Hospital Discharge Rates Before and After Implementation of a City-wide Smoking Ban in a Texas City, 2004–2008

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Head, Phil ; Jackson, Bradford E. ; Bae, Sejong ; Cherry, Debra
• Description:
  The objective of this study was to examine hospital discharge data on 5 tobacco-related diagnoses before and after implementation of a smoking ban in a small Texas city. We compared hospital discharge rates for 2 years before and 2 years after implementation of the ban in the intervention city with discharge rates during the same time in a similar city with no ban. The discharge rates for blacks and whites combined declined significantly after the ban in the intervention city for acute myocardial infarction (MI) (rate ratio [RR], 0.74; 95% confidence interval [CI], 0.65-0.85) and for stroke or cerebrovascular accident (RR, 0.71; 95% CI, 0.62-0.82); discharge rates in the intervention city also declined significantly for chronic obstructive pulmonary disease (RR, 0.64; 95% CI, 0.54-0.75) and asthma (RR, 0.69; 95% CI, 0.52-0.91) for whites only. Discharge rates for 4 of 5 diagnoses in the control city did not change. Although postban reduction in acute MI is well documented, this is one of the first studies to show a racial disparity in health benefits and a decline in tobacco-related diagnoses other than acute MI after implementation of a city-wide smoking ban.
• Subjects:
  Chronic Disease Health Policy Health Promotion Humans Patient Discharge Smoking Socioeconomic Factors Tobacco Smoke Pollution Tobacco Use Disorder
• Source:
  Prev Chronic Dis. 9.
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  Texas
• Location:
  North America
• Volume:
  9
• NIOSHTIC Number:
  nn:20054858
• Collection(s):
  National Institute for Occupational Safety and Health Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:6b814ed572e599b0b2e70114e1924804f59c5b8ebb0f68b27ca0bbd4e52b36eac4ef9a443b79e4caa5f1f1083427fccea93b84a448bc543359a0899e12c3bd0b
• Download URL:
  https://stacks.cdc.gov/view/cdc/19779/cdc_19779_DS1.pdf
• File Type:
  [PDF - 192.65 KB ]