Abstract:O tabagismo tem sido apontado como uma epidemia, e a prevenção ao hábito é indicada como prioridade máxima para a saúde pública das nações. Este é um estudo do tipo observacional e transversal envolvendo uma amostra representativa da população adulta de município do sul do Brasil com o intuito de conhecer a prevalência do consumo do tabaco e o perfil do tabagista. A prevalência de fumantes foi de 17,3%, sendo que o sexo feminino representou 54,9% da amostra. Neste estudo, o tabagismo ocorreu predominantemente … Show more
“…No que se refere às variáveis sociodemográficas da amostra, os achados são semelhantes a outras investigações que avaliaram o perfil de usuários de tabaco, quanto ao predomínio do sexo feminino (11)(12)(13) , estado civil casado (11)(12) e escolaridade média de 8 anos (11) .…”
RESUMO: Objetivou-se identificar fatores associados ao tabagismo em usuários da estratégia saúde da família. Estudo epidemiológico transversal, descritivo e analítico. A amostra por conveniência compreendeu 100 indivíduos usuários de uma Unidade Saúde da Família de um município da região centro sul do Paraná. Houve predomínio das mulheres (n=63; 63%), com média de idade de 49,5 anos, cor branca (n=82; 82%), com ensino fundamental completo (n=21; 21%) e casados (n=49; 49%). O consumo médio diário de cigarro foi de 17,7 cigarros/ dia e 56 (56%) participantes apresentavam grau de dependência muito elevado ou elevado à nicotina. Constatouse associação entre a média de tempo de tabagismo e idade (p=0,001), estado civil viúvo (p=0,035), colesterol elevado (p=0,035), uso de anti-hipertensivo (p=0,031) e grau de dependência a nicotina muito elevada (p=0,008). A identificação dos fatores associados ao tabagismo possibilita à equipe de saúde buscar e planejar estratégias de prevenção, tratamento e acompanhamento dos tabagistas. DESCRITORES: Tabagismo; Hábito de fumar; Saúde da família; Tabaco; Estudos transversais.
FATORES ASSOCIADOS AO TABAGISMO EM USUÁRIOS
FACTORS ASSOCIATED WITH SMOKING AMONG USERS OF THE FAMILY HEALTH STRATEGY ABSTRACT:The aim was to identify factors associated with smoking among users of the Family Health Strategy. A cross-sectional, descriptive and analytic epidemiological study. The sample by convenience encompassed 100 individuals who were users of a Family Health Unit from a city in the center-south region of the Brazilian State of Paraná. There was a predominance of women (n=63; 63%), with a mean age of 49.5 years, Caucasian (n=82; 82%), who had completed junior high school (n=21; 21%) and who were married (n=49; 49%). Mean daily cigarette consumption was 17.7 cigarettes/day and 56 (56%) participants had a very high or high degree of dependence on nicotine. An association was observed between mean smoking duration and age (p=0.001), marital status -widowed (p=0.035), high cholesterol (p=0.035), use of antihypertensives (p=0.031) and very high degree of dependence on nicotine (p=0.008). The identification of the factors associated with smoking makes it possible for the health team to seek and plan prevention strategies, treatment and monitoring of smokers.
“…No que se refere às variáveis sociodemográficas da amostra, os achados são semelhantes a outras investigações que avaliaram o perfil de usuários de tabaco, quanto ao predomínio do sexo feminino (11)(12)(13) , estado civil casado (11)(12) e escolaridade média de 8 anos (11) .…”
RESUMO: Objetivou-se identificar fatores associados ao tabagismo em usuários da estratégia saúde da família. Estudo epidemiológico transversal, descritivo e analítico. A amostra por conveniência compreendeu 100 indivíduos usuários de uma Unidade Saúde da Família de um município da região centro sul do Paraná. Houve predomínio das mulheres (n=63; 63%), com média de idade de 49,5 anos, cor branca (n=82; 82%), com ensino fundamental completo (n=21; 21%) e casados (n=49; 49%). O consumo médio diário de cigarro foi de 17,7 cigarros/ dia e 56 (56%) participantes apresentavam grau de dependência muito elevado ou elevado à nicotina. Constatouse associação entre a média de tempo de tabagismo e idade (p=0,001), estado civil viúvo (p=0,035), colesterol elevado (p=0,035), uso de anti-hipertensivo (p=0,031) e grau de dependência a nicotina muito elevada (p=0,008). A identificação dos fatores associados ao tabagismo possibilita à equipe de saúde buscar e planejar estratégias de prevenção, tratamento e acompanhamento dos tabagistas. DESCRITORES: Tabagismo; Hábito de fumar; Saúde da família; Tabaco; Estudos transversais.
FATORES ASSOCIADOS AO TABAGISMO EM USUÁRIOS
FACTORS ASSOCIATED WITH SMOKING AMONG USERS OF THE FAMILY HEALTH STRATEGY ABSTRACT:The aim was to identify factors associated with smoking among users of the Family Health Strategy. A cross-sectional, descriptive and analytic epidemiological study. The sample by convenience encompassed 100 individuals who were users of a Family Health Unit from a city in the center-south region of the Brazilian State of Paraná. There was a predominance of women (n=63; 63%), with a mean age of 49.5 years, Caucasian (n=82; 82%), who had completed junior high school (n=21; 21%) and who were married (n=49; 49%). Mean daily cigarette consumption was 17.7 cigarettes/day and 56 (56%) participants had a very high or high degree of dependence on nicotine. An association was observed between mean smoking duration and age (p=0.001), marital status -widowed (p=0.035), high cholesterol (p=0.035), use of antihypertensives (p=0.031) and very high degree of dependence on nicotine (p=0.008). The identification of the factors associated with smoking makes it possible for the health team to seek and plan prevention strategies, treatment and monitoring of smokers.
“…The depressive symptomatology is higher in smokers with high level of addition, as well as those who have a history of higher cumulative consumption of cigarettes. Other reports show that tobacco is associated with psychiatric morbidity and moderate to severe depression 19,26 and that nicotine seems to be a form of selfmedication, taking into account that it can change the mood and alleviate the depressive symptoms. In relation to this last hypothesis (self-medication), the authors report that smoking can fight the symptoms of discouragement and sadness which are typical of depression, however this fact leads the smoker to consume a higher quantity of cigarettes per day and that it can potentially increase nicotine dependence 12 .…”
Background: Depression and anxiety are psychiatric disorders that are related to tobacco use and associated with dependence, the process of cessation, lapses and relapses after quitting smoking. Objective: To analyze the association of nicotine dependence with the level of anxiety and depression in patients who are in the process of smoking cessation. Methods: Cross-sectional study conducted with patients who sought the smoking cessation program in Cuiabá/MT. All the smokers enrolled from May to August 2012, participated in this study. Four instruments were applied: Socio-demographic Questionnaire, Fagerström test, Beck Anxiety Inventory and Beck Depression Inventory. Following bivariate analysis, using the crude prevalence ratio, with level of significance lower than 5% (p < 0.05), having as variable outcome the nicotine dependence ≥ 5 (Fagerström). The associations with p < 0.20 were selected for robust Multiple Poisson Regression (RP a ). Results: Associations of Fagerström ≥ 5 with the male sex (RP = 1.15 CI 95% 1.03-1.28); number of cigarettes/day (RP = 1,33; CI 95% 1.19-1.48); and moderate/severe level of depression (RP = 1.15; CI 95% 1.04-1.28) were found. In the final model (RPa), the following variables remained associated: male gender (RPa 1.12; CI 95% 1.01-1.24), number of cigarettes/day (RPa 1.28; CI 95% 1.15-1.43) and high level of depression (RPa 1.12; CI 95% 1.01-1.23). Discussion: High level of nicotine dependence was associated significantly with the level of depression, emphasizing the association between smoking and psychiatric comorbidities.
“…Among a Brazilian adult sample, individuals with moderate and severe scores of depression, measured by the Beck Depression Inventory, were more likely to smoke (Bortoluzzi, Kehrig, Loguercio, & Traebert, 2011). One of the few studies examining this association among adolescents was conducted in Colombia.…”
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