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首页> 外文期刊>International Journal of Environmental Research and Public Health >The Impact of the 2002 Delaware Smoking Ordinance on Heart Attack and Asthma
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The Impact of the 2002 Delaware Smoking Ordinance on Heart Attack and Asthma

机译：2002年特拉华州吸烟条例对心脏病和哮喘的影响

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In the United States, smoking is the leading cause of death - having a mortality rate of approximately 435,000 people in 2000—accounting for 8.1% of all US deaths recorded that year. Consequently, we analyzed the Delaware Hospital Discharge Database, and identified state and non-state residents discharged with AMI or asthma for the years 1999 to 2004. Statistical data analysis compared the incidence of AMI or asthma for each group before (1999–2002) and after (2003–2004) the amendment. As a result, we found that pre-ordinance and post-ordinance quarterly rates of AMI for Delaware residents were 451 (se = 21) and 430 (se = 21) respectively, representing a 4.7% reduction. Over the same time period, there was negligible change in the incidence of AMI for non-Delaware residents. After adjusting for population growth, the Risk Ratio (RR) for asthma in Delaware residents post-ordinance was 0.95 (95% CI, 0.90 to 0.999), which represented a significant reduction (P = 0.046). By comparison, non-Delaware residents had an increased RR for asthma post-ordinance of 1.62 (95% CI, 1.46 to 1.86; P < 0.0001).The results suggest that Delaware’s comprehensive non-smoking ordinance effectively was associated with a statistically significant decrease in the incidence of AMI and asthma in Delaware residents when compared to non-Delaware residents.
机译：在美国，吸烟是导致死亡的主要原因-2000年，吸烟的死亡率约为435,000人，占当年美国所有死亡人数的8.1％。因此，我们分析了特拉华医院出院数据库，并确定了1999年至2004年因AMI或哮喘出院的州和非州居民。统计数据分析比较了1999年至2002年之间每组AMI或哮喘的发生率。经过（2003-2004年）修正案。结果，我们发现特拉华州居民的急性心肌梗死前和季度季度AMI发生率分别为451（se = 21）和430（se = 21），减少了4.7％。在同一时期，非特拉华州居民的急性心肌梗死发生率的变化可忽略不计。调整人口增长后，特拉华州居民哮喘后的风险比（RR）为0.95（95％CI，0.90至0.999），这表明有显着降低（P = 0.046）。相比之下，非特拉华州居民的哮喘后RR增加了1.62（95％CI，1.46至1.86; P <0.0001）。结果表明，特拉华州的全面禁烟条例与统计学上有效相关与非特拉华州居民相比，特拉华州居民的AMI和哮喘发病率显着降低。

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