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AJPH First Look, published online ahead of print Jun 12, 2008
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August 2008, Vol 98, No. 8 | American Journal of Public Health 1468-1469
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.129924

RESEARCH AND PRACTICE

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

Zubair Kabir, MD, PhD, Gregory N. Connolly, DMD, MPH, Luke Clancy, MD, FRCPI, Howard K. Koh, MD, MPH and Simon Capewell, MD, MFPH

At the time of the study, Zubair Kabir was a research fellow at the Harvard School of Public Health, Boston, MA. Gregory N. Connolly and Howard K. Koh are with the Division of Public Health Practice, Harvard School of Public Health, Boston. Luke Clancy is with the Research Institute for a Tobacco Free Society, Dublin, Ireland. Simon Capewell is with the Division of Public Health, University of Liverpool, England.

Correspondence: Requests for reprints should be sent to Zubair Kabir, MD, PhD, Research Institute for a Tobacco Free Society, The Digital Depot, Thomas Street, Dublin 8, Ireland (email: zkabir{at}hsph.harvard.edu; zkabir{at}tri.ie)

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.






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