Association of the california tobacco control program with declines in cigarette consumption and mortality from heart disease.
Association of the california tobacco control program with declines in cigarette consumption and mortality from heart disease.
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DOI：
10.1056/nejm200012143432406
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发表时间：
2000-12-14
影响因子：
158.5
通讯作者：
Glantz, SA
中科院分区：
文献类型：
--
作者：
Fichtenberg, CM;Glantz, SA
背景：加州烟草控制计划是 1989 年实施的一项大规模、积极的反烟草计划，由选民制定的卷烟附加税资助，加速了加州卷烟消费和吸烟流行率的下降。由于戒烟后心脏病的额外风险迅速下降，我们检验了该计划与较低的心脏病死亡率相关的假设。方法：对 1980 年至 1997 年加利福尼亚州和美国的人均香烟消费量和年龄调整的心脏病死亡率数据进行多元回归分析。回归分析包括美国其他地区的比率以及允许在 1988 年烟草控制计划获得批准后和 1992 年削减该计划之后比率发生变化的变量。 结果：1989 年至 1992 年间，相对于美国其他地区，加利福尼亚州人均卷烟消费量和心脏病死亡率的下降率显着高于 1989 年之前的比率，下降了 2.72 包。每年 (P=0.001) 每年每 100,000 人中有 2.93 人死亡 (P
Background: The California Tobacco Control Program, a large, aggressive antitobacco program implemented in 1989 and funded by a voter-enacted cigarette surtax, accelerated the decline in cigarette consumption and in the prevalence of smoking in California. Since the excess risk of heart disease falls rapidly after the cessation of smoking, we tested the hypothesis that this program was associated with lower rates of death from heart disease.Methods: Data on per capita cigarette consumption and age-adjusted rates of death from heart disease in California and the United States from 1980 to 1997 were fitted in multiple regression analyses. The regression analyses included the rates in the rest of the United States and variables that allowed for changes in the rates after 1988, when the tobacco-control program was approved, and after 1992, when the program was cut back.Results: Between 1989 and 1992, the rates of decline in per capita cigarette consumption and mortality from heart disease in California, relative to the rest of the United States, were significantly greater than the pre-1989 rates, by 2.72 packs per year per year (P=0.001) and by 2.93 deaths per year per 100,000 population per year (P