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Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study


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  • Sargent, R P
  • Shepard, R M
  • Glantz, Stanton A. Ph.D.
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    Objective To determine whether there was a change in hospital admissions for acute myocardial infarction while a local law banning smoking in public and in workplaces was in effect. Design Analysis of admissions front December 1997 through November 2003 using Poisson analysis. Setting Helena, Montana, a geographical]), isolated community with one hospital serving a population of 68140. Participants All patients admitted for acute myocardial infarction. Main outcome measures Number of monthly admissions for acute myocardial infarction for people living in mid outside Helena. Results During the six months the law was enforced the number of admissions fell significantly (-16 admissions, 95% confidence interval -31.7 to -0.3), from an average of 40 admissions during the same 0 months in die years before and after the law to a total of 24 admissions during die six months the law was in effect. There was a non-significant increase of 5.6 (-5.2 to 16.4) in the number of admissions from outside Helena during the same period, from 12.4 in the years before and after the law to 18 while the law was in effect. Conclusions Laws to enforce smoke-free workplaces and public places may be associated with art effect on morbidity from heart disease.

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    Bibliographic Info

    Paper provided by Center for Tobacco Control Research and Education, UC San Francisco in its series University of California at San Francisco, Center for Tobacco Control Research and Education with number qt3276d6r6.

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    Date of creation: 01 Apr 2004
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    Handle: RePEc:cdl:ctcres:qt3276d6r6

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    Cited by:
    1. Connolly, DMD, MPH, Gregory N & Carpenter, MS, Carrie & Alpert, ScM., BSc, Hillel R. & Skeer, MSW, MPH, Margie & Travers, Mark, 2005. "Evaluation of the Massachusetts Smoke-free Workplace Law," University of California at San Francisco, Center for Tobacco Control Research and Education qt1zw4x02j, Center for Tobacco Control Research and Education, UC San Francisco.
    2. Wildman, John & Hollingsworth, Bruce, 2013. "Public smoking bans and self-assessed health: Evidence from Great Britain," Economics Letters, Elsevier, vol. 118(1), pages 209-212.
    3. Nykiforuk, Candace & Campbell, Sharon & Cameron, Roy & Brown, Stephen & Eyles, John, 2007. "Relationships between community characteristics and municipal smoke-free bylaw status and strength," Health Policy, Elsevier, vol. 80(2), pages 358-368, February.
    4. Reichmann, Gerhard & Sommersguter-Reichmann, Margit, 2012. "The Austrian Tobacco Act in practice – Analysing the effectiveness of partial smoking bans in Austrian restaurants and bars," Health Policy, Elsevier, vol. 104(3), pages 304-311.
    5. Bharadwaj, Prashant & Johnsen, Julian V. & Løken, Katrine V., 2012. "Smoking Bans, Maternal Smoking and Birth Outcomes," Working Papers in Economics 17/12, University of Bergen, Department of Economics.
    6. Daniel Kuehnle & Christoph Wunder, 2013. "The effects of smoking bans on self-assessed health: evidence from Germany," Working Papers 140, Bavarian Graduate Program in Economics (BGPE).
    7. Wolfgang H. Reichmuth & Samad Sarferaz, 2008. "The Influence of the Business Cycle on Mortality," SFB 649 Discussion Papers SFB649DP2008-059, Sonderforschungsbereich 649, Humboldt University, Berlin, Germany.
    8. Adams, Scott & Cotti, Chad, 2008. "Drunk driving after the passage of smoking bans in bars," Journal of Public Economics, Elsevier, vol. 92(5-6), pages 1288-1305, June.


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