Evidence map›Paper›PMID 35801245›Full record

ArticleFrontiers in public health2022

Effects of a Smoke-Free Policy in Xi'an, China: Impact on Hospital Admissions for Acute Ischemic Heart Disease and Stroke.

Meng Chu, Zhiyan Liu, Xinzhu Fang, Yajun Wu, Huannan Liu, Xuan Zhao, Tianxiao Zhang, Qian Wu, Fang Tan

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. [Analysis and Projection of the Burden of Chronic Respiratory Diseases Attributable to Smoking in China, 1990-2021].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
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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

9 authors at 2 institutions in 1 country.

Meng ChuDepartment of Epidemiology, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an, China.
Zhiyan LiuDepartment of Respiratory and Critical Care Medicine, Xi'an No.3 Hospital, The Affiliated Hospital of Northwest University, Xi'an, China.
Xinzhu FangMinistry of Health Education, Xi'an Health Education Institute, Xi'an, China.
Yajun WuDepartment of Epidemiology, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an, China.
Huannan LiuDepartment of Epidemiology, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an, China.
Xuan ZhaoDepartment of Epidemiology, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an, China.
Tianxiao ZhangDepartment of Epidemiology, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an, China.
Qian WuDepartment of Epidemiology, School of Public Health, Health Science Center, Xi'an Jiaotong University, Xi'an, China.
Fang TanMinistry of Health Education, Xi'an Health Education Institute, Xi'an, China.
Xi'an Jiaotong University · CNNorthwest University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Smoking and secondhand smoke (SHS) exposure rates are much higher in China than in other countries. A smoke-free policy was implemented in Xi'an, a city in Shaanxi Province, China, on November 1, 2018. This study aimed to evaluate the effect of the smoke-free policy on changes in hospital admissions for acute ischemic heart disease (AIHD) and stroke in Xi'an. Methods: All subjects had been hospitalized for AIHD or stroke from February 9, 2017 to December 25, 2019 (study period: 150 weeks) in six randomly selected public hospitals out of 36 tertiary hospitals in Xi'an. A generalized additive model developed using an interrupted time series design was used to compare immediate and annual percent changes in hospital admissions before and after policy implementation. Results: The study included 31,400 cases (16,656 cases of AIHD and 14,744 cases of stroke) from 6 hospitals in Xi'an. Immediately after implementation of the smoke-free policy, AIHD admissions were reduced significantly (-31.66%, 95% CI: - 39.45 to -22.86%), but stroke admissions were not (-4.94%, 95% CI: -13.26 to 4.17%). The annual reduction in stroke-related admissions (-14.54%, 95% CI: -23.53 to -4.49%) and the annual increase in AIHD-related admissions (40.58%, 95% CI: 22.08 to 61.87%) were significant. Although there was no significant reduction in AIHD admissions, stroke admissions were significantly reduced by -15.73% (from 7,350 to 6,194) after implementation of the smoke-free policy in Xi'an. Conclusion: The smoke-free policy had different effects on hospital admissions for AIHD and stroke in Xi'an. Xi'an should improve its smoke-free legislation and expand the measures to maintain or achieve additional significant health benefits. These findings can guide the formulation and implementation of regional and national smoke-free policies.

Indexed as

Myocardial IschemiaSmoke-Free PolicyStrokeTobacco Smoke PollutionChinaHospitalsHumansTobacco Smoke Pollutionacute ischemic heart diseasesecond-hand exposuresmoke-free policysmokingstroketobacco

Identifiers

PMID35801245
PMCPMC9253815
OpenAlexW4283257382

What OpenQuestion holds

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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.