Declines in Hospital Admissions for Acute Myocardial Infarction in New York State After Implementation of a Comprehensive Smoking Ban
Open accessAbstract
Objectives. Reductions in exposure to environmental tobacco smoke have been shown to attenuate the risk of cardiovascular disease. We examined whether the 2003 implementation of a comprehensive smoking ban in New York State was associated with reduced hospital admissions for acute myocardial infarction and stroke, beyond the effect of moderate, local and statewide smoking restrictions, and independent of secular trends. Methods. We analyzed trends in county-level, age-adjusted, monthly hospital admission rates for acute myocardial infarction and stroke from 1995 to 2004 to identify any association between admission rates and implementation of the smoking ban. We used regression models to adjust for the effects of pre-existing smoking restrictions, seasonal trends in admissions, differences across counties, and secular trends. Results. In 2004, there were 3813 fewer hospital admissions for acute myocardial infarction than would have been expected in the absence of the comprehensive smoking ban. Direct health care cost savings of $56 million were realized in 2004. There was no reduction in the number of admissions for stroke. Conclusions. Hospital admission rates for acute myocardial infarction were reduced by 8% as a result of a comprehensive smoking ban in New York State after we controlled for other relevant factors. Comprehensive smoking bans constitute a simple, effective intervention to substantially improve the public’s health.
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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 [406]
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 [406]
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Smoke-Free Laws, Gender, and Reduction in Hospitalizations for Acute Myocardial Infarction
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State Cigarette Excise Tax, Secondhand Smoke Exposure, and Periodontitis in US Nonsmokers
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Science, Prudence, and Politics: The Case of Smoke-Free Indoor Spaces
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Self-citationImpact of Scotland’s Comprehensive, Smoke-Free Legislation on Stroke
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Lower incidence of myocardial infarction after smoke-free legislation enforcement in Chile
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Cardiovascular Effect of Bans on Smoking in Public Places
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Reduction in Acute Myocardial Infarction Hospitalization after Implementation of a Smoking Ordinance
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The impact of comprehensive tobacco control policies on cardiovascular diseases in Beijing, China
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Monitoring the tobacco use epidemic V
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Comparison of two smoking cessation interventions for inpatients
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The Impact of Smoke-Free Laws on Asthma Discharges: A Multistate Analysis
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Self-citationCoronary Heart Disease Deaths And Decreased Smoking Prevalence in Massachusetts, 1993–2003
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- Authors
- Juster, H. R., Loomis, B. R., Hinman, T. M., Farrelly, M. C., Hyland, A., Bauer, U. E., & Birkhead, G. S.
- Affiliations
- Roswell Park Comprehensive Cancer Center (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2007-11
- Volume
- 97
- Issue
- 11
- Pages
- 2035-2039
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2040364
- OpenAlex
- W1999904896
- Cited by
- 240
- References
- 26
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 6 · 2022: 3 · 2021: 4 · 2020: 6 · 2019: 8 · 2018: 7 · 2017: 15 · 2016: 10 · 2015: 11 · 2014: 8 · 2013: 16 · 2012: 26
- FWCI
- 18.92
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (U58/ CCU222783)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Keywords
- smoking bans, acute myocardial infarction, stroke, hospitalization, environmental tobacco smoke, passive smoking, cardiovascular disease prevention, healthcare cost reduction, New York State, smoking restrictions
- MeSH terms
- Smoking Prevention, Adult, Aged, Female, Humans, Male, Middle Aged, Myocardial Infarction, New York, Patient Admission, Public Health, Smoking, Smoking Cessation, Cost Savings
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