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Longitudinal Impact of the Smoking Ban Legislation in Acute Coronary Syndrome Admissions.

Abstract Background and Purpose. The association between smoking and CV has been proved; however smoking is still the first preventable cause of death in the EU. We aim to evaluate the potential impact of the smoke ban on the number of ACS events in the Portuguese population. In addition, we evaluate the longitudinal effects of the smoking ban several years after its implementation. Methods. We analyzed the admission rate for ACS before and after the ban using data from hospital admission. Monthly crude rate was computed, using the Portuguese population as the denominator. Data concerning the proportion of smokers among ACS patients were obtained from the NRACS. Interrupted time series were used to assess changes over time. Results. A decline of -5.8% was found for ACS crude rate after the smoking ban. The decreasing trend was observed even after years since the law. The effect of the ban was higher in men and for people over 65 years. The most significant reduction of ACS rate was found in Lisbon. Conclusions. Our results suggest that smoking ban is related to a decline in ACS admissions, supporting the importance of smoke legislation as a public health measure, contributing to the reduction of ACS rate.
PMID
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Authors

Mayor MeshTerms

Hospitalization

Keywords
Journal Title biomed research international
Publication Year Start




PMID- 28265574
OWN - NLM
STAT- MEDLINE
DA  - 20170307
DCOM- 20170309
LR  - 20170309
IS  - 2314-6141 (Electronic)
VI  - 2017
DP  - 2017
TI  - Longitudinal Impact of the Smoking Ban Legislation in Acute Coronary Syndrome
      Admissions.
PG  - 6956941
LID - 10.1155/2017/6956941 [doi]
AB  - Background and Purpose. The association between smoking and CV has been proved;
      however smoking is still the first preventable cause of death in the EU. We aim
      to evaluate the potential impact of the smoke ban on the number of ACS events in 
      the Portuguese population. In addition, we evaluate the longitudinal effects of
      the smoking ban several years after its implementation. Methods. We analyzed the 
      admission rate for ACS before and after the ban using data from hospital
      admission. Monthly crude rate was computed, using the Portuguese population as
      the denominator. Data concerning the proportion of smokers among ACS patients
      were obtained from the NRACS. Interrupted time series were used to assess changes
      over time. Results. A decline of -5.8% was found for ACS crude rate after the
      smoking ban. The decreasing trend was observed even after years since the law.
      The effect of the ban was higher in men and for people over 65 years. The most
      significant reduction of ACS rate was found in Lisbon. Conclusions. Our results
      suggest that smoking ban is related to a decline in ACS admissions, supporting
      the importance of smoke legislation as a public health measure, contributing to
      the reduction of ACS rate.
FAU - Abreu, D
AU  - Abreu D
AUID- ORCID: 0000-0002-7979-6456
AD  - Escola Nacional de Saude Publica, Universidade Nova de Lisboa, Avenida Padre
      Cruz, 1600-560 Lisboa, Portugal.
FAU - Sousa, P
AU  - Sousa P
AD  - Escola Nacional de Saude Publica, Universidade Nova de Lisboa, Avenida Padre
      Cruz, 1600-560 Lisboa, Portugal; Centro de Investigacao em Saude Publica,
      ENSP-UNL, Avenida Padre Cruz, 1600-560 Lisboa, Portugal.
FAU - Matias-Dias, C
AU  - Matias-Dias C
AD  - Escola Nacional de Saude Publica, Universidade Nova de Lisboa, Avenida Padre
      Cruz, 1600-560 Lisboa, Portugal; Centro de Investigacao em Saude Publica,
      ENSP-UNL, Avenida Padre Cruz, 1600-560 Lisboa, Portugal; Department of
      Epidemiology, The Instituto Nacional de Saude Doutor Ricardo Jorge, Avenida Padre
      Cruz, 1649-016 Lisboa, Portugal.
FAU - Pinto, F J
AU  - Pinto FJ
AD  - Servico de Cardiologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, 
      EPE, Centro Academico Medicina de Lisboa and Centro Cardiovascular da
      Universidade de Lisboa, Av. Prof. Egas Moniz, 1649-035 Lisboa, Portugal.
LA  - eng
PT  - Journal Article
DEP - 20170207
PL  - United States
TA  - Biomed Res Int
JT  - BioMed research international
JID - 101600173
SB  - IM
MH  - Acute Coronary Syndrome/*epidemiology/therapy
MH  - Age Factors
MH  - Female
MH  - *Hospitalization
MH  - Humans
MH  - Male
MH  - Portugal/epidemiology
MH  - Smoking Cessation/*legislation & jurisprudence
PMC - PMC5318631
COI - The authors declare that there is no conflict of interests regarding the
      publication of this paper.
EDAT- 2017/03/08 06:00
MHDA- 2017/03/10 06:00
CRDT- 2017/03/08 06:00
PHST- 2016/08/25 [received]
PHST- 2016/12/22 [revised]
PHST- 2017/01/17 [accepted]
AID - 10.1155/2017/6956941 [doi]
PST - ppublish
SO  - Biomed Res Int. 2017;2017:6956941. doi: 10.1155/2017/6956941. Epub 2017 Feb 7.

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