Changes in hospitalizations for chronic respiratory diseases after two successive smoking bans in Spain

Galán, Iñaki; Simón, Lorena; Boldo, Elena; Ortíz, Cristina; Fernández-Cuenca, Rafael; Linares, Cristina; Medrano, María; Pastor-Barriuso, Roberto

doi:10.1371/journal.pone.0177979

Cited by 21 publications

(26 citation statements)

References 41 publications

(65 reference statements)

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“…After removal of duplicates, 12 392 unique citations were screened by title and abstract, and 65 full texts were sourced. Of these, 41 EPOC studies 16 , 17 , 18 , 19 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 and three non-EPOC studies 65 , 66 , 67 fit the inclusion criteria ( figure 1 ; appendix, pp 6, 7 ). The EPOC studies included data from more than 57 million births, and from 4·6 million GP diagnoses and 2·7 million hospital admissions for respiratory conditions.…”

Section: Resultsmentioning

confidence: 99%

“…The appendix (pp 8–20) details the main characteristics of the EPOC studies. Among these, 26 were interrupted time series studies, 16 , 17 , 18 , 19 , 31 , 32 , 37 , 38 , 40 , 42 , 43 , 45 , 46 , 48 , 50 , 51 , 52 , 54 , 55 , 57 , 58 , 59 , 61 , 62 , 63 , 64 14 were controlled interrupted time series studies, 28 , 29 , 33 , 34 , 35 , 36 , 39 , 41 , 44 , 47 , 49 , 53 , 56 , 60 and one had a regression discontinuity design, 30 a quasi-experimental design bearing close resemblance to interrupted time series methodology. 68 The three non-EPOC studies were uncontrolled before-and-after studies ( appendix, p 21 ).…”

Section: Resultsmentioning

confidence: 99%

“…65 , 66 , 67 Model characteristics of individual studies can be found in the appendix (pp 22–31) . The EPOC studies were done in 14 countries across North America (24 studies) 18 , 28 , 29 , 31 , 33 , 35 , 36 , 38 , 39 , 41 , 42 , 43 , 45 , 46 , 47 , 49 , 50 , 53 , 54 , 56 , 57 , 59 , 60 , 61 and Europe (16 studies), 16 , 17 , 30 , 32 , 34 , 37 , 40 , 44 , 48 , 51 , 52 , 55 , 58 , 62 , 63 , 64 with one study from Hong Kong, China. 19 Several US studies assessed the same outcomes in partially overlapping study populations.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis

Faber

Kumar

Mackenbach

et al. 2017

The Lancet Public Health

160

130

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SummaryBackgroundTobacco smoking and smoke exposure during pregnancy and childhood cause considerable childhood morbidity and mortality. We did a systematic review and meta-analysis to investigate whether implementation of WHO's recommended tobacco control policies (MPOWER) was of benefit to perinatal and child health.MethodsWe searched 19 electronic databases, hand-searched references and citations, and consulted experts to identify studies assessing the association between implementation of MPOWER policies and child health. We did not apply any language restrictions, and searched the full time period available for each database, up to June 22, 2017. Our primary outcomes of interest were perinatal mortality, preterm birth, hospital attendance for asthma exacerbations, and hospital attendance for respiratory tract infections. Where possible and appropriate, we combined data from different studies in random-effects meta-analyses. This study is registered with PROSPERO, number CRD42015023448.FindingsWe identified 41 eligible studies (24 from North America, 16 from Europe, and one from China) that assessed combinations of the following MPOWER policies: smoke-free legislation (n=35), tobacco taxation (n=11), and smoking cessation services (n=3). Risk of bias was low in 23 studies, moderate in 16, and high in two. Implementation of smoke-free legislation was associated with reductions in rates of preterm birth (–3·77% [95% CI −6·37 to −1·16]; ten studies, 27 530 183 individuals), rates of hospital attendance for asthma exacerbations (–9·83% [–16·62 to −3·04]; five studies, 684 826 events), and rates of hospital attendance for all respiratory tract infections (–3·45% [–4·64 to −2·25]; two studies, 1 681 020 events) and for lower respiratory tract infections (–18·48% [–32·79 to −4·17]; three studies, 887 414 events). Associations appeared to be stronger when comprehensive smoke-free laws were implemented than when partial smoke-free laws were implemented. Among two studies assessing the association between smoke-free legislation and perinatal mortality, one showed significant reductions in stillbirth and neonatal mortality but did not report the overall effect on perinatal mortality, while the other showed no change in perinatal mortality. Meta-analysis of studies on other MPOWER policies was not possible; all four studies on increasing tobacco taxation and one of two on offering disadvantaged pregnant women help to quit smoking that reported on our primary outcomes had positive findings. Assessment of publication bias was only possible for studies assessing the association between smoke-free legislation and preterm birth, showing some degree of bias.InterpretationSmoke-free legislation is associated with substantial benefits to child health. The majority of studies on other MPOWER policies also indicated a positive effect. These findings provide strong support for implementation of such policies comprehensively across the world.FundingChief Scientist Office Scotland, Farr Institute, Netherlands Lung Foundation, Erasmus...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis

Faber

Kumar

Mackenbach

et al. 2017

The Lancet Public Health

160

130

View full text Add to dashboard Cite

show abstract

“…Increased EDA in winter months can be explained by the quantity of elderly population in our time series composed of different characteristics in terms of time, place and person. In the admissions regarding to RD, behavioral risk factor such as smoking [22], besides higher vehicle emissions in the cities, often and synchronously ascending amount of pollutants in the atmosphere, meteorological parameters, and exposed allergens were reported to be the reasons of increased emergency department admissions due to asthma and respiratory allergies specifically for the atopic individuals [4,20]. Rosychuk et al demonstrated that in Canada, the asthma-based admissions are expected to increase in spring months [23] and COPD admissions are expected to rise much more in winter and autumn period [17].…”

Section: Discussionmentioning

confidence: 99%

Time series analysis of the admission to the emergency department due to respiratory and cardiovascular diseases between 2010 and 2014 in Kırklareli, Turkey

2019

Ann Clin Anal Med

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Aim: The aim of this study was to estimate the admissions to the emergency department due to cardiovascular and/or respiratory diseases for the next twelve months. Material and Method: This research was characterized as an ecological study. The data were obtained from the hospital database between years 2010 and 2014. Emergency department admissions (N=148.169) from ≥15 years due to cardiovascular and/or respiratory diseases were evaluated according to the monthly average. Multiplicative Seasonal Auto-Regressive Integrated Moving Average (SARIMA) modeling method was used for the research. Results: It is observed that the emergency department admissions display seasonal changes. ARIMA(1,1,2)(1,0,1)12 model (MAPE=98,039) was ascertained to be the most suitable model with the success of 99.6% in the predictions. It was predicted that the admissions would be higher in the winter period. Model success for admissions according to disease groups vary between 75.2% and 89.2% and was estimated the highest level of admissions in January and February. The most suitable models used to estimate the number of admissions were the ARIMA(2,1,3)(1,0,0)12 for respiratory diseases, the ARIMA(2,1,2)(1,0,0)12 for cardiovascular diseases and the ARIMA(1,1,1)(1,0,0)12 for both for cardiovascular and respiratory diseases. It was estimated that the admissions due to cardiovascular diseases which had a conjuncture structure would increase mostly in April and the admissions due to respiratory diseases and both of the diseases would be higher mostly in the winter period. Discussion: SARIMA models are a good prediction model that can be used to estimate emergency department admissions due to cardiovascular and/or respiratory diseases. The estimations derived comprise a good evidence-based source for policymakers and health service providers.

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“…The implementation of public smoking bans and clean air policies has led to a reduction in the hospitalization for asthma, and these policies should be reinforced in as many countries as possible . School‐specific targeted intervention work is ongoing …”

Section: Framing the Issuementioning

confidence: 99%

Emerging concepts and challenges in implementing the exposome paradigm in allergic diseases and asthma: a Practall document

Agache

Miller

Gern

et al. 2018

Allergy

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Exposome research can improve the understanding of the mechanistic connections between exposures and health to help mitigate adverse health outcomes across the life span. The exposomic approach provides a risk profile instead of single predictors and thus is particularly applicable to allergic diseases and asthma. Under the PRAC- TALL collaboration between the European Academy of Allergy and ClinicalImmunology (EAACI) and the American Academy of Allergy, Asthma, and Immunology (AAAAI), we evaluated the current concepts and the unmet needs on the role of the exposome in allergic diseases and asthma.

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Changes in hospitalizations for chronic respiratory diseases after two successive smoking bans in Spain

Abstract: Background

Cited by 21 publications

References 41 publications

Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis

Effect of tobacco control policies on perinatal and child health: a systematic review and meta-analysis

Time series analysis of the admission to the emergency department due to respiratory and cardiovascular diseases between 2010 and 2014 in Kırklareli, Turkey

Emerging concepts and challenges in implementing the exposome paradigm in allergic diseases and asthma: a Practall document

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