Changes in U.S. hospitalization and mortality rates following smoking bans

U.S. state and local governments have increasingly adopted restrictions on smoking in public places. This paper analyzes nationally representative databases, including the Nationwide Inpatient Sample, to compare short-term changes in mortality and hospitalization rates in smoking-restricted regions...

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Bibliographic Details
Published in:Journal of policy analysis and management 2011, Vol.30 (1), p.6-28
Main Authors: Shetty, Kanaka D., DeLeire, Thomas, White, Chapin, Bhattacharya, Jayanta
Format: Article
Language:English
Subjects:
Change
Cigarette smoking
Comparative analysis
Databases, Factual
Diseases
Global Health
Health care
Health outcomes
Health policy
Health Policy - legislation & jurisprudence
Health Policy - trends
Health services
Health technology assessment
Heart attacks
Heart Disorders
Hospital admissions
Hospitalization
Hospitalization - statistics & numerical data
Hospitalization - trends
Hospitalization rates
Hospitals
Humans
Legal status, laws, etc
Local government
Mortality
Mortality Rate
Myocardial infarction
Myocardial Infarction - etiology
Outcome Assessment (Health Care)
Patients
Public Policy
Public spaces
Regression Analysis
Secondhand smoke
Smoking
Smoking - adverse effects
Smoking - legislation & jurisprudence
Smoking - mortality
Smoking cessation
Social policy
State government
Studies
Tobacco Smoke Pollution - legislation & jurisprudence
Tobacco smoking
U.S.A
United States
Workplaces
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Summary:U.S. state and local governments have increasingly adopted restrictions on smoking in public places. This paper analyzes nationally representative databases, including the Nationwide Inpatient Sample, to compare short-term changes in mortality and hospitalization rates in smoking-restricted regions with control regions. In contrast with smaller regional studies, we find that smoking bans are not associated with statistically significant short-term declines in mortality or hospital admissions for myocardial infarction or other diseases. An analysis simulating smaller studies using subsamples reveals that large short-term increases in myocardial infarction incidence following a smoking ban are as common as the large decreases reported in the published literature.
ISSN:0276-8739
1520-6688
DOI:10.1002/pam.20548