TITLE

Association of anti-smoking legislation with rates of hospital admission for cardiovascular and respiratory conditions

AUTHOR(S)
Naiman, Alisa; Glazier, Richard H.; Moineddin, Rahim
PUB. DATE
May 2010
SOURCE
CMAJ: Canadian Medical Association Journal;5/18/2010, Vol. 182 Issue 8, p761
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Few studies have examined the impact of antismoking legislation on respiratory or cardiovascular conditions other than acute myocardial infarction. We studied rates of hospital admission attributable to three cardiovascular conditions (acute myocardial infarction, angina, and stroke) and three respiratory conditions (asthma, chronic obstructive pulmonary disease, and pneumonia or bronchitis) after the implementation of smoking bans. Methods: We calculated crude rates of admission to hospital in Toronto, Ontario, from January 1996 (three years before the first phase of a smoking ban was implemented) to March 2006 (two years after the last phase was implemented. We used an autoregressive integrated moving-average (ARIMA) model to test for a relation between smoking bans and admission rates. We compared our results with similar data from two Ontario municipalities that did not have smoking bans and with conditions (acute cholecystitis, bowel obstruction and appendicitis) that are not known to be related to second-hand smoke. Results: Crude rates of admission to hospital because of cardiovascular conditions decreased by 39% (95% CI 38%-40%) and admissions because of respiratory conditions decreased by 33% (95% CI 32%-34%) during the ban period affecting restaurant settings. No consistent reductions in these rates were evident after smoking bans affecting other settings. No significant reductions were observed in control cities or for control conditions. Interpretation: Our results serve to expand the list of health outcomes that may be ameliorated by smoking bans. Further research is needed to establish the types of settings in which smoking bans are most effective. Our results lend legitimacy to efforts to further reduce public exposure to tobacco smoke.
ACCESSION #
50630441

 

Related Articles

  • Influenza Vaccination Is Not Associated with a Reduction in the Risk of Recurrent Coronary Events. Jackson, Lisa A.; Onchee Yu; Heckbert, Susan R.; Psaty, Bruce M.; Malais, Darren; Barlow, William E.; Thompson, William W. // American Journal of Epidemiology;Vol. 156 Issue 7, p634 

    Acute respiratory infections, including influenza, have been suggested as possible precipitants of acute cardiac events. To evaluate whether influenza vaccination prevents recurrent coronary events, the authors conducted a population-based inception cohort study of 1,378 Group Health Cooperative...

  • Recent respiratory infection and the risk of myocardial infarction. Clayton, T. C.; Capps, N. E.; Stephens, N. G.; Wedzicha, J. A.; Meade, T. W. // Heart;Dec2005, Vol. 91 Issue 12, p1601 

    The article presents a discussion on the recent respiratory infection and the risk of myocardial infarction. Mounting interest over the past 10 or 15 years in the possible role of infection in the risk of myocardial infarction has mainly centred on serological evidence of infection that often...

  • Acute myocardial infarction. McVeigh, James P.; Musto, Jennie // Australian Nursing Journal;Aug99, Vol. 7 Issue 2, supplement p1 

    Focuses on cardiovascular disease affecting the Australian population. Statistics on deaths associated with acute myocardial infarction (AMI); Information on myocardium; Significance of an understanding of the pathophysiology of acute coronary occlusion; Treatment of AMI.

  • Changes in morbidity and mortality during comprehensive community programme to control cardiovascular diseases during 1972-7 in North Karelia. Salonen, Jukka T.; Puska, Pekka; Mustaniemi, Harri // British Medical Journal;11/10/1979, Vol. 2 Issue 6199, p1178 

    Examines the efficacy of the comprehensive community program in controlling cardiovascular diseases (CVD) in North Karelia, Finland. Efforts to reduce the mortality and morbidity associated with CVD; Decrease on the rate of mortality; Decline on the incidence of acute myocardial infarction;...

  • Many do not benefit from aspirin post MI.  // Pulse;7/14/2003, Vol. 63 Issue 28, p8 

    Reveals that aspirin is ineffective at reducing cardiovascular risk for heart attack patients. Prevalence of aspirin resistance based on platelet aggregation.

  • TRANSCEND: Telmisartan may be potential treatment for high-risk diabetes, vascular disease. Rusk, Judith; Adams, Stacey // Endocrine Today;10/25/2008, Vol. 6 Issue 19, p11 

    The article reports on a study which revealed the potential of telmisartan treatment in reducing cardiovascular death, myocardial infarction or stroke among patients with vascular disease or high-risk diabetes.

  • Smoking ban works.  // CCPA Monitor;Jul2010, Vol. 17 Issue 3, p15 

    The article reports on a study conducted by Anna Gilmore, Bath University tobacco control research group director, which reveals that the smoking ban has reduced the number of heart attacks by 2.4%.

  • Promising results observed for bioresorbable vascular scaffold in STEMI.  // Cardiology Today;Apr2014, Vol. 17 Issue 4, p50 

    The article reports on the efficacy of bioresorbable vascular scaffold implantation in patients who underwent percutaneous coronary intervention (PCI) for acute ST segment elevation myocardial infarction (STEMI), which was concluded by the multicenter Prague 19 study that was participated by 41...

  • Patient delay in calling for help: the weakest link in the chain of survival? Penny, W J // Heart;Feb2001, Vol. 85 Issue 2, p121 

    An introduction is presented in which the editor discusses various reports within the issue on topics such as the misconceptions regarding victims of heart attack, the low awareness of angina patients on somatic sensations, and the determinants in cardiovascular disease.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics