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
• 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. Description provided by NIOSH
• Subjects:
  • Chronic Disease
  • Community Health Services
  • Health Policy
  • Health Promotion
  • Healthcare Disparities
  • Occupational Health
  • Patient Discharge
  • Race Factors
  • Safety
  • Smoke
  More +
• Keywords:
  • Community health; Tobacco smoke; Smoke control; Smoking; Health disparities; Racial factors; Medical records
• Source:
  Prev Chronic Dis 2012 Dec; 9:120079
• Series:
  Preventing Chronic Disease (PCD)
• ISSN:
  1545-1151
• Document Type:
  Text
• Funding:
  Grant-Number-T42-OH-008433
• Genre:
  Journal Article
• Place as Subject:
  Alabama ; OSHA Region 10 ; OSHA Region 4 ; OSHA Region 6 ; Texas ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  6 pdf pages
• Volume:
  9
• NIOSHTIC Number:
  nn:20054858
• Contact Point Address:
  Debra Cherry, MD, MS, Associate Professor, Occupational Medicine, University of Texas Health Science Center at Tyler, 11937 US Hwy 271, Tyler, TX 75708
• Email:
  debra.cherry@uthct.edu
• Federal Fiscal Year:
  2013
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Download URL:
  https://stacks.cdc.gov/view/cdc/19779/cdc_19779_DS1.pdf
• File Type:
  [PDF - 192.65 KB]
• Collection(s):
  Preventing Chronic Disease ; National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6b814ed572e599b0b2e70114e1924804f59c5b8ebb0f68b27ca0bbd4e52b36eac4ef9a443b79e4caa5f1f1083427fccea93b84a448bc543359a0899e12c3bd0b