A Nationwide Assessment of the Association of Smoking Bans and Cigarette Taxes With Hospitalizations for Acute Myocardial Infarction, Heart Failure, and Pneumonia
Open accessAbstract
Multiple studies claim that public place smoking bans are associated with reductions in smoking-related hospitalization rates. No national study using complete hospitalization counts by area that accounts for contemporaneous controls including state cigarette taxes has been conducted. We examine the association between county-level smoking-related hospitalization rates and comprehensive smoking bans in 28 states from 2001 to 2008. Differences-in-differences analysis measures changes in hospitalization rates before versus after introducing bans in bars, restaurants, and workplaces, controlling for cigarette taxes, adjusting for local health and provider characteristics. Smoking bans were not associated with acute myocardial infarction or heart failure hospitalizations, but lowered pneumonia hospitalization rates for persons ages 60 to 74 years. Higher cigarette taxes were associated with lower heart failure hospitalizations for all ages and fewer pneumonia hospitalizations for adults aged 60 to 74. Previous studies may have overestimated the relation between smoking bans and hospitalizations and underestimated the effects of cigarette taxes.
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Increased tobacco prices reduce cardiovascular, respiratory, and cancer deaths, severity of childhood asthma, and hospitalization for heart failure.
“increased prices reduce cardiovascular, respiratory, and cancer deaths, severity of childhood asthma, and hospitalization for heart failure failure.214–216”
From Global health 2050: the path to halving premature death by mid-century (2024) · cites this paper as [216]
Higher tobacco prices can reduce illness and death.
“Study after study has shown that higher tobacco prices can reduce illness and death.”
From Global health 2050: the path to halving premature death by mid-century (2024) · cites this paper as [216]
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Smoke-free Legislation and Hospitalizations for Acute Coronary Syndrome
Pell, J. P., Haw, S., Cobbe, S., Newby, D. E., Pell, A. C. H., Fischbacher, C., McConnachie, A., Pringle, S., Murdoch, D., Dunn, F., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmsa0706740 · Cited by 446 · see citing works
McWilliams, J. M., Meara, E., Zaslavsky, A. M., & Ayanian, J. Z. (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-150-8-200904210-00005 · Cited by 315 · see citing works
Public Health Insurance and Private Savings
Gruber, J., & Yelowitz, A. (1999) · Journal of Political Economy · doi:10.1086/250096 · Cited by 261 · see citing works
Juster, H. R., Loomis, B. R., Hinman, T. M., Farrelly, M. C., Hyland, A., Bauer, U. E., & Birkhead, G. S. (2007) · American Journal of Public Health · doi:10.2105/ajph.2006.099994 · Cited by 240 · see citing works
Naiman, A., Glazier, R. H., & Moineddin, R. (2010) · Canadian Medical Association Journal · doi:10.1503/cmaj.091130 · Cited by 129 · see citing works
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Global health 2050: the path to halving premature death by mid-century
Jamison, D. T., Summers, L. H., Chang, A. Y., Karlsson, O., Mao, W., Norheim, O. F., Ogbuoji, O., Schäferhoff, M., Watkins, D., Adeyi, O., et al. (2024) · The Lancet · doi:10.1016/s0140-6736(24)01439-9 · Cited by 125 · see citing works
- Authors
- Ho, V., Ross, J. S., Steiner, C. A., Mandawat, A., Short, M., Ku-Goto, M.-H., & Krumholz, H. M.
- Affiliations
- Baylor College of Medicine (US)
- Yale University (US)
- Agency for Healthcare Research and Quality (US)
- Brigham and Women's Hospital (US)
- Rice University (US)
- Rice University, Houston, TX, USA
- Corresponding author
- Ho, Vivian
- Venue
- Medical Care Research and Review
- Publisher
- SAGE Publications
- Published
- 2016-09-12
- Volume
- 74
- Issue
- 6
- Pages
- 687-704
- ISSN
- 1077-5587 (ISSN-L)
- 1552-6801
- PMC
- PMC5665160
- OpenAlex
- W2519732157
- Cited by
- 20
- References
- 5
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 3 · 2018: 2 · 2016: 1
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Medical Care Research and Review (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Rice Research Repository (Rice University) (submittedVersion, cc-by-nc)
- Funders
- National Institutes of Health (UL1TR001863)
- National Institute on Aging (K08AG032886)
- National Heart, Lung, and Blood Institute (U01HL105270)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Global Public Health Policies and Epidemiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- smoking bans, cigarette taxes, acute myocardial infarction, heart failure, pneumonia, county-level health outcomes, workplace smoking restrictions, bars and restaurants, older adults
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Heart Failure, Hospitalization, Humans, Male, Middle Aged, Myocardial Infarction, Pneumonia, Smoking, Taxes, United States, Young Adult, Smoke-Free Policy, Tobacco Products
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