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Declines in hospital admissions for acute myocardial infarction in new york state after implementation of a comprehensive smoking ban

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  • Juster, H.R.
  • Loomis, B.R.
  • Hinman, T.M.
  • Farrelly, M.C.
  • Hyland, A.
  • Bauer, U.E.
  • Birkhead, G.S.

Abstract

Objectives. Reductions in exposure to environmental tobacco smoke have been shown to attenuate the risk of cardiovascular disease. We examined whether the 2003 implementation of a comprehensive smoking ban in New York State was associated with reduced hospital admissions for acute myocardial infarction and stroke, beyond the effect of moderate, local and statewide smoking restrictions, and independent of secular trends. Methods. We analyzed trends in county-level, age-adjusted, monthly hospital admission rates for acute myocardial infarction and stroke from 1995 to 2004 to identify any association between admission rates and implementation of the smoking ban. We used regression models to adjust for the effects of pre-existing smoking restrictions, seasonal trends in admissions, differences across counties, and secular trends. Results. In 2004, there were 3813 fewer hospital admissions for acute myocardial infarction than would have been expected in the absence of the comprehensive smoking ban. Direct health care cost savings of $56 million were realized in 2004. There was no reduction in the number of admissions for stroke. Conclusions. Hospital admission rates for acute myocardial infarction were reduced by 8% as a result of a comprehensive smoking ban in New York State after we controlled for other relevant factors. Comprehensive smoking bans constitute a simple, effective intervention to substantially improve the public's health.

Suggested Citation

  • Juster, H.R. & Loomis, B.R. & Hinman, T.M. & Farrelly, M.C. & Hyland, A. & Bauer, U.E. & Birkhead, G.S., 2007. "Declines in hospital admissions for acute myocardial infarction in new york state after implementation of a comprehensive smoking ban," American Journal of Public Health, American Public Health Association, vol. 97(11), pages 2035-2039.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.099994_5
    DOI: 10.2105/AJPH.2006.099994
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    Cited by:

    1. Shane Allwright, 2008. "The impact of banning smoking in workplaces," Applied Health Economics and Health Policy, Springer, vol. 6(2), pages 81-92, July.
    2. Stephanie K. Kolar & Brooke G. Rogers & Monica Webb Hooper, 2014. "Support for Indoor Bans on Electronic Cigarettes among Current and Former Smokers," IJERPH, MDPI, vol. 11(12), pages 1-16, November.
    3. 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.
    4. L. Pieroni & L. Salmasi, 2015. "Does Cigarette Smoking Affect Body Weight? Causal Estimates from the Clean Indoor Air Law Discontinuity," Economica, London School of Economics and Political Science, vol. 82(328), pages 671-704, October.
    5. 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.
    6. 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 55-81, March.
    7. Michael T. Owyang & E. Katarina Vermann, 2012. "Where there’s a smoking ban, there’s still fire," Review, Federal Reserve Bank of St. Louis, vol. 94(July), pages 265-286.
    8. 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.
    9. 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.
    10. Patrick Goodman & Sally Haw & Zubair Kabir & Luke Clancy, 2009. "Are there health benefits associated with comprehensive smoke-free laws," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(6), pages 367-378, December.

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