Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2012:2012:589018.
doi: 10.1155/2012/589018. Epub 2012 Jun 20.

Association of indoor smoke-free air laws with hospital admissions for acute myocardial infarction and stroke in three states

Brett R Loomis  1 , Harlan R Juster
Affiliations

Association of indoor smoke-free air laws with hospital admissions for acute myocardial infarction and stroke in three states

Brett R Loomis et al. J Environ Public Health. 2012.

Abstract

Objective: To examine whether comprehensive smoke-free air laws enacted in Florida, New York, and Oregon are associated with reductions in hospital admissions for acute myocardial infarction (AMI) and stroke.

Methods: Analyzed trends in county-level, age-adjusted, hospital admission rates for AMI and stroke from 1990 to 2006 (quarterly) for Florida, 1995 to 2006 (monthly) for New York, and 1998 to 2006 (monthly) for Oregon to identify any association between admission rates and passage of comprehensive smoke-free air laws. Interrupted time series analysis was used to adjust for the effects of preexisting moderate local-level laws, seasonal variation in hospital admissions, differences across counties, and a secular time trend.

Results: More than 3 years after passage of statewide comprehensive smoke-free air laws, rates of hospitalization for AMI were reduced by 18.4% (95% CI: 8.8-28.0%) in Florida and 15.5% (95% CI: 11.0-20.1%) in New York. Rates of hospitalization for stroke were reduced by 18.1% (95% CI: 9.3-30.0%) in Florida. The few local comprehensive laws in Oregon were not associated with reductions in AMI or stroke statewide.

Conclusion: Comprehensive smoke-free air laws are an effective policy tool for reducing the burden of AMI and stroke.

PubMed Disclaimer

References

    1. U.S. Department of Health and Human Services (USDHHS) The health consequences of involuntary exposure to tobacco smoke: A report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta, Ga, USA, 2006. - PubMed
    1. Centers for Disease Control and Prevention (CDC) Annual smoking-attributable mortality, years of potential life lost, and productivity losses—United States, 1997–2001. Morbidity and Mortality Weekly Report. 2005;54(25):625–628. - PubMed
    1. Farrelly MC, Nonnemaker JM, Chou R, Hyland A, Peterson KK, Bauer UE. Changes in hospitality workers’ exposure to secondhand smoke following the implementation of New York’s smoke-free law. Tobacco Control. 2005;14(4):236–241. - PMC - PubMed
    1. Bauer U, Juster H, Hyland A, et al. Reduced secondhand smoke exposure after implementation of a comprehensive statewide smoking ban—New York, June 26, 2003-June 30, 2004. Morbidity and Mortality Weekly Report. 2007;56(28):705–708. - PubMed
    1. Institute of Medicine (IOM) Secondhand Smoke Exposure and Cardiovascular Effects: Making Sense of the Evidence. Washington, DC, USA: The National Academies Press; 2010. - PubMed

Publication types

MeSH terms

Substances