Evidence map›Paper›PMID 32669389›Full record

ArticleTobacco control2020

Impact of a comprehensive tobacco control policy package on acute myocardial infarction and stroke hospital admissions in Beijing, China: interrupted time series study.

Yunting Zheng, Yiqun Wu, Mengying Wang, Zijing Wang, Siyue Wang, Jiating Wang, Junhui Wu, Tao Wu, Chun Chang, Yonghua Hu

Open access · bronzeAbstract read
In one paragraph

Article in Tobacco control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 28 citations in OpenAlex.

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  8. Smoking Bans and Circulatory System Disease Mortality Reduction in Macao (China): Using GRA Models.International journal of environmental research and public health · 2023
    Article
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  10. Principles and methods of global legal epidemiology.Journal of epidemiology and community health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Yunting Zheng *Department of Social Medicine and Health Education, School of Public Health, Peking University Health Science Center, Beijing, China.
Yiqun Wu *Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
Mengying WangDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
Zijing WangDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
Siyue WangDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
Jiating WangDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
Junhui WuDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
Tao WuDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
Chun ChangDepartment of Social Medicine and Health Education, School of Public Health, Peking University Health Science Center, Beijing, China yhhu@bjmu.edu.cn changchun@bjmu.edu.cn.
Yonghua HuDepartment of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China yhhu@bjmu.edu.cn changchun@bjmu.edu.cn.ORCID http://orcid.org/0000-0003-1631-3952
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate a comprehensive tobacco control policy package on hospital admissions for acute myocardial infarction (AMI) and stroke in a global city.

designInterrupted time series study.

settingBeijing, China. POPULATION: 31 707 AMI and 128 116 stroke hospital admissions recorded by the Beijing Medical Claim Data for Employees in 17.7 million residents from January 2013 to June 2017.

interventionThe policy package including all components of MPOWER has been implemented since June 2015.

main outcome measuresThe immediate change of AMI and stroke hospital admissions and the annual change in the secular trend.

resultsThere was a secular increase trend for the crude hospital admission rates of AMI and stroke during the observational period. After implementation of the policy, immediate reductions were observed in the hospital admissions for both AMI (-5.4%, 95% CI -10.0% to -0.5%) and stroke (-5.6%, 95% CI -7.8% to -3.3%). In addition, the secular increase trend for stroke was slowed down by -15.3% (95% CI -16.7% to -13.9%) annually. Compared with the hypothetical scenario where the policy had not taken place, an estimated 18 137 (26.7%) stroke hospital admissions had been averted during the 25 months of postpolicy period.

conclusionsThe results indicated significant health benefits on cardiovascular morbidity after the Beijing tobacco control policy package, which highlighted the importance for a comprehensive tobacco control policy at the national level in China. Similar tobacco control policy which consists of all components of MPOWER is urgently needed in other areas, especially in settings with high tobacco consumption, to achieve greater public health gains.

Indexed as

low/middle income countrypreventionpublic policysecondhand smokesmoking caused disease

Identifiers

PMID32669389
PMCPMC8237181
OpenAlexW3043395765

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.