Influencia de fatores psicossociais na cessacao do tabagismo: evidencias longitudinais no Estudo Pro-Saude

Abstract

OBJECTIVE: To evaluate the incidence of smoking cessation and its association with psychosocial factors. METHODS:Data came from three consecutive waves of the Pro-Saude Study, a longitudinal study of non-faculty civil servants working at a university in Rio de Janeiro, Southeastern Brazil. Inclusion criteria were having participated in Phases 1 and 3 and being a smoker at baseline (Phase 1 -1999). Those who had stopped smoking less than a year before the follow-up (Phase 3 -2007) were excluded. The final study population consisted of 661 employees (78% of those eligible). Relative risks (RR) of smoking cessation were evaluated through Poisson regression with robust variance. RESULTS:The cumulative incidence of smoking cessation in eight years of follow-up was 27.7%. Among the psychosocial factors evaluated in the multivariate analysis, only lack of experience of physical violence was associated with higher smoking cessation (RR = 1.67, 95%CI 1.09;2.55). CONCLUSIONS:The incidence of smoking cessation was high, and the fact that associations were not found with most factors evaluated suggests that much of the effect found is due to the impact of public policies implemented in Brazil over the past decades. The association between no exposure to violence and higher incidence of smoking cessation draws attention to the importance of this factor in tobacco control policies.

Enhancing smoking cessation in Mexico using an e-Health tool in primary healthcare

“…However, this bias could have equally occurred in those that did or did not participant in smoking cessation programs (non-differential classification bias). 35 It is important to emphasize that the smoking cessation process is a multi-causal event associated with multiple variables (biological, social, psycho-behavioral) and with the available resources in the environment, some of which may favor relapses. 4,6,34,35 However, the primary objective of this study was to evaluate the impact of the e-Health tool Vive sin Tabaco...…”

Job strain and unhealthy lifestyle: results from the baseline cohort study, Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

“…After adjustments, no association was observed between the quadrants or their respective dimensions and smoking. Psychosocial factors have probably declined in influence under the strong influence of public policies designed to control smoking in Brazil; those policies have led to widespread cessation of smoking in recent years [ 49 ]. Although levels of schooling were higher in this study population than in Brazil overall, the social gradient of smoking is still substantial, which points to a stronger association with schooling and income than with psychosocial job strain.…”

Effectiveness of exercise interventions in animal models of multiple sclerosis

“…These factors include ambulatory difficulty, disequilibrium (balance impairment), heat intolerance, muscle weakness, spasticity, cognitive impairment, and fatigue (6). In contrary, there are reports suggesting influence of psychosocial factors affecting MS patients such as poor education, celibate life, smoking (7), depression, or anxiety (8).…”