文章基本信息

标题：Reductions in Cigarette Smoking and Acute Myocardial Infarction Mortality in Jefferson County, Texas
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作者：Alfred L. McAlister ; Philip Huang ; Amelie G. Ramirez 等
期刊名称：American journal of public health
印刷版ISSN：0090-0036
出版年度：2010
卷号：100
期号：12
页码：2391-2392
DOI：10.2105/AJPH.2010.192211
语种：English
出版社：American Public Health Association
摘要：After litigation against the tobacco industry ended in a settlement, the Texas legislature funded pilot projects to reduce tobacco use in selected areas of the state. Subsequent telephone surveys showed that well-funded activities were successful in reducing population rates of self-reported cigarette smoking. We present evidence that the reduction in smoking promptly led to lower rates of death from acute myocardial infarctions. In 2000, the Texas Department of State Health Services received significant new funding for tobacco control from the proceeds of a settlement of litigation against the tobacco industry. Because the amount was not considered sufficient for effective statewide action, various activities of different levels of intensity were organized in southeast Texas. This area was selected because its rates of tobacco-related diseases were higher than in the rest of the state. The most intensive pilot activities (receiving approximately $800 000 per year) were organized in Jefferson County (population approximately 250 000), beginning in the autumn of 2000 and continuing for 5 years. Activities for adult smokers included intensive mass media promotion of cessation,¹ mobilization of health care providers to advise patients to quit, and a heavily advertised telephone cessation counseling service provided by the American Cancer Society.² This pilot project was evaluated by analyses of telephone surveys in Jefferson County and other parts of the state in 2000 and 2004. The analyses showed a statistically significant relative decrease in the reported prevalence of adult cigarette smoking, with rates decreasing from 22% to 16% in Jefferson County and from 19% to 17% in the remainder of the state.³