ArticlePloS one2014
Socioeconomic differentials in the immediate mortality effects of the national Irish smoking ban.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- Medical undergraduate students' readiness and anxiety toward artificial intelligence: a systematic review and meta-analysis.BMC medical education · 2025Pooled it
- Evaluation of Population-Level Tobacco Control Interventions and Health Outcomes: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- Smokefree legislation effects on respiratory and sensory disorders: A systematic review and meta-analysis.PloS one · 2017Pooled it
- Legislative smoking bans for reducing harms from secondhand smoke exposure, smoking prevalence and tobacco consumption.The Cochrane database of systematic reviews · 2016Pooled it
- Article
- The Irish Smoking Ban Legislation, Astride the Celtic Tiger, Trail-Blazed a Can-Do Tobacco Control Culture.Tobacco use insights · 2024Article
- Inequalities in Smoking and E-Cigarette Use in Young Adults With Mental Ill-Health, 20 years After Ireland's Smoking Ban.Tobacco use insights · 2024Article
- 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
- The impact of alcohol taxation increase on all-cause mortality inequalities in Lithuania: an interrupted time series analysis.BMC medicine · 2023Article
- Changes in hospitalizations for chronic respiratory diseases after two successive smoking bans in Spain.PloS one · 2017Article
- The effects of maximising the UK's tobacco control score on inequalities in smoking prevalence and premature coronary heart disease mortality: a modelling study.BMC public health · 2016Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConsistent evidence has demonstrated that smoking ban policies save lives, but impacts on health inequalities are uncertain as few studies have assessed post-ban effects by socioeconomic status (SES) and findings have been inconsistent. The aim of this study was to assess the effects of the national Irish smoking ban on ischemic heart disease (IHD), stroke, and chronic obstructive pulmonary disease (COPD) mortality by discrete and composite SES indicators to determine impacts on inequalities.
methodsCensus data were used to assign frequencies of structural and material SES indicators to 34 local authorities across Ireland with a 2000-2010 study period. Discrete indicators were jointly analysed through principal component analysis to generate a composite index, with sensitivity analyses conducted by varying the included indicators. Poisson regression with interrupted time-series analysis was conducted to examine monthly age and gender-standardised mortality rates in the Irish population, ages ≥35 years, stratified by tertiles of SES indicators. All models were adjusted for time trend, season, influenza, and smoking prevalence.
resultsPost-ban mortality reductions by structural SES indicators were concentrated in the most deprived tertile for all causes of death, while reductions by material SES indicators were more equitable across SES tertiles. The composite indices mirrored the results of the discrete indicators, demonstrating that post-ban mortality decreases were either greater or similar in the most deprived when compared to the least deprived for all causes of death.
conclusionsOverall findings indicated that the national Irish smoking ban reduced inequalities in smoking-related mortality. Due to the higher rates of smoking-related mortality in the most deprived group, even equitable reductions across SES tertiles resulted in decreases in inequalities. The choice of SES indicator was influential in the measurement of effects, underscoring that a differentiated analytical approach aided in understanding the complexities in which structural and material factors influence mortality.
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