Opinions of Hospitalized Patients with Mental Disorders and Patients in Basic Health Units in Brazil Regarding Tobacco Smoking

Oliveira, Renata Marques de; Santos, Jair Lício Ferreira; Furegato, Antônia Regina Ferreira

doi:10.1080/01612840.2017.1418033

Cited by 2 publications

(1 citation statement)

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“…27 Patients themselves could be driving these disparities; patients admitted to psychiatric hospitals are generally less supportive of a smoking ban than non-psychiatric primary care patients in Brazil. 46 This holds true for other countries-for example, in the USA, the smoke-free policy that should be implemented in all mental illness institutions 47 still covers only half of the mental health facilities. 45 Changes in tobacco policy could lead to increased access to care.…”

Section: Open Accessmentioning

confidence: 99%

Prevalence of smoking, quit attempts and access to cessation treatment among adults with mental illness in Brazil: a cross-sectional analysis of a National Health Survey

et al. 2020

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ObjectivesDetermine the national prevalence of smoking and factors related to smoking among adults with mental illness (PLWMI; people living with mental illness) in Brazil.DesignCross-sectional study.SettingWe used data from the nationally representative general health survey Pesquisa Nacional de Saude of 2013, which included the Global Adult Tobacco Survey (GATS) module.ParticipantsThe survey used a complex probabilistic sample to collect data from 60 202 Brazilians 18 years or older. Primary and secondary outcomes: smoking prevalence and access to smoking cessation treatment. We also assessed past tobacco use, quit attempts and quit ratio among people with and without mental illness. Analyses were conducted in R and were weighted to account for the survey design and generate national estimates.ResultsIn Brazil, the 2013 smoking prevalence among PLWMI was 28.4% and among people with no mental illness was 12.8%. Both groups had high rates of past-year quit attempts (51.6% vs 55.3%) but the lifetime quit ratio among PLWMI was much lower than those with no mental illness (37% vs 54%). Adjusted odds showed PLWMI were more likely to be current smokers (OR (95% CI)=2.60 (2.40 to 2.82), less likely to be former smokers (OR (95% CI)=0.62 (0.55 to 0.70)) and as likely to have tried to quit in the past year (OR (95% CI)=0.90 (0.78 to 1.02)). Very few (3.7%) PLWMI and fewer with no mental illness (2.6%) received cessation treatment.ConclusionSmoking rates among PLWMI are roughly double the rate in the general population. Compared with Brazilian smokers without mental illness, those with mental illness were significantly less likely to quit even though as many tried to. Few Brazilians appear to be using publicly available cessation services. Expanding utilisation of treatment might be a good place to start for Brazil to further decrease the prevalence of smoking among PLWMI.

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Section: Open Accessmentioning

confidence: 99%