Hospital Admissions for Acute Myocardial Infarction, Angina, Stroke, and Asthma After Implementation of Arizona's Comprehensive Statewide Smoking Ban
Open accessAbstract
Objectives. We examined the impact of Arizona's May 2007 comprehensive statewide smoking ban on hospital admissions for diagnoses for which there is evidence of a causal relationship with secondhand smoke (SHS) exposure (acute myocardial infarction [AMI], angina, stroke, and asthma). Methods. We compared monthly hospital admissions from January 2004 through May 2008 for these primary diagnoses and 4 diagnoses not associated with SHS (appendicitis, kidney stones, acute cholecystitis, and ulcers) for Arizona counties with preexisting county or municipal smoking bans and counties with no previous bans. We attributed reductions in admissions to the statewide ban if they occurred only in diagnoses associated with SHS and if they were larger in counties with no previous bans. We analyzed the data with Poisson regressions, controlling for seasonality and admissions trends. We also estimated cost savings. Results. Statistically significant reductions in hospital admissions were seen for AMI, angina, stroke, and asthma in counties with no previous bans over what was seen in counties with previous bans. No ban variable coefficients were statistically significant for diagnoses not associated with SHS. Conclusions. Arizona's statewide smoking ban decreased hospital admissions for AMI, stroke, asthma, and angina.
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Four new reports published since the reviews all demonstrated reductions in cardiovascular and/or respiratory events following smoking bans.
“Since these reviews, 4 new reports of the effects of smoking bans on cardiovascular and respiratory conditions have been published, all demonstrating reductions in cardiovascular and/or respiratory events following smoking bans.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [415]
In Arizona, counties with no prior smoking bans experienced significant reductions in hospital admissions for acute MI (13%), angina (33%), stroke (14%), and asthma (22%) after the statewide smoking ban.
“When counties with no prior bans were compared with those with prior bans, Herman found that those with no prior bans experienced significant reductions in hospital admissions for conditions directly affected by secondhand smoke, including acute myocardial infarction (MI) (13%), angina (33%), stroke (14%), and asthma (22%).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [415]
No significant differences were seen for control conditions such as appendicitis, kidney stones, acute cholecystitis, and ulcers after the Arizona smoking ban.
“No significant differences were seen for control conditions such as appendicitis, kidney stones, acute cholecystitis, and ulcers, each of which were not expected to be affected by the smoking ban.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [415]
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- Authors
- Herman, P. M., & Walsh, M. E.
- Affiliations
- University of Arizona (US)
- ORCID
- Herman, Patricia M.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2011-03
- Volume
- 101
- Issue
- 3
- Pages
- 491-496
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC3036684
- OpenAlex
- W2172000863
- Cited by
- 136
- References
- 19
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 5 · 2022: 9 · 2021: 4 · 2020: 11 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 5 · 2015: 12 · 2014: 15 · 2013: 15 · 2012: 21
- FWCI
- 11.48
- 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)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- Arizona Department of Health Services
- Bureau of Tobacco and Chronic Disease
- 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 › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Keywords
- smoking bans, passive smoking, acute myocardial infarction, angina pectoris, stroke, asthma, hospitalization, tobacco control, cost reduction
- MeSH terms
- Angina Pectoris, Arizona, Asthma, Female, Humans, Male, Myocardial Infarction, Patient Admission, Seasons, Tobacco Smoke Pollution, Causality, Poisson Distribution, Cost Savings, Health Care Costs, Stroke
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