The Impact of Massachusetts’ Smoke-Free Workplace Laws on Acute Myocardial Infarction Deaths
Open accessAbstract
Objectives. We examined the rate of acute myocardial infarction (AMI) deaths in Massachusetts before and after the implementation of a comprehensive smoke-free workplace law in July 2004. Methods. We used Poisson regression models to examine the impact of the state law in cities and towns with and without previous local smoking bans and the effect of the local laws for the period of 1999 through 2006. Results. The AMI mortality rate decreased by 7.4% (95% confidence interval [CI] = 3.3%, 11.4%) after implementation of the state law. The state ban had an impact in cities and towns with no prior local smoking ban (9.2% decrease; P < .001) but not cities and towns with a prior local smoking ban. However, there was a nonsignificant 4.9% (95% CI = −5.0%, 13.9%) decrease associated with the local smoking ban that preceded the effect of the state ban. The effect of the state ban was modest (−1.6%) in the first 12 months after implementation but much larger after the first 12 months (−18.6%; P < .001). Conclusions. Comprehensive statewide smoke-free workplace laws in Massachusetts were associated with an estimated 270 fewer AMI deaths per year. These results add to the evidence suggesting that smoke-free air laws are associated with lower rates of AMI.
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The effect of the Massachusetts statewide ban on MI mortality was larger (-18.6%; P<0.001) after the first year of implementation.
“The effect of the statewide ban on MI mortality was larger (–18.6%; P<0.001) after the first year of implementation.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [418]
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 [418]
In Massachusetts, after a comprehensive smoke-free workplace law, MI mortality rates decreased by 9.2% in cities and towns with no prior local smoking ban, with a smaller, not statistically significant decrease in localities that did have a prior ban.
“MI mortality rates decreased by 9.2% after implementation of the law in cities and towns with no prior local smoking ban, with a smaller, not statistically significant decrease in localities that did have a prior 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 [418]
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- Authors
- Dove, M. S., Dockery, D. W., Mittleman, M. A., Schwartz, J., Sullivan, E. M., Keithly, L., & Land, T.
- Affiliations
- Harvard University (US)
- Beth Israel Deaconess Medical Center (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2010-11
- Volume
- 100
- Issue
- 11
- Pages
- 2206-2212
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2951939
- OpenAlex
- W1965406960
- Cited by
- 54
- References
- 28
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 6 · 2013: 10 · 2012: 12
- FWCI
- 6.06
- 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
- National Institutes of Health
- National Institute of Environmental Health Sciences (T32ES007069, 2 T32 ES07069-26)
- 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
- acute myocardial infarction mortality, smoking bans, tobacco control, cardiovascular disease prevention, policy implementation effects
- MeSH terms
- Adult, Age Factors, Female, Humans, Male, Massachusetts, Middle Aged, Myocardial Infarction, Risk Factors, Sex Factors, Smoking, Time Factors, Poisson Distribution, Workplace
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