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AJPH First Look, published online ahead of print Jun 12, 2008
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American Journal of Public Health, 10.2105/AJPH.2007.129924

Research and Practice

Coronary Heart Disease Deaths And Decreased Smoking Prevalence in Massachusetts, 1993–2003

Zubair Kabir 1*, Gregory N. Connolly 2, Luke Clancy 3, Howard K. Koh 2, Simon Capewell 4

1 Harvard School of Public Health, and the Research Institute for a Tobacco Free Society, Ireland
2 Harvard School of Public Health, Boston
3 Research Institute for a Tobacco Free Society, Ireland
4 University of Liverpool, UK

* To whom correspondence should be addressed. E-mail: zkabir{at}hsph.harvard.edu.


  Abstract

We used the previously validated IMPACT coronary heart disease (CHD) mortality model to estimate the CHD deaths attributable to reductions in smoking prevalence following the introduction of the Massachusetts Tobacco Control Program (MTCP) in 1993. A 29% and 31% decline in smoking prevalence and CHD mortality rates occurred, respectively (from 1993 to 2003). A total of 425 fewer CHD deaths, which generated approximately 3365 extra life-years, were attributable to decreased smoking prevalence. With these results in mind, a comprehensive tobacco control program should be sustained and supported.

Key Words: Cardiovascular Disease, Health Policy, Health Promotion, Public Health Practice, Tobacco Control






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