Table 3. Impact of smoke-free legislation on primary and secondary outcomes.
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Sensitivity analyses |
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Primary analysis |
Model 1 |
Model 2 |
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N | OR | 95%CI | P-value | N | OR | 95%CI | P-value | N | OR | 95%CI | P-value | |
Primary outcomes | ||||||||||||
Low birth weight | 9,933,349 | 0.961 | 0.949–0.974 | <0.001 | 5,822,837 | 0.980 | 0.962–0.998 | 0.032 | 9,933,349 | 0.963 | 0.951–0.976 | <0.001 |
Stillbirth | 9,984,278 | 0.922 | 0.881–0.965 | <0.001 | 5,850,909 | 0.910 | 0.855–0.970 | 0.003 | 9,984,278 | 0.919 | 0.878–0.962 | <0.001 |
Neonatal mortality | 9,933,349 | 0.924 | 0.883–0.966 | 0.001 | 5,822,837 | 0.932 | 0.877–0.991 | 0.025 | 9,933,349 | 0.924 | 0.883–0.966 | 0.001 |
SIDS | 9,933,349 | 1.018 | 0.916–1.132 | 0.735 | 5,822,837 | 0.990 | 0.808–1.213 | 0.924 | 9,933,349 | 1.018 | 0.916–1.132 | 0.735 |
Secondary outcomes | ||||||||||||
Very low birth weight | 9,933,349 | 1.010 | 0.978–1.042 | 0.558 | ||||||||
Early neonatal mortality | 9,933,349 | 0.958 | 0.890–1.032 | 0.258 | ||||||||
Late neonatal mortality | 9,911,272 | 0.863 | 0.793–0.940 | 0.001 | ||||||||
Post-neonatal mortality | 9,904,292 | 0.954 | 0.900–1.010 | 0.106 | ||||||||
Infant mortality | 9,933,349 | 0.937 | 0.904–0.971 | <0.001 |
Odds ratios indicate odds of developing outcome in period after versus period before July 2007, when smoke-free legislation was introduced. Primary models are adjusted for non-linear underlying time trends (via B-splines), month, maternal age, maternal marital status, sex, socioeconomic status, region, and urbanisation level and based on individual-level analysis of complete cases. Mortality models are furthermore adjusted for birth weight. For sensitivity analyses, model 1 is the complete case model with additional adjustment for parity, whereas in model 2 missing data for parity are imputed. OR = odds ratio; CI = confidence interval; SIDS = sudden infant death syndrome.