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Int. J. Environ. Res. Public Health 2010, 7(12), 4169-4178; doi:10.3390/ijerph7124169
Article

The Impact of the 2002 Delaware Smoking Ordinance on Heart Attack and Asthma

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Received: 1 November 2010; in revised form: 23 November 2010 / Accepted: 29 November 2010 / Published: 2 December 2010
(This article belongs to the Special Issue Tobacco Smoking: Public Health, Science and Policy)
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Abstract: In the United States, smoking is the leading cause of death - having a mortality rate of approximately 435,000 people in 2000—accounting for 8.1% of all US deaths recorded that year. Consequently, we analyzed the Delaware Hospital Discharge Database, and identified state and non-state residents discharged with AMI or asthma for the years 1999 to 2004. Statistical data analysis compared the incidence of AMI or asthma for each group before (1999–2002) and after (2003–2004) the amendment. As a result, we found that pre-ordinance and post-ordinance quarterly rates of AMI for Delaware residents were 451 (se = 21) and 430 (se = 21) respectively, representing a 4.7% reduction. Over the same time period, there was negligible change in the incidence of AMI for non-Delaware residents. After adjusting for population growth, the Risk Ratio (RR) for asthma in Delaware residents post-ordinance was 0.95 (95% CI, 0.90 to 0.999), which represented a significant reduction (P = 0.046). By comparison, non-Delaware residents had an increased RR for asthma post-ordinance of 1.62 (95% CI, 1.46 to 1.86; P < 0.0001).The results suggest that Delaware’s comprehensive non-smoking ordinance effectively was associated with a statistically significant decrease in the incidence of AMI and asthma in Delaware residents when compared to non-Delaware residents.
Keywords: acute myocardial infarction; asthma; smoking; secondhand smoke exposure; prevention; health promotion acute myocardial infarction; asthma; smoking; secondhand smoke exposure; prevention; health promotion
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

Moraros, J.; Bird, Y.; Chen, S.; Buckingham, R.; Meltzer, R.S.; Prapasiri, S.; Solis, L.H. The Impact of the 2002 Delaware Smoking Ordinance on Heart Attack and Asthma. Int. J. Environ. Res. Public Health 2010, 7, 4169-4178.

AMA Style

Moraros J, Bird Y, Chen S, Buckingham R, Meltzer RS, Prapasiri S, Solis LH. The Impact of the 2002 Delaware Smoking Ordinance on Heart Attack and Asthma. International Journal of Environmental Research and Public Health. 2010; 7(12):4169-4178.

Chicago/Turabian Style

Moraros, John; Bird, Yelena; Chen, Shande; Buckingham, Robert; Meltzer, Richard S.; Prapasiri, Surasri; Solis, Luis H. 2010. "The Impact of the 2002 Delaware Smoking Ordinance on Heart Attack and Asthma." Int. J. Environ. Res. Public Health 7, no. 12: 4169-4178.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert