Reduction in hospital admissions for acute coronary syndrome after the successful implementation of 100% smoke-free legislation in Argentina: a comparison with partial smoking restrictions
BackgroundSeveral studies have shown a decrease in acute coronary syndrome (ACS) admissions after the implementation of 100% smoke-free legislation. However, no studies have been conducted in developing countries.MethodsWe conducted a time series analysis of ACS hospital admissions in Santa Fe provi...
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| Veröffentlicht in: | Tobacco control 2012-07, Vol.21 (4), p.402-406 |
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| creator | Ferrante, D Linetzky, B Virgolini, M Schoj, V Apelberg, B |
| description | BackgroundSeveral studies have shown a decrease in acute coronary syndrome (ACS) admissions after the implementation of 100% smoke-free legislation. However, no studies have been conducted in developing countries.MethodsWe conducted a time series analysis of ACS hospital admissions in Santa Fe province and Buenos Aires city, Argentina. In 2006, Santa Fe implemented a 100% smoke-free law and Buenos Aires implemented a partial law with designated smoking areas and exceptions. Age-standardised ACS admissions rates were compared before and after the implementation of the laws in each district. Smoking prevalence, compliance with legislation and exposure to secondhand smoke (SHS) was also assessed in both districts.ResultsIn Santa Fe an immediate decrease in ACS admissions was observed after implementation (−2.5 admissions per 100 000, p=0.03; 13% reduction), compared with no change in Buenos Aires city (rate ratio Santa Fe vs Buenos Aires: 0.74, 95% CI 0.63 to 0.86, p≤0.001). In Santa Fe, the immediate effect was followed by a persistent decrease in admissions due to ACS (−0.26 admissions per 100 000 per month). Smoking prevalence did not change significantly in either district during the same period. In both districts, there was a reduction in self-reported SHS exposure, with a trend towards lower exposure in Santa Fe province. No other comprehensive tobacco control interventions were implemented during the study period.ConclusionsA 100% smoke-free law was more effective than a partial restriction law in reducing ACS admissions. An immediate effect was followed by a sustained decrease in ACS admissions. Smoke-free initiatives can be also effective in decreasing acute coronary events in developing countries. |
| doi_str_mv | 10.1136/tc.2010.042325 |
| format | Article |
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However, no studies have been conducted in developing countries.MethodsWe conducted a time series analysis of ACS hospital admissions in Santa Fe province and Buenos Aires city, Argentina. In 2006, Santa Fe implemented a 100% smoke-free law and Buenos Aires implemented a partial law with designated smoking areas and exceptions. Age-standardised ACS admissions rates were compared before and after the implementation of the laws in each district. Smoking prevalence, compliance with legislation and exposure to secondhand smoke (SHS) was also assessed in both districts.ResultsIn Santa Fe an immediate decrease in ACS admissions was observed after implementation (−2.5 admissions per 100 000, p=0.03; 13% reduction), compared with no change in Buenos Aires city (rate ratio Santa Fe vs Buenos Aires: 0.74, 95% CI 0.63 to 0.86, p≤0.001). In Santa Fe, the immediate effect was followed by a persistent decrease in admissions due to ACS (−0.26 admissions per 100 000 per month). Smoking prevalence did not change significantly in either district during the same period. In both districts, there was a reduction in self-reported SHS exposure, with a trend towards lower exposure in Santa Fe province. No other comprehensive tobacco control interventions were implemented during the study period.ConclusionsA 100% smoke-free law was more effective than a partial restriction law in reducing ACS admissions. An immediate effect was followed by a sustained decrease in ACS admissions. Smoke-free initiatives can be also effective in decreasing acute coronary events in developing countries.</description><identifier>ISSN: 0964-4563</identifier><identifier>EISSN: 1468-3318</identifier><identifier>DOI: 10.1136/tc.2010.042325</identifier><identifier>PMID: 21602536</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject><![CDATA[Acute coronary syndrome ; Acute Coronary Syndrome - epidemiology ; Acute Coronary Syndrome - etiology ; Acute Coronary Syndrome - prevention & control ; Acute coronary syndromes ; Adolescent ; Adult ; Age ; Aged ; Air Pollution, Indoor - adverse effects ; Air Pollution, Indoor - legislation & jurisprudence ; Air Pollution, Indoor - prevention & control ; Argentina - epidemiology ; Cardiovascular disease ; Cigarette smoking ; Compliance ; Developing Countries ; Environmental tobacco smoke ; Female ; Health legislation ; Hospital admissions ; Hospitalization - statistics & numerical data ; Hospitalization - trends ; Hospitals ; Humans ; Intervention ; LDCs ; Legislation ; Male ; Middle Aged ; Myocardial infarction ; Passive smoking ; Patient admissions ; Polls & surveys ; Population ; Predisposing factors ; Prevalence ; Provinces ; Public health ; public policy ; Public sector ; Restrictions ; Risk factors ; Seasons ; Secondhand smoke ; Smoke ; Smoking ; Smoking - adverse effects ; Smoking - legislation & jurisprudence ; smoking caused disease ; Smoking cessation ; Smoking Prevention ; Time series ; Tobacco ; Tobacco Smoke Pollution - adverse effects ; Tobacco Smoke Pollution - analysis ; Tobacco Smoke Pollution - legislation & jurisprudence ; Tobacco Smoke Pollution - prevention & control ; Tobacco smoking ; Trends ; Young Adult]]></subject><ispartof>Tobacco control, 2012-07, Vol.21 (4), p.402-406</ispartof><rights>2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>2012 BMJ Publishing Group</rights><rights>Copyright: 2012 (c) 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b457t-3879c17a4a84db6d4b0c83df864380cb48e4d8b45dd0aa92fa2fda76182950f73</citedby><cites>FETCH-LOGICAL-b457t-3879c17a4a84db6d4b0c83df864380cb48e4d8b45dd0aa92fa2fda76182950f73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://tobaccocontrol.bmj.com/content/21/4/402.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://tobaccocontrol.bmj.com/content/21/4/402.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,803,3196,23571,27924,27925,58017,58250,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21602536$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferrante, D</creatorcontrib><creatorcontrib>Linetzky, B</creatorcontrib><creatorcontrib>Virgolini, M</creatorcontrib><creatorcontrib>Schoj, V</creatorcontrib><creatorcontrib>Apelberg, B</creatorcontrib><title>Reduction in hospital admissions for acute coronary syndrome after the successful implementation of 100% smoke-free legislation in Argentina: a comparison with partial smoking restrictions</title><title>Tobacco control</title><addtitle>Tob Control</addtitle><description>BackgroundSeveral studies have shown a decrease in acute coronary syndrome (ACS) admissions after the implementation of 100% smoke-free legislation. However, no studies have been conducted in developing countries.MethodsWe conducted a time series analysis of ACS hospital admissions in Santa Fe province and Buenos Aires city, Argentina. In 2006, Santa Fe implemented a 100% smoke-free law and Buenos Aires implemented a partial law with designated smoking areas and exceptions. Age-standardised ACS admissions rates were compared before and after the implementation of the laws in each district. Smoking prevalence, compliance with legislation and exposure to secondhand smoke (SHS) was also assessed in both districts.ResultsIn Santa Fe an immediate decrease in ACS admissions was observed after implementation (−2.5 admissions per 100 000, p=0.03; 13% reduction), compared with no change in Buenos Aires city (rate ratio Santa Fe vs Buenos Aires: 0.74, 95% CI 0.63 to 0.86, p≤0.001). In Santa Fe, the immediate effect was followed by a persistent decrease in admissions due to ACS (−0.26 admissions per 100 000 per month). Smoking prevalence did not change significantly in either district during the same period. In both districts, there was a reduction in self-reported SHS exposure, with a trend towards lower exposure in Santa Fe province. No other comprehensive tobacco control interventions were implemented during the study period.ConclusionsA 100% smoke-free law was more effective than a partial restriction law in reducing ACS admissions. An immediate effect was followed by a sustained decrease in ACS admissions. Smoke-free initiatives can be also effective in decreasing acute coronary events in developing countries.</description><subject>Acute coronary syndrome</subject><subject>Acute Coronary Syndrome - epidemiology</subject><subject>Acute Coronary Syndrome - etiology</subject><subject>Acute Coronary Syndrome - prevention & control</subject><subject>Acute coronary syndromes</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Air Pollution, Indoor - adverse effects</subject><subject>Air Pollution, Indoor - legislation & jurisprudence</subject><subject>Air Pollution, Indoor - prevention & control</subject><subject>Argentina - epidemiology</subject><subject>Cardiovascular disease</subject><subject>Cigarette smoking</subject><subject>Compliance</subject><subject>Developing Countries</subject><subject>Environmental tobacco smoke</subject><subject>Female</subject><subject>Health legislation</subject><subject>Hospital admissions</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Hospitalization - trends</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intervention</subject><subject>LDCs</subject><subject>Legislation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial infarction</subject><subject>Passive smoking</subject><subject>Patient admissions</subject><subject>Polls & surveys</subject><subject>Population</subject><subject>Predisposing factors</subject><subject>Prevalence</subject><subject>Provinces</subject><subject>Public health</subject><subject>public policy</subject><subject>Public sector</subject><subject>Restrictions</subject><subject>Risk factors</subject><subject>Seasons</subject><subject>Secondhand smoke</subject><subject>Smoke</subject><subject>Smoking</subject><subject>Smoking - adverse effects</subject><subject>Smoking - legislation & jurisprudence</subject><subject>smoking caused disease</subject><subject>Smoking cessation</subject><subject>Smoking Prevention</subject><subject>Time series</subject><subject>Tobacco</subject><subject>Tobacco Smoke Pollution - adverse effects</subject><subject>Tobacco Smoke Pollution - analysis</subject><subject>Tobacco Smoke Pollution - legislation & jurisprudence</subject><subject>Tobacco Smoke Pollution - prevention & control</subject><subject>Tobacco smoking</subject><subject>Trends</subject><subject>Young Adult</subject><issn>0964-4563</issn><issn>1468-3318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqFkUtv1DAUhS0EokNhyw5kCbFgkcGvOA67asRLVAXxEmJjOX7MeJrEwXYE_W_8ODxNO1tW1vX57r1H9wDwGKM1xpS_zHpNUCkQI5TUd8AKMy4qSrG4C1ao5axiNacn4EFKe4QwbWp8H5wQzBGpKV-Bv5-tmXX2YYR-hLuQJp9VD5UZfErlN0EXIlR6zhbqEMOo4hVMV6OJYbBQuWwjzDsL06y1TcnNPfTD1NvBjlldjw0OYoSewzSES1u5aC3s7danXt1uPYvbQvtRvYKqLBkmFX0q0m-fd7AU2RdHh3Y_bmG0KUd_7Tg9BPec6pN9dPOegm9vXn_dvKvOP759vzk7rzpWN7miomk1bhRTgpmOG9YhLahxgjMqkO6YsMyIwhqDlGqJU8QZ1XAsSFsj19BT8GyZO8Xway4G5D7McSwrJW4EbhmjnBZqvVA6hpSidXKKfij3khjJQ1gya3kISy5hlYanN2PnbrDmiN-mU4AnC7BPOcSjzigRLSGi6NWi-5Ttn6Ou4qXkTYlaXnzfyPrnlw_iU3shfxT-xcJ3w_5_5v4Bt6i5ug</recordid><startdate>201207</startdate><enddate>201207</enddate><creator>Ferrante, D</creator><creator>Linetzky, B</creator><creator>Virgolini, M</creator><creator>Schoj, V</creator><creator>Apelberg, B</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7WY</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>883</scope><scope>88E</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9-</scope><scope>K9.</scope><scope>M0F</scope><scope>M0K</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>201207</creationdate><title>Reduction in hospital admissions for acute coronary syndrome after the successful implementation of 100% smoke-free legislation in Argentina: a comparison with partial smoking restrictions</title><author>Ferrante, D ; Linetzky, B ; Virgolini, M ; Schoj, V ; Apelberg, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b457t-3879c17a4a84db6d4b0c83df864380cb48e4d8b45dd0aa92fa2fda76182950f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acute coronary syndrome</topic><topic>Acute Coronary Syndrome - epidemiology</topic><topic>Acute Coronary Syndrome - etiology</topic><topic>Acute Coronary Syndrome - prevention & control</topic><topic>Acute coronary syndromes</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Air Pollution, Indoor - adverse effects</topic><topic>Air Pollution, Indoor - legislation & jurisprudence</topic><topic>Air Pollution, Indoor - prevention & control</topic><topic>Argentina - epidemiology</topic><topic>Cardiovascular disease</topic><topic>Cigarette smoking</topic><topic>Compliance</topic><topic>Developing Countries</topic><topic>Environmental tobacco smoke</topic><topic>Female</topic><topic>Health legislation</topic><topic>Hospital admissions</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Hospitalization - trends</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intervention</topic><topic>LDCs</topic><topic>Legislation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial infarction</topic><topic>Passive smoking</topic><topic>Patient admissions</topic><topic>Polls & surveys</topic><topic>Population</topic><topic>Predisposing factors</topic><topic>Prevalence</topic><topic>Provinces</topic><topic>Public health</topic><topic>public policy</topic><topic>Public sector</topic><topic>Restrictions</topic><topic>Risk factors</topic><topic>Seasons</topic><topic>Secondhand smoke</topic><topic>Smoke</topic><topic>Smoking</topic><topic>Smoking - adverse effects</topic><topic>Smoking - legislation & jurisprudence</topic><topic>smoking caused disease</topic><topic>Smoking cessation</topic><topic>Smoking Prevention</topic><topic>Time series</topic><topic>Tobacco</topic><topic>Tobacco Smoke Pollution - adverse effects</topic><topic>Tobacco Smoke Pollution - analysis</topic><topic>Tobacco Smoke Pollution - legislation & jurisprudence</topic><topic>Tobacco Smoke Pollution - prevention & control</topic><topic>Tobacco smoking</topic><topic>Trends</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferrante, D</creatorcontrib><creatorcontrib>Linetzky, B</creatorcontrib><creatorcontrib>Virgolini, M</creatorcontrib><creatorcontrib>Schoj, V</creatorcontrib><creatorcontrib>Apelberg, B</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ABI/INFORM Collection</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Trade & Industry (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ABI/INFORM Trade & Industry</collection><collection>Agricultural Science Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>Tobacco control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferrante, D</au><au>Linetzky, B</au><au>Virgolini, M</au><au>Schoj, V</au><au>Apelberg, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduction in hospital admissions for acute coronary syndrome after the successful implementation of 100% smoke-free legislation in Argentina: a comparison with partial smoking restrictions</atitle><jtitle>Tobacco control</jtitle><addtitle>Tob Control</addtitle><date>2012-07</date><risdate>2012</risdate><volume>21</volume><issue>4</issue><spage>402</spage><epage>406</epage><pages>402-406</pages><issn>0964-4563</issn><eissn>1468-3318</eissn><abstract>BackgroundSeveral studies have shown a decrease in acute coronary syndrome (ACS) admissions after the implementation of 100% smoke-free legislation. However, no studies have been conducted in developing countries.MethodsWe conducted a time series analysis of ACS hospital admissions in Santa Fe province and Buenos Aires city, Argentina. In 2006, Santa Fe implemented a 100% smoke-free law and Buenos Aires implemented a partial law with designated smoking areas and exceptions. Age-standardised ACS admissions rates were compared before and after the implementation of the laws in each district. Smoking prevalence, compliance with legislation and exposure to secondhand smoke (SHS) was also assessed in both districts.ResultsIn Santa Fe an immediate decrease in ACS admissions was observed after implementation (−2.5 admissions per 100 000, p=0.03; 13% reduction), compared with no change in Buenos Aires city (rate ratio Santa Fe vs Buenos Aires: 0.74, 95% CI 0.63 to 0.86, p≤0.001). In Santa Fe, the immediate effect was followed by a persistent decrease in admissions due to ACS (−0.26 admissions per 100 000 per month). Smoking prevalence did not change significantly in either district during the same period. In both districts, there was a reduction in self-reported SHS exposure, with a trend towards lower exposure in Santa Fe province. No other comprehensive tobacco control interventions were implemented during the study period.ConclusionsA 100% smoke-free law was more effective than a partial restriction law in reducing ACS admissions. An immediate effect was followed by a sustained decrease in ACS admissions. Smoke-free initiatives can be also effective in decreasing acute coronary events in developing countries.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>21602536</pmid><doi>10.1136/tc.2010.042325</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Tobacco control, 2012-07, Vol.21 (4), p.402-406 |
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| source | MEDLINE; BMJ Journals - NESLi2; JSTOR Archive Collection A-Z Listing |
| subjects | Acute coronary syndrome Acute Coronary Syndrome - epidemiology Acute Coronary Syndrome - etiology Acute Coronary Syndrome - prevention & control Acute coronary syndromes Adolescent Adult Age Aged Air Pollution, Indoor - adverse effects Air Pollution, Indoor - legislation & jurisprudence Air Pollution, Indoor - prevention & control Argentina - epidemiology Cardiovascular disease Cigarette smoking Compliance Developing Countries Environmental tobacco smoke Female Health legislation Hospital admissions Hospitalization - statistics & numerical data Hospitalization - trends Hospitals Humans Intervention LDCs Legislation Male Middle Aged Myocardial infarction Passive smoking Patient admissions Polls & surveys Population Predisposing factors Prevalence Provinces Public health public policy Public sector Restrictions Risk factors Seasons Secondhand smoke Smoke Smoking Smoking - adverse effects Smoking - legislation & jurisprudence smoking caused disease Smoking cessation Smoking Prevention Time series Tobacco Tobacco Smoke Pollution - adverse effects Tobacco Smoke Pollution - analysis Tobacco Smoke Pollution - legislation & jurisprudence Tobacco Smoke Pollution - prevention & control Tobacco smoking Trends Young Adult |
| title | Reduction in hospital admissions for acute coronary syndrome after the successful implementation of 100% smoke-free legislation in Argentina: a comparison with partial smoking restrictions |
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