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This study evaluated the association between a tobacco control policy and hospital admissions for stroke and acute myocardial infarction (AMI) in hypertensive and T2DM individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Interrupted time series study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Beijing, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>2\u2009144\u2009133 hypertensive and 1\u2009446\u2009750 T2DM patients residing in Beijing from January 2013 to June 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>A comprehensive tobacco control policy package, incorporating all MPOWER components, was implemented in June 2015.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Changes in admission rates and admissions for stroke and AMI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Patients with T2DM showed immediate decreases in stroke [\u22129.4% (95% confidence interval = \u221213.3% to \u22125.3%)] and AMI [\u221224.3% (\u221231.2% to \u221216.7%)] admission rates after the policy. Similarly, the immediate post\u2010policy change in stroke and AMI admission rates for hypertensive patients was \u22127.5% (\u221210.9% to \u22123.9%) and \u221223.0% (\u221229.2% to \u221216.3%), respectively. However, these reductions did not differ from those without either condition (\n                      <jats:italic>P<\/jats:italic>\n                      \u2010interaction &gt;0.05). For long\u2010term trends, significant decreases were only seen for stroke [T2DM: \u221232.9% (\u221239.9% to \u221225.1%); hypertension: \u221233.3% (\u221239.3% to \u221226.7%)], but not AMI admissions, and again did not differ from those without either disease (\n                      <jats:italic>P<\/jats:italic>\n                      \u2010interaction &gt;0.05). Compared with healthy controls without T2DM or hypertension, patients with both conditions showed greater long\u2010term reductions in stroke admission rates [\u221229.2% (\u221237.0% to \u221220.5%) vs. \u221214.4% (\u221226.3% to \u22120.5%),\n                      <jats:italic>P<\/jats:italic>\n                      \u2010interaction\u2009=\u20090.05), whereas the opposite trend was observed for AMI admissions [7.9% (\u221215.9% to 38.4%) vs. \u221229.9% (\u221246.9% to \u22127.3%),\n                      <jats:italic>P<\/jats:italic>\n                      \u2010interaction\u2009=\u20090.02].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Beijing's 2015 comprehensive tobacco control policy appears to be associated with reduced acute myocardial infarction and stroke admissions among high\u2010risk groups (individuals with type 2 diabetes mellitus and hypertension), although admission rates showed no statistically significant difference between high\u2010risk and non\u2010high\u2010risk populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70178","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T01:25:50Z","timestamp":1756689950000},"page":"186-195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of comprehensive tobacco control policies on stroke and acute myocardial infarction among patients with hypertension and type 2 diabetes in Beijing, China: An interrupted time\u2010series analysis"],"prefix":"10.1111","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4443-712X","authenticated-orcid":false,"given":"Ruotong","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health Peking University Health Science Center  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