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Legislative smoking bans for reducing secondhand smoke exposure ...

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Cesaroni 2008 (Continued)<br />

Outcomes Smoking prevalence as measured by self-reported <strong>smoking</strong> status. Age-standardised rates of acute coronary events<br />

annually, stratified prior to analysis by age categories 35-64 yrs, 65-74 yrs, 75-84 yrs <strong>for</strong> 2000-2005. Acute coronary<br />

event defined as acute myocardial infarction (AMI) and other acute and subacute <strong>for</strong>ms of ischemic heart disease,<br />

ICD-9, Code 411. Myocardial infarction defined as all diagnosis with principle diagnosis of AMI (ICD-9-CM code<br />

410) or a secondary diagnosis of AMI where principal diagnosis indicated AMI complications. Two events occurring<br />

within 28 days of each other were analysed as one single episode.<br />

Biochemical verification: No<br />

Notes Possible confounders are that measurement of troponin as a new diagnostic criteria <strong>for</strong> AMI became available in<br />

hospitals in Rome during the study period. There was an increase in daily dose of cardiac medication such as statins<br />

from 10 to 55 per 1000 residents when this study was carried out. Other outcomes are economic impact as measured<br />

from cigarette sales in Rome, air quality by average concentrations of PM10, temperature and flu epidemics.<br />

Eagan 2006<br />

Methods Country: Norway<br />

Setting: Hospitality premises<br />

Design: Cohort study, pre and 5 months follow-up surveys. Analysis: McNemar’s test <strong>for</strong> change in symptom<br />

prevalence and ANOVA <strong>for</strong> repeated measures. Chi 2 <strong>for</strong> the <strong>exposure</strong> variables, and test <strong>for</strong> trend <strong>for</strong> the symptom<br />

variables to test differences in baseline characteristics by response or non-response at follow up.<br />

Participants Employees in a random sample of companies.<br />

Baseline: 1525 employees participated<br />

Follow up: 906/1525 responded 5 months post-ban, 59% response rate<br />

Cohort sample : Females 51.9%; Age 15-29 yrs 38%, 30-39 yrs 30%, 40+ 31.8%; Smokers (persistent and starters)<br />

56%.<br />

Missing outcome data: Used Chi 2 to test <strong>for</strong> differences in baseline characteristics between respondents and nonrespondents<br />

at follow up. No difference except in response rate of <strong>smoke</strong>rs (57.4%) and non<strong>smoke</strong>rs (62.6%). No<br />

difference between respondents and non-respondents in baseline prevalence <strong>for</strong> any of the respiratory symptoms.<br />

Interventions <strong>Legislative</strong> <strong>smoking</strong> ban introduced in Norway on 1st June 2004 in indoor workplaces including <strong>smoking</strong> in bars,<br />

nightclubs and restaurants.<br />

Outcomes Self-reported <strong>smoking</strong> status<br />

Self-reported <strong>exposure</strong> to SHS<br />

Prevalence of self-reported respiratory symptoms be<strong>for</strong>e and 5 months post-ban. Respiratory symptoms included<br />

were morning cough, daytime cough, phlegm cough, dyspnoea and wheezing.<br />

Biochemical verification: No<br />

Notes An incentive of prize money was offered to one randomly selected participant. Exposure to SHS and <strong>smoking</strong> status<br />

were also recorded at baseline.<br />

<strong>Legislative</strong> <strong>smoking</strong> <strong>bans</strong> <strong>for</strong> <strong>reducing</strong> <strong>secondhand</strong> <strong>smoke</strong> <strong>exposure</strong>, <strong>smoking</strong> prevalence and tobacco consumption (Review)<br />

Copyright © 2010 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

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