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Hospital admissions for acute myocardial infarction, angina, stroke, and asthma after implementation of arizona's comprehensive statewide smoking ban

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  • Herman, P.M.
  • Walsh, M.E.

Abstract

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.

Suggested Citation

  • Herman, P.M. & Walsh, M.E., 2011. "Hospital admissions for acute myocardial infarction, angina, stroke, and asthma after implementation of arizona's comprehensive statewide smoking ban," American Journal of Public Health, American Public Health Association, vol. 101(3), pages 491-496.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2009.179572_4
    DOI: 10.2105/AJPH.2009.179572
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    Cited by:

    1. Iñaki Galán & Lorena Simón & Elena Boldo & Cristina Ortiz & Rafael Fernández-Cuenca & Cristina Linares & María José Medrano & Roberto Pastor-Barriuso, 2017. "Changes in hospitalizations for chronic respiratory diseases after two successive smoking bans in Spain," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-14, May.
    2. Huang-Ju Liang & Ming-Jiuan Wu & Jih-Shuin Jerng & Chiang-Hsing Yang, 2019. "Reinforcement of Tobacco Control and Reduction in Medical Utilization for Asthma in Taiwan: A Population-Based Study," IJERPH, MDPI, vol. 16(20), pages 1-10, October.

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