4.7 Article

Extension of Public Smoking Ban Was Not Associated with Any Immediate Effect on Stroke Occurrence in Finland

Journal

JOURNAL OF CLINICAL MEDICINE
Volume 10, Issue 10, Pages -

Publisher

MDPI
DOI: 10.3390/jcm10102060

Keywords

public health; smoking; smoking ban; stroke

Funding

  1. government's Special Financial Transfer tied to academic research in Health Sciences (Finland)
  2. Academy of Finland [17379]
  3. Finnish Cultural Foundation
  4. Paulo Foundation

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The nationwide restaurant smoking ban enacted in Finland in June 2007 did not show any immediate reduction in stroke occurrence, based on the study results.
We investigated the association between the widening of a nationwide restaurant smoking ban, enacted on 1 June 2007, and stroke admissions. All acute stroke admissions between 1 May 2005 and 30 June 2009 were retrieved from a mandatory registry covering mainland Finland. Patients aged >= 18 years were included. One annual admission per patient was included. Negative binomial regression accounting for the at-risk population was applied. We found no difference in stroke occurrence before and after the smoking ban within 7 days (p = 0.217), 30 days (p = 0.176), or the whole study period (p = 0.998). Results were comparable for all stroke subtypes (ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage). There was no sign of decreased occurrence in June 2007 compared to June in 2005-2006, and all subtypes of stroke occurred at least as frequently in both May and June of 2008 as in May and June of 2007. In conclusion, the nationwide restaurant smoking ban Finland enacted in June 2007 was not associated with any immediate reduction in stroke occurrence.

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