The impact of the 2002 Delaware smoking ordinance on heart attack and asthma

In the United States, smoking is the leading cause of death - having a mortality rate of approximately 435,000 people in 2000-accounting for 8.1% of all US deaths recorded that year. Consequently, we analyzed the Delaware Hospital Discharge Database, and identified state and non-state residents disc...

Full description

Saved in:
Bibliographic Details
Published in:International journal of environmental research and public health 2010-12, Vol.7 (12), p.4169-4178
Main Authors: Moraros, John, Bird, Yelena, Chen, Shande, Buckingham, Robert, Meltzer, Richard S, Prapasiri, Surasri, Solis, Luis H
Format: Article
Language:English
Subjects:
Asthma
Asthma - epidemiology
Databases, Factual
Delaware - epidemiology
Female
Health promotion
Heart attacks
Hospitalization - statistics & numerical data
Humans
Incidence
Male
Myocardial Infarction - epidemiology
Myocardial Infarction - etiology
Myocardial Infarction - prevention & control
Odds Ratio
Public Policy - legislation & jurisprudence
Smoking
Smoking - adverse effects
Smoking - legislation & jurisprudence
Smoking Cessation - legislation & jurisprudence
Smoking Prevention
State laws
Tobacco Smoke Pollution - adverse effects
Tobacco Smoke Pollution - legislation & jurisprudence
Tobacco Smoke Pollution - prevention & control
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In the United States, smoking is the leading cause of death - having a mortality rate of approximately 435,000 people in 2000-accounting for 8.1% of all US deaths recorded that year. Consequently, we analyzed the Delaware Hospital Discharge Database, and identified state and non-state residents discharged with AMI or asthma for the years 1999 to 2004. Statistical data analysis compared the incidence of AMI or asthma for each group before (1999-2002) and after (2003-2004) the amendment. As a result, we found that pre-ordinance and post-ordinance quarterly rates of AMI for Delaware residents were 451 (se = 21) and 430 (se = 21) respectively, representing a 4.7% reduction. Over the same time period, there was negligible change in the incidence of AMI for non-Delaware residents. After adjusting for population growth, the Risk Ratio (RR) for asthma in Delaware residents post-ordinance was 0.95 (95% CI, 0.90 to 0.999), which represented a significant reduction (P = 0.046). By comparison, non-Delaware residents had an increased RR for asthma post-ordinance of 1.62 (95% CI, 1.46 to 1.86; P < 0.0001).The results suggest that Delaware's comprehensive non-smoking ordinance effectively was associated with a statistically significant decrease in the incidence of AMI and asthma in Delaware residents when compared to non-Delaware residents.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph7124169