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- date : 2015-05-20 01:10|hit : 2522
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- Article] Changes in Ambulance Calls After Implementation of a Smoke-Free Law and Its Extension to Casinos
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DocNo of ILP: 484
Doc. Type: Article
Title: Changes in Ambulance Calls After Implementation of a Smoke-Free Law and Its Extension to Casinos
Authors: Glantz, SA; Gibbs, E
Full Name of Authors: Glantz, Stanton A.; Gibbs, Erin
Keywords by Author: cardiovascular diseases; emergency medical services; public policy; risk factors; smoking; tobacco smoke pollution; utilization
Keywords Plus: ENDOTHELIAL FUNCTION; SECONDHAND SMOKE
Abstract: Background Casinos are often exempted from legislation mandating smoke-free environments, potentially putting employees and patrons at risk for adverse events triggered by secondhand smoke exposure. Methods and Results We used an interrupted time series analysis of ambulance calls not originating and originating from casinos in Gilpin County, Colorado, a rural Colorado county with a large casino presence, from January 2000 through December 2012 to determine whether there was a change in ambulance calls originating from casinos when a state smoke-free law was extended to include them. Initial implementation of the smoke-free law (which exempted casinos) was followed by a significant 22.8% drop in ambulance calls (incidence rate ratio, 0.772; 95% confidence interval, 0.685-0.871; P<0.001) from locations other than casinos but no significant change in calls from casinos (P>0.9). The law requiring smoke-free casinos taking effect was followed by a 19.1% (incidence rate ratio, 0.809; 95% confidence interval, 0.724-0.905; P<0.001) drop in ambulance calls from casinos but no change in calls originating outside casinos (P>0.1). Conclusions The observation that ambulance calls not coming from casinos dropped when the smoke-free law was initially implemented (excluding casinos) with no change in calls from casinos, followed by a comparable drop in calls originating from casinos (but not calls from elsewhere) when the law was extended to casinos, suggests that the important effects of secondhand smoke exposure occur acutely. These results also suggest that exempting casinos from smoke-free laws means that more people will suffer medical emergencies.
Cate of OECD: Clinical medicine
Year of Publication: 2013
Business Area: other
Detail Business: medicine & science
Country: USA
Study Area:
Name of Journal: CIRCULATION
Language: English
Country of Authors: [Glantz, Stanton A.] Univ Calif San Francisco, San Francisco, CA 94143 USA; [Gibbs, Erin] Gilpin Ambulance Author, Black Hawk, CO USA
Press Adress: Glantz, SA (reprint author), Univ Calif San Francisco, Ctr Tobacco Control Res & Educ, 530 Parnassus,Ste 366, San Francisco, CA 94143 USA.
Email Address: glantz@medicine.ucsf.edu
Citaion:
Funding: National Cancer Institute [CA-61021]
Lists of Citation: American Nonsmokers Rights Foundation, US 100 SMOK GAMBL AP; Frey PF, 2012, J AM COLL CARDIOL, V59, P1908, DOI 10.1016/j.jacc.2012.02.025; Heiss C, 2008, J AM COLL CARDIOL, V51, P1760, DOI 10.1016/j.jacc.2008.01.040; Institute of Medicine, 2010, SEC SMOK EXP CARD EF; Ramsay CR, 2003, INT J TECHNOL ASSESS, V19, P613; Sebrie EM, 2013, TOB CONTROL, DOI DOI 10.1136/T0BACC0C0NTR0L-2012-050954.ACCESSED; Tan CE, 2012, CIRCULATION, V126, P2177, DOI 10.1161/CIRCULATIONAHA.112.121301
Number of Citaion: 7
Publication: LIPPINCOTT WILLIAMS & WILKINS
City of Publication: PHILADELPHIA
Address of Publication: 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
ISSN: 0009-7322
29-Character Source Abbreviation: CIRCULATION
ISO Source Abbreviation: Circulation
Volume: 128
Version: 8
Start of File: 811
End of File: 813
DOI: 10.1161/CIRCULATIONAHA.113.003455
Number of Pages: 3
Web of Science Category: Cardiac & Cardiovascular Systems; Peripheral Vascular Disease
Subject Category: Cardiovascular System & Cardiology
Document Delivery Number: 208BT
Unique Article Identifier: WOS:000323651700014
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