- 作者：W.C. Lipperta ; william_lippert@hotmail.com ; J. Gustatb
- 关键词：Cessation ; Second-hand smoke ; Prevalence ; Public policy
- 刊名：Public Health
- 出版年：2012
- 出版时间：April, 2012
- 年：2012
- 卷：126
- 期：4
- 页码：279-285
- 全文大小：153 K
Summary
Objectives
Second-hand smoke is associated with an increased risk of adverse health outcomes, such as acute myocardial infarction (AMI) and coronary heart disease (CHD). At present, 38 US states/territories have enacted Clean Indoor Air Acts (CIAAs). The purpose of the current study was to compare the prevalence of self-reported health outcomes on a state/territory-wide level 1 year prior to CIAA implementation and at least 1 year after CIAA implementation for each respective state/territory.Study design
Pre-test, post-test study.
Methods
Seventeen states/territories with pre- and post-CIAA data were included in the current study. All data (AMI, CHD/angina, former and current smoker rates) were collected from the Behavioral Risk Factor Surveillance System (BRFSS) in the year prior to each state/territory¡¯s respective CIAA implementation (baseline) and 2009 (most recent year with BRFSS data).
Results
Between baseline and 2009, 10 states/territories (58.8 % ) had a significant decrease in the prevalence of CHD/angina or AMI, 11 states/territories (64.7 % ) had a significant decrease in the prevalence of current smokers, and three states/territories (17.7 % ) had a significant decrease in the prevalence of both current and former smokers. Six states/territories (35.3 % ) had a significant increase in the prevalence of former smokers.
Conclusions
State/territory-wide CIAAs are beneficial in reducing adverse cardiovascular health outcomes in the short term. The prevalence of AMI, CHD/angina, and former and current smokers decreased significantly following CIAA implementation. The current study adds further support for the passage and implementation of CIAAs on a state/territory-wide level. However, further studies need to be conducted to assess the long-term outcomes of CIAAs.