC) of the number of deaths from MI was calculated using Joinpoint regression analysis. Results: A total sample size of 2191 AMI cases was selected (monthly mean number of cases 36.52±8.24 SD). Using the pre-CSB as a reference point (RR = 1.00), the relative risk of AMI during the first CSB period, the second CSB period and post-TTI were 0.982, 1.049, and 0.985, respectively. The APC of deaths from MI from January 2001 to April 2008 was 0.5%. From January 2001 to June 2010 the APC trend was 0.47% and from July 2010 to December 2012 the APC was –0.3%. Conclusions: The implementation of a CSB and TTI in Panama were associated with a decrease in tobacco consumption and a reduction of the RR of AMI.

Suggested Citation

  • Carmen Jan & Marcos Lee & Reina Roa & Víctor Herrera & Michael Politis & Jorge Motta, 2014. "The Association of Tobacco Control Policies and the Risk of Acute Myocardial Infarction Using Hospital Admissions Data," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-6, February.
    • Handle: RePEc:plo:pone00:0088784
    DOI: 10.1371/journal.pone.0088784
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    1. Showalter, M.H., 1998. "The effect of cigarette taxes on cigarette consumption," American Journal of Public Health, American Public Health Association, vol. 88(7), pages 1118-1119.
    2. DeCicca, Philip & McLeod, Logan, 2008. "Cigarette taxes and older adult smoking: Evidence from recent large tax increases," Journal of Health Economics, Elsevier, vol. 27(4), pages 918-929, July.
    3. Sargent, R P & Shepard, R M & Glantz, Stanton A. Ph.D., 2004. "Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study," University of California at San Francisco, Center for Tobacco Control Research and Education qt3276d6r6, Center for Tobacco Control Research and Education, UC San Francisco.
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    1. Roengrudee Patanavanich & Stanton A Glantz, 2020. "Association between tobacco control policies and hospital admissions for acute myocardial infarction in Thailand, 2006-2017: A time series analysis," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-13, December.

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