Implications of a Public Smoking Ban
Open accessAbstract
Objectives Legislation to ban smoking in public places is currently a major area of interest across Canada. The main objectives of the study were to 1) determine the effect of the smoking ban on incidence of acute myocardial infarction, 2) determine if the new legislation altered population-based smoking prevalence, and 3) measure public support for the public smoking ban.Methods The city of Saskatoon initiated a public smoking ban on July 1, 2004. We retrospectively reviewed all hospital discharges for acute MI from July 2000 to June 2005. We reviewed CCHS survey information on smoking prevalence for Saskatoon, Saskatchewan and Canada from 2003 to 2005. We prospectively contacted 1,255 Saskatoon residents by telephone to determine support for the public smoking ban.Results The age-standardized incidence rate of acute MI fell from 176.1 (95% CI 165.3-186.8) cases per 100,000 population (July 1, 2000 to June 30, 2004) to 152.4 (95% CI 135.3-169.3) cases per 100,000 population (July 1, 2004 to June 30, 2005). Smoking prevalence in Saskatoon fell from 24.1% in 2003 (95% CI 20.4-27.7) to 18.2% in 2005 (95% CI 15.7-20.9) while smoking prevalence in Saskatchewan remained unchanged at 23.8% (95% CI 22.6-25.3) and Canada reduced from 22.9% (95% CI 22.5-23.3) to 21.3% (95% CI 20.8-21.8). Seventy-nine percent of Saskatoon residents believed the smoking ban was a good idea.Interpretation The public smoking ban in Saskatoon, Canada, is associated with reduced incidence rates of acute MI, lower smoking prevalence and high levels of public support.
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All 11 quasi-experimental studies demonstrated reductions in coronary event rates, with decreases ranging from approximately 6% to 47%.
“All studies demonstrated reductions in coronary event rates, with decreases ranging from ≈6% to 47%.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [408]
The IOM report found substantial evidence that smoking bans were effective in reducing coronary events, based on critical reviews of 11 quasi-experimental studies.
“The IOM report also found substantial evidence that smoking bans were effective in reducing coronary events, based on critical reviews of 11 quasi-experimental studies that examined smoking bans and changes in acute coronary events.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [408]
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- Authors
- Lemstra, M., Neudorf, C., & Opondo, J.
- Affiliations
- Saskatchewan Health Authority (CA)
- Venue
- Canadian Journal of Public Health
- Published
- 2008-01
- Volume
- 99
- Issue
- 1
- Pages
- 62-65
- ISSN
- 0008-4263 (ISSN-L)
- 1920-7476
- PMC
- PMC6975881
- OpenAlex
- W1765182493
- Cited by
- 94
- References
- 21
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 3 · 2022: 2 · 2020: 3 · 2019: 4 · 2018: 5 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 7 · 2013: 6 · 2012: 22
- FWCI
- 7.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Canadian Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Heart and Stroke Foundation of Canada
- Canadian Lung Association
- Health Canada
- Canadian Institutes of Health Research
- National Cancer Institute
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- public smoking bans, smoking bans, acute myocardial infarction, smoking prevalence, hospital discharge data, Saskatoon, tobacco control
- MeSH terms
- Smoking Prevention, Canada, Data Collection, Humans, Legislation as Topic, Myocardial Infarction, Public Health, Retrospective Studies, Saskatchewan, Smoking, Tobacco Smoke Pollution, Incidence, Prevalence, Smoking Cessation
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