Effects of a Smoke-Free Policy in Xi'an, China: Impact on Hospital Admissions for Acute Ischemic Heart Disease and Stroke

• DOI: 10.3389/fpubh.2022.898461
• Publication Date: 2022-06-21T07:33:18Z
• Authors: Meng Chu; Zhiyan Liu; Xinzhu Fang; Yajun Wu; Huannan Liu; Xuan Zhao; Tianxiao Zhang; Qian Wu; Fang Tan
• Keywords: Stroke; Secondhand Smoke

Background Smoking and secondhand smoke (SHS) exposure rates are much higher in China than other countries. A smoke-free policy was implemented Xi'an, a city Shaanxi Province, China, on November 1, 2018. This study aimed to evaluate the effect of changes hospital admissions for acute ischemic heart disease (AIHD) stroke Xi'an. Methods All subjects had been hospitalized AIHD or from February 9, 2017 December 25, 2019 (study period: 150 weeks) six randomly selected public hospitals out 36 tertiary generalized additive model developed using an interrupted time series design used compare immediate annual percent before after implementation. Results The included 31,400 cases (16,656 14,744 stroke) 6 Immediately implementation policy, were reduced significantly (−31.66%, 95% CI: – 39.45 −22.86%), but not (−4.94%, −13.26 4.17%). reduction stroke-related (−14.54%, −23.53 −4.49%) increase AIHD-related (40.58%, 22.08 61.87%) significant. Although there no significant admissions, by −15.73% (from 7,350 6,194) Conclusion different effects Xi'an should improve its legislation expand measures maintain achieve additional health benefits. These findings can guide formulation regional national policies.