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Fewer Hospitalizations for Chronic Obstructive Pulmonary Disease in Communities With Smoke-Free Public Policies.
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- Author(s): Hahn, Ellen J. (NURSE); Rayens, Mary Kay (AUTHOR); Adkins, Sarah (AUTHOR); Simpsion, Nick (AUTHOR); Frazier, Susan (NURSE); Mannino, David M. (AUTHOR)
- Source:
American Journal of Public Health. Jun2014, Vol. 104 Issue 6, p1059-1065. 7p. 3 Charts, 1 Map. - Source:
- Additional Information
- Subject Terms: OBSTRUCTIVE lung disease diagnosis; PASSIVE smoking -- Law & legislation; DISEASE exacerbation; COMPARATIVE studies; CONFIDENCE intervals; HOSPITAL care; MAPS; POISSON distribution; PUBLIC spaces; RESEARCH funding; RESIDENTIAL patterns; DISCHARGE planning; DESCRIPTIVE statistics; ODDS ratio; PREVENTION
- Subject Terms:
- Abstract: 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 overtime, 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 policies may provide protection against COPD hospitalizations, particularly after 12 months, with the potential to save lives and decrease health care costs. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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