Association between Florida's smoke-free policy and acute myocardial infarction by race: A time series analysis, 2000-2013.
Association between Florida's smoke-free policy and acute myocardial infarction by race: A time series analysis, 2000-2013.
复制标题
DOI：
10.1016/j.ypmed.2016.05.032
复制
发表时间：
2016-11
影响因子：
5.1
通讯作者：
Robertson RM
中科院分区：
文献类型：
--
作者：
Mead EL;Cruz-Cano R;Bernat D;Whitsel L;Huang J;Sherwin C;Robertson RM
急性心肌梗死（AMI）的种族差异随着时间的推移而增加。以前的研究表明，无烟政策的实施与AMI发病率的降低有关。本研究的目的是确定无烟政策与AMI住院率和吸烟之间的关系。采用中断时间序列分析法分析了佛罗里达2000-2013年的医疗保健成本和利用项目数据，以确定佛罗里达的无烟餐厅和工作场所法律与总成年人口（年龄≥18岁）中AMI之间的关系，按年龄、种族和性别分类。使用逻辑回归分析佛罗里达2000-2010年的行为风险因素监测系统数据，以确定政策与成人吸烟率之间的关联。实施无烟政策后，在总人群中未检测到AMI住院率和吸烟率之间的统计学显著相关性。在亚组分析中，该政策与年龄在18-44岁的非西班牙裔白色成年人中AMI住院率的下降相关（β=-0.001/10，000，p值=0.0083）。在亚组分析中未发现其他与AMI住院率和吸烟率的关系。需要更全面的无烟和烟草控制政策来进一步降低AMI住院率，特别是在少数民族人群中。需要进一步研究，以了解和解决无烟政策的实施如何影响少数种族和族裔的二手烟暴露。
Racial disparities in acute myocardial infarctions (AMIs) are increasing over time. Previous studies have shown that the implementation of smoke-free policies is associated with reduced AMI rates. The objective of this study was to determine the association between smoke-free policy and AMI hospitalization rates and smoking by race. Healthcare Cost and Utilization Project data from Florida from 2000–2013 were analyzed using interrupted time series analysis to determine the relationship between Florida’s smoke-free restaurant and workplace laws and AMI among the total adult population (aged ≥18 years), by age, race, and gender. Behavioral Risk Factor Surveillance System data from Florida from 2000–2010 were analyzed using logistic regression to determine the association between policy and the adult smoking prevalence. After implementation of the smoke-free policy, no statistically significant associations between AMI hospitalization rates or smoking prevalence were detected in the total population. In the subgroup analysis, the policy was associated with declines in AMI hospitalization rates among non-Hispanic White adults aged 18–44 years (β=−0.001 per 10,000, p-value=0.0083). No other relationships with AMI hospitalization rates and smoking prevalence were found in the subgroup analysis. More comprehensive smoke-free and tobacco control policies are needed to further reduce AMI hospitalization rates, particularly among minority populations. Further research is needed to understand and address how the implementation of smoke-free policies affects secondhand smoke exposure among racial and ethnic minorities.
登录
查看更多内容
影响因子：
37.8
作者：
Bartecchi, Carl;Alsever, Robert N.;Krantz, Mori J.
通讯作者：
Krantz, Mori J.
影响因子：
5.2
作者：
Chaloupka, FJ;Pacula, RL
通讯作者：
Pacula, RL
影响因子：
13.6
作者：
Iversen, Birgitte;Jacobsen, Bjarne K.;Lochen, Maja-Lisa
通讯作者：
Lochen, Maja-Lisa
影响因子：
12.7
作者：
Barbeau, EM;Krieger, N;Soobader, MJ
通讯作者：
Soobader, MJ
影响因子：
3.7
作者：
Barone-Adesi, Francesco;Gasparrini, Antonio;Richiardi, Lorenzo
通讯作者：
Richiardi, Lorenzo