The impact of a smoking ban on hospital admissions for coronary heart disease

Khuder, Sadik A.; Milz, Sheryl; Jordan, Timothy; Price, James; Silvestri, Kathi; Butler, Pam

doi:10.1016/j.ypmed.2007.03.011

Cited by 152Smoking Behavior and CessationAir Quality and Health ImpactsHealth Promotion and Cardiovascular Prevention

The impact of a smoking ban on hospital admissions for coronary heart disease

Khuder, Sadik A., Milz, Sheryl, Jordan, Timothy, Price, James, Silvestri, Kathi, Butler, Pam·2007·Preventive Medicine

DOI 10.1016/j.ypmed.2007.03.011

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Abstract

Objective In March 2002, the city of Bowling Green, Ohio, implemented a clean indoor air ordinance banning smoking in workplaces and public places. This study evaluates the effect of this ordinance on hospital admissions for smoking-related diseases.Methods A quasi-experimental design with interrupted time-series was used including a matched control city (Kent, Ohio) with no clean indoor air ordinance. Data on hospital admissions during the period of January 1999 to June 2005 were analyzed using Autoregressive Integrated Moving Average (ARIMA) models.Results A reduction in admission rates for smoking-related diseases was achieved in Bowling Green compared to the control city. The largest reduction was for coronary heart disease, where rates were decreased significantly by 39% after 1 year and by 47% after 3 years following the implementation of the ordinance. ARIMA models revealed a statistically significant downward trend in monthly admission rates for coronary heart disease (Bowling Green, omega=-1.69, p=0.036 vs. Kent, omega=-1.14, p=0.183) and support the hypothesis that the ordinance had a significant impact on admission rates for coronary heart disease.Conclusion The findings of this study suggest that clean indoor air ordinances lead to a reduction in hospital admissions for coronary heart disease, thus reducing health care costs.

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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 [407]
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 [407]

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Authors: Khuder, S. A., Milz, S., Jordan, T., Price, J., Silvestri, K., & Butler, P.
Affiliations: University of Toledo (US)
North Kansas City Hospital (US)
Corresponding author: Khuder, Sadik A.
ORCID: Khuder, Sadik A.
Jordan, Timothy
Price, James
Venue: Preventive Medicine
Publisher: Elsevier BV
Published: 2007-07
Volume: 45
Issue: 1
Pages: 3-8
ISSN: 0091-7435 (ISSN-L)
DOI: 10.1016/j.ypmed.2007.03.011
OpenAlex: W2085457674
Cited by: 152
References: 40
Citations by year: 2026: 1 · 2025: 1 · 2024: 2 · 2023: 6 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 4 · 2018: 4 · 2017: 6 · 2016: 6 · 2015: 5 · 2014: 7 · 2013: 10 · 2012: 21
FWCI: 13.52
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Health Resources and Services Administration
Topics: Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Keywords: smoking bans, coronary artery disease, hospitalization, smoking-related diseases, tobacco control, health care costs
MeSH terms: Adult, Aged, Coronary Disease, Hospitalization, Humans, Middle Aged, Ohio, Public Policy, Risk Factors, Smoking, Tobacco Smoke Pollution, Utilization Review, Smoking Cessation, Air Pollution, Indoor

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The impact of a smoking ban on hospital admissions for coronary heart disease

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