Reduced incidence of admissions for myocardial infarction associated with public smoking ban: before and after study
Open accessAbstract
OBJECTIVE: To determine whether there was a change in hospital admissions for acute myocardial infarction while a local law banning smoking in public and in workplaces was in effect. DESIGN: Analysis of admissions from December 1997 through November 2003 using Poisson analysis. SETTING: Helena, Montana, a geographically isolated community with one hospital serving a population of 68 140. PARTICIPANTS: All patients admitted for acute myocardial infarction. MAIN OUTCOME MEASURES: Number of monthly admissions for acute myocardial infarction for people living in and outside Helena. RESULTS: During the six months the law was enforced the number of admissions fell significantly (- 16 admissions, 95% confidence interval - 31.7 to - 0.3), from an average of 40 admissions during the same months in the years before and after the law to a total of 24 admissions during the six months the law was effect. There was a non-significant increase of 5.6 (- 5.2 to 16.4) in the number of admissions from outside Helena during the same period, from 12.4 in the years before and after the law to 18 while the law was in effect. CONCLUSIONS: Laws to enforce smoke-free workplaces and public places may be associated with an effect on morbidity from heart disease.
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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 [410]
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 [410]
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- Authors
- Sargent, R. P., Shepard, R. M., & Glantz, S. A.
- Affiliations
- St. Peter's Hospital (US)
- University of California, San Francisco (US)
- ORCID
- Glantz, Stanton A
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2004-04-05
- Volume
- 328
- Issue
- 7446
- Pages
- 977-980
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC404491
- OpenAlex
- W2161548790
- Cited by
- 525
- References
- 25
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 8 · 2022: 5 · 2021: 7 · 2020: 7 · 2019: 11 · 2018: 12 · 2017: 19 · 2016: 20 · 2015: 21 · 2014: 27 · 2013: 29 · 2012: 42
- FWCI
- 23.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- American Cancer Society
- Robert Wood Johnson Foundation
- American Heart Association
- National Cancer Institute (R01CA061021, CA-61021)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- smoking bans, smoke-free workplaces, public smoking bans, acute myocardial infarction, hospitalization, Helena, Montana
- MeSH terms
- Smoking Prevention, Adult, Aged, Hospitalization, Humans, Middle Aged, Montana, Myocardial Infarction, Public Facilities, Risk Factors, Smoking, Tobacco Smoke Pollution, Incidence, Poisson Distribution, Workplace
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