Cited by 240Smoking Behavior and CessationAcute Myocardial Infarction ResearchAcute Ischemic Stroke Management

Declines in Hospital Admissions for Acute Myocardial Infarction in New York State After Implementation of a Comprehensive Smoking Ban

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Juster, Harlan R., Loomis, Brett R., Hinman, Theresa M., Farrelly, Matthew C., Hyland, Andrew, Bauer, Ursula E., Birkhead, Guthrie S.·2007·American Journal of Public Health

Abstract

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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  1. [1]Centers for Disease Control and Prevention. Annual smoking-attributable mortality, years of potential life lost and productivity costs—United States, 1997–2001. MMWR Morb Mortal Wkly Rep. 2005; 54:625–628. [PubMed] [Google Scholar]
  2. [2]The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General. Atlanta, Ga: National Center for Chronic Disease Prevention and Health Promotion; 2006. [PubMed]

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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
Published
2007-11
Volume
97
Issue
11
Pages
2035-2039
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
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
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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