title: Longitudinal Impact of the Smoking Ban Legislation in Acute Coronary Syndrome Admissions.
abstract: Background and Purpose. The association between smoking and CV has been proved; however smoking is still the first preventable cause of death in the EU. We aim to evaluate the potential impact of the smoke ban on the number of ACS events in the Portuguese population. In addition, we evaluate the longitudinal effects of the smoking ban several years after its implementation.Methods. We analyzed the admission rate for ACS before and after the ban using data from hospital admission. Monthly crude rate was computed, using the Portuguese population as the denominator. Data concerning the proportion of smokers among ACS patients were obtained from the NRACS. Interrupted time series were used to assess changes over time.Results. A decline of -5.8% was found for ACS crude rate after the smoking ban. The decreasing trend was observed even after years since the law. The effect of the ban was higher in men and for people over 65 years. The most significant reduction of ACS rate was found in Lisbon.Conclusions. Our results suggest that smoking ban is related to a decline in ACS admissions, supporting the importance of smoke legislation as a public health measure, contributing to the reduction of ACS rate.
authors.affiliation: Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Avenida Padre Cruz, 1600-560 Lisboa, Portugal.
authors.forename: D
authors.identifier: 0000-0002-7979-6456
authors.initials: D
authors.lastname: Abreu
authors.affiliation: Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Avenida Padre Cruz, 1600-560 Lisboa, Portugal; Centro de Investigação em Saúde Pública, ENSP-UNL, Avenida Padre Cruz, 1600-560 Lisboa, Portugal.
authors.forename: P
authors.initials: P
authors.lastname: Sousa
authors.affiliation: Escola Nacional de Saúde Pública, Universidade Nova de Lisboa, Avenida Padre Cruz, 1600-560 Lisboa, Portugal; Centro de Investigação em Saúde Pública, ENSP-UNL, Avenida Padre Cruz, 1600-560 Lisboa, Portugal; Department of Epidemiology, The Instituto Nacional de Saúde Doutor Ricardo Jorge, Avenida Padre Cruz, 1649-016 Lisboa, Portugal.
authors.forename: C
authors.initials: C
authors.lastname: Matias-Dias
authors.affiliation: Serviço de Cardiologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, EPE, Centro Académico Medicina de Lisboa and Centro Cardiovascular da Universidade de Lisboa, Av. Prof. Egas Moniz, 1649-035 Lisboa, Portugal.
authors.forename: F J
authors.initials: FJ
authors.lastname: Pinto
mesh_terms: D054058:Acute Coronary Syndrome / Q000453:epidemiology* / Q000628:therapy; D000367:Age Factors; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D011174:Portugal / Q000453:epidemiology; D016540:Smoking Cessation / Q000331:legislation & jurisprudence*