ArticleBMJ open2013
Reduction in myocardial infarction admissions in Liverpool after the smoking ban: potential socioeconomic implications for policymaking.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Evaluation of Population-Level Tobacco Control Interventions and Health Outcomes: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- Low cigarette consumption and risk of coronary heart disease and stroke: meta-analysis of 141 cohort studies in 55 study reports.BMJ (Clinical research ed.) · 2018Pooled it
- Legislative smoking bans for reducing harms from secondhand smoke exposure, smoking prevalence and tobacco consumption.The Cochrane database of systematic reviews · 2016Pooled it
- Trends in smoking-related diseases by socioeconomic position following a national smoking ban in 2007: a nationwide study in the Danish population.BMC public health · 2023Article
- Impact of a comprehensive tobacco control policy package on acute myocardial infarction and stroke hospital admissions in Beijing, China: interrupted time series study.Tobacco control · 2020Article
- Lower incidence of myocardial infarction after smoke-free legislation enforcement in Chile.Bulletin of the World Health Organization · 2017Article
- Data Resource Profile: Hospital Episode Statistics Admitted Patient Care (HES APC).International journal of epidemiology · 2017Article
- Association of restaurant smoking ban and the incidence of acute myocardial infarction in Finland.BMJ open · 2016Article
- Towards public health ethics.Public health reviews · 2015Review
- Cardiovascular Events Following Smoke-Free Legislations: An Updated Systematic Review and Meta-Analysis.Current environmental health reports · 2014Article
- An international smoking ban-how many lives will be saved?Current atherosclerosis reports · 2014Review
- The impact of excess body weight at the hospital frontline.BMC medicine · 2014Article
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Authors and funding
5 authors.
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Abstract
objectivesTo analyse the trends and trend changes in myocardial infraction (MI) and coronary heart disease (CHD) admissions, to investigate the effects of the 2007 smoke-free legislation on these trends, and to consider the policy implications of any findings. DESIGN
settingLiverpool (city), UK.
participantsHospital episode statistics data on all 56 995 admissions for CHD in Liverpool between 2004 and 2012 (International Classification of Diseases codes I20-I25 coded as an admission diagnosis within the defined dates). PRIMARY AND SECONDARY OUTCOME MEASURES: Trend gradient and change points (by trend regressions analysis) in age-standardised MI admissions in Liverpool between 2004 and 2012; by sex and by socioeconomic status. Secondary analysis on CHD admissions.
resultsA significant and sustained reduction was seen in MI admissions in Liverpool beginning within 1 year of the smoking ban. Comparing 2005/2006 and 2010/2011, the age-adjusted rates for MI admissions fell by 42% (39-45%) (41.6% in men and by 42.6% in women). Trend analysis shows that this is significantly greater than the background trend of decreasing admissions. These reductions appeared consistent across all socioeconomic groups. Interestingly, admission rates for total CHD (including mild to severe angina) increased by 10% (8-12%).
conclusionsA dramatic reduction in MI admissions in Liverpool has been observed coinciding with the smoking ban in 2007. Furthermore, the benefits were apparent across the socioeconomic spectrum. Health inequalities were not affected and may even have been reduced. The rapid effects observed with this top-down, environmental policy may further increase its value to policymakers.
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