Changes in US Hospitalization and Mortality Rates Following Smoking Bans

Working Paper: NBER ID: w14790

Authors: Kanaka D. Shetty; Thomas DeLeire; Chapin White; Jayanta Bhattacharya

Abstract: U.S. state and local governments are increasingly restricting smoking in public places. This paper analyzes nationally representative databases, including the Nationwide Inpatient Sample, to compare short-term changes in mortality and hospitalization rates in smoking-restricted regions with control regions. In contrast with smaller regional studies, we find that workplace bans are not associated with statistically significant short-term declines in mortality or hospital admissions for myocardial infarction or other diseases. An analysis simulating smaller studies using subsamples reveals that large short-term increases in myocardial infarction incidence following a workplace ban are as common as the large decreases reported in the published literature.

Keywords: smoking bans; hospitalization; mortality rates; acute myocardial infarction

JEL Codes: I18; I12


Causal Claims Network Graph

Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.


Causal Claims

CauseEffect
Smoking restrictions (L66)Mortality reduction (I14)
Smoking restrictions (L66)Hospitalization rates (I11)
Smoking bans (L66)Acute myocardial infarction (AMI) admissions (I11)
Smoking restrictions (L66)All-cause mortality among the elderly (I12)
Smoking bans (L66)AMI incidence (C22)
Implementation dates of smoking bans (Y10)Causal effects on health outcomes (I12)

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