Reductions in cardiovascular, cerebrovascular, and respiratory mortality following the national Irish smoking ban: interrupted time-series analysis

Show simple item record

dc.contributor.author Stallings-Smith, Sericea
dc.contributor.author Zeka, Ariana
dc.contributor.author Goodman, Pat
dc.contributor.author Kabir, Zubair
dc.contributor.author Clancy, Luke
dc.date.accessioned 2016-02-17T11:46:18Z
dc.date.available 2016-02-17T11:46:18Z
dc.date.issued 2013
dc.identifier.citation Citation: Stallings-Smith S, Zeka A, Goodman P, Kabir Z, Clancy L (2013) Reductions in Cardiovascular, Cerebrovascular, and Respiratory Mortality following the National Irish Smoking Ban: Interrupted Time-Series Analysis. PLoS ONE 8(4): e62063. doi:10.1371/journal.pone.0062063 en
dc.identifier.volume 8 en
dc.identifier.issued 4 en
dc.identifier.issn 1932-6203
dc.identifier.uri http://hdl.handle.net/10468/2383
dc.identifier.doi 10.1371/journal.pone.0062063
dc.description.abstract Background: Previous studies have shown decreases in cardiovascular mortality following the implementation of comprehensive smoking bans. It is not known whether cerebrovascular or respiratory mortality decreases post-ban. On March 29, 2004, the Republic of Ireland became the first country in the world to implement a national workplace smoking ban. The aim of this study was to assess the effect of this policy on all-cause and cause-specific, non-trauma mortality. Methods: A time-series epidemiologic assessment was conducted, utilizing Poisson regression to examine weekly age and gender-standardized rates for 215,878 non-trauma deaths in the Irish population, ages >= 35 years. The study period was from January 1, 2000, to December 31, 2007, with a post-ban follow-up of 3.75 years. All models were adjusted for time trend, season, influenza, and smoking prevalence. Results: Following ban implementation, an immediate 13% decrease in all-cause mortality (RR: 0.87; 95% CI: 0.76-0.99), a 26% reduction in ischemic heart disease (IHD) (RR: 0.74; 95% CI: 0.63-0.88), a 32% reduction in stroke (RR: 0.68; 95% CI: 0.54-0.85), and a 38% reduction in chronic obstructive pulmonary disease (COPD) (RR: 0.62; 95% CI: 0.46-0.83) mortality was observed. Post-ban reductions in IHD, stroke, and COPD mortalities were seen in ages >= 65 years, but not in ages 35-64 years. COPD mortality reductions were found only in females (RR: 0.47; 95% CI: 0.32-0.70). Post-ban annual trend reductions were not detected for any smoking-related causes of death. Unadjusted estimates indicate that 3,726 (95% CI: 2,305-4,629) smoking-related deaths were likely prevented post-ban. Mortality decreases were primarily due to reductions in passive smoking. Conclusions: The national Irish smoking ban was associated with immediate reductions in early mortality. Importantly, post-ban risk differences did not change with a longer follow-up period. This study corroborates previous evidence for cardiovascular causes, and is the first to demonstrate reductions in cerebrovascular and respiratory causes. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Public Library of Science en
dc.rights © 2013 Stallings-Smith et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited en
dc.rights.uri http://creativecommons.org/licenses/by/4.0/ en
dc.subject Acute myocardial infarction en
dc.subject Hospital admissions en
dc.subject Secondhand smoke en
dc.subject Free legislation en
dc.subject Air pollution en
dc.subject Heart disease en
dc.subject Stroke en
dc.subject Risk en
dc.subject Implementation en
dc.subject Association en
dc.title Reductions in cardiovascular, cerebrovascular, and respiratory mortality following the national Irish smoking ban: interrupted time-series analysis en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Zubair Kabair, Epidemiology & Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: z.kabir@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.internal.wokid WOS:000318340400074
dc.description.status Peer reviewed en
dc.identifier.journaltitle PLOS ONE en
dc.internal.IRISemailaddress z.kabir@ucc.ie en
dc.identifier.articleid e62063


Files in this item

This item appears in the following Collection(s)

Show simple item record

© 2013 Stallings-Smith et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Except where otherwise noted, this item's license is described as © 2013 Stallings-Smith et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
This website uses cookies. By using this website, you consent to the use of cookies in accordance with the UCC Privacy and Cookies Statement. For more information about cookies and how you can disable them, visit our Privacy and Cookies statement