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


  • Sargent, R P
  • Shepard, R M
  • Glantz, Stanton A. Ph.D.


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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  • 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.
  • Handle: RePEc:cdl:ctcres:qt3276d6r6

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    Cited by:

    1. 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.
    2. 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.
    3. Sameem, Sediq, 2020. "Are U.S. lung cancer mortality rates converging?," The Quarterly Review of Economics and Finance, Elsevier, vol. 76(C), pages 190-197.
    4. Kanaka D. Shetty & Thomas DeLeire & Chapin White & Jayanta Bhattacharya, 2011. "Changes in U.S. hospitalization and mortality rates following smoking bans," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 30(1), pages 6-28, December.
    5. Bharadwaj, Prashant & Johnsen, Julian V. & Løken, Katrine V., 2014. "Smoking bans, maternal smoking and birth outcomes," Journal of Public Economics, Elsevier, vol. 115(C), pages 72-93.
    6. 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.
    7. Miaoqing Yang & Eugenio Zucchelli, 2015. "The impact of public smoking bans on well-being externalities: evidence from a natural experiment," Working Papers 85310008, Lancaster University Management School, Economics Department.
    8. 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).
    9. Kelly, Brian C. & Vuolo, Mike & Frizzell, Laura C. & Hernandez, Elaine M., 2018. "Denormalization, smoke-free air policy, and tobacco use among young adults," Social Science & Medicine, Elsevier, vol. 211(C), pages 70-77.
    10. Origo Federica & Lucifora Claudio, 2013. "The Effect of Comprehensive Smoking Bans in European Workplaces," Forum for Health Economics & Policy, De Gruyter, vol. 16(1), pages 1-27, March.
    11. Fabrizio Mazzonna & Paola Salari, 2014. "Short term effects of public smoking bans on health," IdEP Economic Papers 1409, USI Università della Svizzera italiana.
    12. 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.
    13. Gregor Pfeifer & Mirjam Reutter & Kristina Strohmaier, 2020. "Goodbye Smokers’ Corner: Health Effects of School Smoking Bans," Journal of Human Resources, University of Wisconsin Press, vol. 55(3), pages 1068-1104.
    14. 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.
    15. Fabrizio Mazzonna & Paola Salari, 2018. "Can a smoking ban save your heart?," Health Economics, John Wiley & Sons, Ltd., vol. 27(10), pages 1435-1449, October.
    16. 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.
    17. Johannes Bendler & Sebastian Wagner & Tobias Brandt & Dirk Neumann, 2014. "Taming Uncertainty in Big Data," Business & Information Systems Engineering: The International Journal of WIRTSCHAFTSINFORMATIK, Springer;Gesellschaft für Informatik e.V. (GI), vol. 6(5), pages 279-288, October.
    18. Pryce, Robert, 2019. "The effect of the United Kingdom smoking ban on alcohol spending: Evidence from the Living Costs and Food Survey," Health Policy, Elsevier, vol. 123(10), pages 936-940.
    19. 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.
    20. Stefan Boes & Joachim Marti & Johanna Catherine Maclean, 2015. "The Impact of Smoking Bans on Smoking and Consumer Behavior: Quasi‐Experimental Evidence from Switzerland," Health Economics, John Wiley & Sons, Ltd., vol. 24(11), pages 1502-1516, November.
    21. Daniel Kuehnle & Christoph Wunder, 2017. "The Effects of Smoking Bans on Self‐Assessed Health: Evidence from Germany," Health Economics, John Wiley & Sons, Ltd., vol. 26(3), pages 321-337, March.
    22. Marco D. Huesch & Truls Østbye & Michael K. Ong, 2012. "Measuring The Effect Of Policy Interventions At The Population Level: Some Methodological Concerns," Health Economics, John Wiley & Sons, Ltd., vol. 21(10), pages 1234-1249, October.

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