Polednak Anthony P
Connecticut Department of Public Health, Hartford, CT 06134-0308, USA.
Epidemiology. 2009 Jul;20(4):542-6. doi: 10.1097/EDE.0b013e3181a39fe2.
Tobacco-control efforts (starting with California in 1989) have been associated with smoking cessation among young adults in certain US states. The impact on trends in tobacco-related cardiovascular diseases is less clear.
Annual percent change in age-standardized mortality rates for tobacco-related cardiovascular diseases were compared for 1990-2004 in states or groups of states that differed in tobacco-control efforts.
Cardiovascular disease mortality rates for age 20-44 years have fallen more rapidly in California and in New Jersey-New York (which had cigarette taxes similar to California but a less comprehensive tobacco control program in the 1990s) than in 6 Southern "tobacco-growing" states (which had low cigarette taxes and limited tobacco-control efforts in the 1990s).
The geographic differences in the decline in cardiovascular mortality rates may be related to stronger tobacco-control efforts. These results suggest that expansion of tobacco-control efforts in the US may help reduce cardiovascular disease deaths.
控烟措施（始于1989年的加利福尼亚州）与美国某些州的年轻人戒烟有关。其对烟草相关心血管疾病趋势的影响尚不清楚。
比较了1990 - 2004年期间在控烟措施方面存在差异的各州或州组中，烟草相关心血管疾病年龄标准化死亡率的年度变化百分比。
20 - 44岁人群的心血管疾病死亡率在加利福尼亚州以及新泽西州 - 纽约州（其香烟税与加利福尼亚州类似，但在20世纪90年代控烟计划不够全面）下降得比6个南部“烟草种植”州（其在20世纪90年代香烟税低且控烟措施有限）更快。
心血管死亡率下降的地域差异可能与更强有力的控烟措施有关。这些结果表明，在美国扩大控烟措施可能有助于减少心血管疾病死亡人数。
