弁護士谷直樹/医療事件のみを取り扱う法律事務所のブログ

2013年 03月 10日 ( 1 )

禁煙法の施行がイングランドに住む14歳以下のぜんそくによる緊急入院に及ぼした影響

Christopher Millett氏らは,2007年の禁煙法後の3年間で,14歳以下の小児(14歳以下)のぜんそくによる緊急入院を6,802件減らした(禁煙法施行前年間2.2%の割合で上昇していた緊急入院が,施行直後に8.9%減,その後は年間3.4%減),と報告しました.
日本でも,英国と同様に喫煙を規制すれば,喫煙者を減少させ,ぜんそくによる入院を減らせるはずです.


Hospital admissions for childhood asthma after smoke-free legislation in England.

Millett C, Lee JT, Laverty AA, Glantz SA, Majeed A.

Source
Department of Primary Care and Public Health, School of Public Health, Imperial College London, 3rd Floor, Reynolds Building, St Dunstan's Rd, London, W6 8RP, United Kingdom. c.millett@imperial.ac.uk.

Abstract

OBJECTIVE:

To assess whether the implementation of English smoke-free legislation in July 2007 was associated with a reduction in hospital admissions for childhood asthma.

METHODS:

Interrupted time series study using Hospital Episodes Statistics data from April 2002 to November 2010. Sample consisted of all children (aged ?14 years) having an emergency hospital admission with a principle diagnosis of asthma.

RESULTS:

Before the implementation of the legislation, the admission rate for childhood asthma was increasing by 2.2% per year (adjusted rate ratio 1.02; 95% confidence interval [CI]: 1.02-1.03). After implementation of the legislation, there was a significant immediate change in the admission rate of -8.9% (adjusted rate ratio 0.91; 95% CI: 0.89-0.93) and change in time trend of -3.4% per year (adjusted rate ratio 0.97; 95% CI: 0.96-0.98). This change was equivalent to 6802 fewer hospital admissions in the first 3 years after implementation. There were similar reductions in asthma admission rates among children from different age, gender, and socioeconomic status groups and among those residing in urban and rural locations.

CONCLUSIONS:

These findings confirm those from a small number of previous studies suggesting that the well-documented population health benefits of comprehensive smoke-free legislation appear to extend to reducing hospital admissions for childhood asthma.



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by medical-law | 2013-03-10 01:52 | タバコ