TY - JOUR
T1 - Fewer hospitalizations for chronic obstructive pulmonary disease in communities with smoke-free public policies
AU - Hahn, Ellen J.
AU - Rayens, Mary Kay
AU - Adkins, Sarah
AU - Simpson, Nick
AU - Frazier, Susan
AU - Mannino, David M.
PY - 2014/6
Y1 - 2014/6
N2 - Objectives. We determined the impact of smoke-free municipal public policies on hospitalizations for chronic obstructive pulmonary disease (COPD). Methods. We conducted a secondary analysis of hospital discharges with a primary diagnosis of COPD in Kentucky between July 1, 2003, and June 30, 2011 using Poisson regression. We compared the hospitalization rates of regions with and without smoke-free laws, adjusting for personal and population covariates, seasonality, secular trends over time, and geographic region. Results. Controlling for covariates such as sex, age, length of stay, race/ ethnicity, education, income, and urban-rural status, among others, we found that those living in a community with a comprehensive smoke-free law or regulation were 22% less likely to experience hospitalizations for COPD than those living in a community with a moderate-weak law or no law. Those living in a community with an established law were 21% less likely to be hospitalized for COPD than those with newer laws or no laws. Conclusions. Strong smoke-free public policiesmayprovide protection against COPD hospitalizations, particularly after 12 months, with the potential to save lives and decrease health care costs.
AB - Objectives. We determined the impact of smoke-free municipal public policies on hospitalizations for chronic obstructive pulmonary disease (COPD). Methods. We conducted a secondary analysis of hospital discharges with a primary diagnosis of COPD in Kentucky between July 1, 2003, and June 30, 2011 using Poisson regression. We compared the hospitalization rates of regions with and without smoke-free laws, adjusting for personal and population covariates, seasonality, secular trends over time, and geographic region. Results. Controlling for covariates such as sex, age, length of stay, race/ ethnicity, education, income, and urban-rural status, among others, we found that those living in a community with a comprehensive smoke-free law or regulation were 22% less likely to experience hospitalizations for COPD than those living in a community with a moderate-weak law or no law. Those living in a community with an established law were 21% less likely to be hospitalized for COPD than those with newer laws or no laws. Conclusions. Strong smoke-free public policiesmayprovide protection against COPD hospitalizations, particularly after 12 months, with the potential to save lives and decrease health care costs.
UR - http://www.scopus.com/inward/record.url?scp=84901044479&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84901044479&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2014.301887
DO - 10.2105/AJPH.2014.301887
M3 - Article
C2 - 24825207
AN - SCOPUS:84901044479
SN - 0090-0036
VL - 104
SP - 1059
EP - 1065
JO - American Journal of Public Health
JF - American Journal of Public Health
IS - 6
ER -