Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY 14263, USA.
Tob Control. 2013 May;22(e1):e16-20. doi: 10.1136/tobaccocontrol-2011-050134. Epub 2012 Feb 15.
Stimulated by the WHO Framework Convention on Tobacco Control, many countries in Latin America adopted comprehensive smoke-free policies. In March 2006, Uruguay became the first Latin American country to adopt 100% smoke-free national legislation, which ended smoking in all indoor public places and workplaces, including restaurants and bars. The objective of this study was to evaluate trends in hospital admissions for cardiovascular disease 2 years before and 2 years after the policy was implemented in Uruguay.
Reports of hospital admissions for acute myocardial infarction (AMI) (International Classification of Disease-10 I21) from 37 hospitals (79% of all hospital admissions in the country), representing the period 2 years before and 2 years after the adoption of a nationwide smoke-free policy in Uruguay (between 1 March 2004 and 29 February 2008), were reviewed. A time series analysis was undertaken to compare the average monthly number of events of hospital admission for AMI before and after the smoke-free law.
A total of 7949 hospital admissions for AMI were identified during the 4-year study period. Two years after the smoke-free policy was enacted, hospital admissions for AMI fell by 22%. The same pattern and roughly the same magnitude of reduction in AMI admissions were observed for patients seen in public and private hospitals, men, women and people aged 40-65 years and older than 65 years.
The national smoke-free policy implemented in Uruguay in 2006 was associated with a significant reduction in hospital admissions for AMI.
在世界卫生组织《烟草控制框架公约》的推动下，许多拉丁美洲国家通过了全面的无烟政策。2006 年 3 月，乌拉圭成为第一个采取 100%无烟国家立法的拉丁美洲国家，该立法结束了所有室内公共场所和工作场所的吸烟行为，包括餐馆和酒吧。本研究的目的是评估乌拉圭实施该政策前后 2 年内心血管疾病住院人数的趋势。
审查了 37 家医院（占该国所有医院入院人数的 79%）报告的急性心肌梗死（AMI）（国际疾病分类第 10 版 I21）住院人数，时间范围为乌拉圭实施全国无烟政策前 2 年（2004 年 3 月 1 日至 2008 年 2 月 29 日）和实施后 2 年。进行时间序列分析以比较无烟法律实施前后 AMI 住院事件的平均每月数量。
在 4 年的研究期间，共确定了 7949 例 AMI 住院病例。在无烟政策实施 2 年后，AMI 的住院人数减少了 22%。在公立医院和私立医院、男性、女性以及 40-65 岁和 65 岁以上的人群中，观察到 AMI 住院人数减少的模式和幅度大致相同。
乌拉圭 2006 年实施的全国无烟政策与 AMI 住院人数的显著减少有关。
