Effects of Russian tobacco control law on rates of hospital admissions for acute coronary events

Abstract Background The Russian tobacco control law (TCL), implemented nationwide, aims to reduce smoking-related morbidity and mortality. However, its effects may vary among regions. We aimed assess the of TCL on rates hospital admissions (HA) for angina pectoris (AP) myocardial infarction (MI) in Federation (RF) 10 regions relation enforcement TCL. Methods analysed HA AP MI compare periods before after 2013, adjusting possible confounders long-term trends. Models were based time-series annual RF during years 2005-2019. used interrupted design Poisson regression model with calculation risk ratio (RR) 95%CI. Regions compared by means implementation scale (TCIS), developed results TC policy evaluation survey (n = 11625). relationship between measures scores RR reduction Spearman's rank correlation linear models. Results showed a 16.6% decrease (RR 0.83 95% CI 0.74-0.93) 3.5% - 0.96 0.96-0.97) introduction various magnitude higher TCIS scores, i.e. better full package had greater (rsp −0.627 95%CI−1.05;−0.199; p=.004); smoke-free policies grater −0.793 95%CI−1.08;−0.506, p<.001). Both correlated help quit use −0.56 95%CI −1.1; −0.01, p=.045), −0.74 95%CI−1.12;−0.36, p=.027). Conclusions leads sustained effect. Differences these are related extent measures. Key messages Tobacco legislative lead admission acute coronary events. effect events