Hospital Admissions for Acute Myocardial Infarction, Angina, Stroke, and Asthma After Implementation of Arizona's Comprehensive Statewide Smoking Ban
Hospital Admissions for Acute Myocardial Infarction, Angina, Stroke, and Asthma After Implementation of Arizona's Comprehensive Statewide Smoking Ban
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DOI：
10.2105/ajph.2009.179572
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发表时间：
2011-03-01
影响因子：
12.7
通讯作者：
Walsh, Michele E.
中科院分区：
文献类型：
--
作者：
Herman, Patricia M.;Walsh, Michele E.
目标。我们研究了亚利桑那州 2007 年 5 月全州范围内的全面禁烟令对有证据表明与二手烟 (SHS) 暴露（急性心肌梗塞 [AMI]、心绞痛、中风和哮喘）有因果关系的诊断的入院影响。方法。我们比较了 2004 年 1 月至 2008 年 5 月期间，亚利桑那州已有县或市禁烟令的县和以前没有禁烟令的县的这些初级诊断和与 SHS 无关的 4 种诊断（阑尾炎、肾结石、急性胆囊炎和溃疡）的每月入院人数。如果入院人数减少仅发生在与二手烟相关的诊断中，并且在以前没有禁令的县中入院人数减少较多，我们将其归因于全州范围的禁令。我们通过泊松回归分析了数据，控制了季节性和招生趋势。我们还估计了节省的成本。结果。从统计数据来看，与之前有禁令的县相比，之前没有实施禁令的县因 AMI、心绞痛、中风和哮喘而入院的人数显着减少。对于与 SHS 无关的诊断，没有禁令变量系数具有统计显着性。结论。亚利桑那州全州范围内的禁烟令减少了因急性心肌梗死、中风、哮喘和心绞痛住院的人数。 （美国公共卫生杂志。2011；101：491-496。doi：10.2105/AJPH.2009.179572）
Objectives. We examined the impact of Arizona's May 2007 comprehensive statewide smoking ban on hospital admissions for diagnoses for which there is evidence of a causal relationship with secondhand smoke (SHS) exposure (acute myocardial infarction [AMI], angina, stroke, and asthma).Methods. We compared monthly hospital admissions from January 2004 through May 2008 for these primary diagnoses and 4 diagnoses not associated with SHS (appendicitis, kidney stones, acute cholecystitis, and ulcers) for Arizona counties with preexisting county or municipal smoking bans and counties with no previous bans. We attributed reductions in admissions to the statewide ban if they occurred only in diagnoses associated with SHS and if they were larger in counties with no previous bans. We analyzed the data with Poisson regressions, controlling for seasonality and admissions trends. We also estimated cost savings.Results. Statistically significant reductions in hospital admissions were seen for AMI, angina, stroke, and asthma in counties with no previous bans over what was seen in counties with previous bans. No ban variable coefficients were statistically significant for diagnoses not associated with SHS.Conclusions. Arizona's statewide smoking ban decreased hospital admissions for AMI, stroke, asthma, and angina. (Am J Public Health. 2011;101:491-496. doi:10.2105/AJPH.2009.179572)