Tendência de fumantes na população Brasileira segundo a Pesquisa Nacional de Amostra de Domicílios 2008 e a Pesquisa Nacional de Saúde 2013

Malta, Déborah Carvalho; Vieira, Maria Lúcia França Pontes; Szwarcwald, Célia Landman; Caixeta, Roberta; Brito, Sônia Maria Feitosa; Chioro, Arthur

doi:10.1590/1980-5497201500060005

Cited by 57 publications

(68 citation statements)

References 12 publications

(24 reference statements)

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“…Policies were comprehensive and were supplemented with fiscal interventions that included raising taxes and establishing minimum prices for tobacco products. Finally, Brazil has achieved high levels of compliance through enforcement 20, 59, 60, 61, 62…”

Section: Discussionmentioning

confidence: 99%

Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015

Reitsma¹,

Fullman²,

Ng³

et al. 2017

The Lancet

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1,358

720

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SummaryBackgroundThe scale-up of tobacco control, especially after the adoption of the Framework Convention for Tobacco Control, is a major public health success story. Nonetheless, smoking remains a leading risk for early death and disability worldwide, and therefore continues to require sustained political commitment. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) offers a robust platform through which global, regional, and national progress toward achieving smoking-related targets can be assessed.MethodsWe synthesised 2818 data sources with spatiotemporal Gaussian process regression and produced estimates of daily smoking prevalence by sex, age group, and year for 195 countries and territories from 1990 to 2015. We analysed 38 risk-outcome pairs to generate estimates of smoking-attributable mortality and disease burden, as measured by disability-adjusted life-years (DALYs). We then performed a cohort analysis of smoking prevalence by birth-year cohort to better understand temporal age patterns in smoking. We also did a decomposition analysis, in which we parsed out changes in all-cause smoking-attributable DALYs due to changes in population growth, population ageing, smoking prevalence, and risk-deleted DALY rates. Finally, we explored results by level of development using the Socio-demographic Index (SDI).FindingsWorldwide, the age-standardised prevalence of daily smoking was 25·0% (95% uncertainty interval [UI] 24·2–25·7) for men and 5·4% (5·1–5·7) for women, representing 28·4% (25·8–31·1) and 34·4% (29·4–38·6) reductions, respectively, since 1990. A greater percentage of countries and territories achieved significant annualised rates of decline in smoking prevalence from 1990 to 2005 than in between 2005 and 2015; however, only four countries had significant annualised increases in smoking prevalence between 2005 and 2015 (Congo [Brazzaville] and Azerbaijan for men and Kuwait and Timor-Leste for women). In 2015, 11·5% of global deaths (6·4 million [95% UI 5·7–7·0 million]) were attributable to smoking worldwide, of which 52·2% took place in four countries (China, India, the USA, and Russia). Smoking was ranked among the five leading risk factors by DALYs in 109 countries and territories in 2015, rising from 88 geographies in 1990. In terms of birth cohorts, male smoking prevalence followed similar age patterns across levels of SDI, whereas much more heterogeneity was found in age patterns for female smokers by level of development. While smoking prevalence and risk-deleted DALY rates mostly decreased by sex and SDI quintile, population growth, population ageing, or a combination of both, drove rises in overall smoking-attributable DALYs in low-SDI to middle-SDI geographies between 2005 and 2015.InterpretationThe pace of progress in reducing smoking prevalence has been heterogeneous across geographies, development status, and sex, and as highlighted by more recent trends, maintaining past rates of decline should not be taken for granted, especially in women and in low-SDI to middle-SDI...

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Section: Discussionmentioning

confidence: 99%

Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015

Reitsma¹,

Fullman²,

Ng³

et al. 2017

The Lancet

Self Cite

1,358

720

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“…In 1989, the prevalence of smoking was 36.4%. In 2013, it was reduced to 15%, one of the lowest rates in the world, due to measures adopted in the country 36 . In 2014, the presidential decree on smoke-free environments banned the use of tobacco products in enclosed collective venues and vetoed cigarette advertisements and promotion.…”

Section: Discussionmentioning

confidence: 99%

“…In 2014, the presidential decree on smoke-free environments banned the use of tobacco products in enclosed collective venues and vetoed cigarette advertisements and promotion. In addition, it expanded health messages, warnings on cigarette packaging, and taxes on tobacco products 22,36,37 . Such measures are in line with the good practices advocated by the WHO 24 .…”

Section: Discussionmentioning

confidence: 99%

Fatores de risco relacionados à carga global de doença do Brasil e Unidades Federadas, 2015

Malta

Felisbino-Mendes

Machado

et al. 2017

Rev. bras. epidemiol.

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ABSTRACT:Objective: To analyze the global burden of disease related to disability adjusted life years (DALYs) attributed to selected risk factors in Brazil and its 27 Federated Units. Methods: Databases from the Global Burden of Disease study in Brazil and its Federated Units were used, estimating the summary exposure value (SEV) for selected environmental, behavioral, and metabolic risk factors (RFs), and their combinations. The DALYs were used as the main metric. The ranking of major RFs between 1990 and 2015 was compiled, comparing data by sex and states. Results: The analyzed RFs account for 38.8% of the loss of DALYs in the country. Dietary risks was the main cause of DALYs in 2015. In men, dietary risks contributed to 12.2% of DALYs and in women, to 11.1%. Other RFs were high systolic blood pressure, high body mass index, smoking, high fasting plasma glucose and, among men, alcohol and drug use. The main RFs were metabolic and behavioral. In most states, dietary risks was the main RF, followed by high blood pressure. Conclusion: Dietary risks leads the RF ranking for Brazil and its Federated Units. Men are more exposed to behavioral risk factors, and women are more exposed to metabolic ones.

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“…Brazil has always been a global reference in the fight against tobacco 21 . Public policies to regulate and prohibit tobacco advertising, to expand warning spaces and to create tobacco-free environments, including the prohibition of narghile, established in 2014 22 , are co-responsible for the low prevalence rates in this age group. However, the growth in consumption of other tobacco products, identified by PeNSE 2015, should be monitored, in order to adjust prevention actions and stop this trend.…”

Section: Discussionmentioning

confidence: 99%

Fatores de risco e proteção para as doenças crônicas não transmissíveis em adolescentes nas capitais brasileiras

Oliveira-Campos

Oliveira

Silva

et al. 2018

Rev. bras. epidemiol.

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Objective: To analyze trend estimates on the prevalence of risk and protective behaviors for chronic noncommunicable diseases in adolescents, according to data from the National School Health Survey in 2009, 2012 and 2015. Methods: Data from the three cross-sectional studies in Brazilian capitals and the Federal District were used. In total, 173,310 adolescents enrolled in the ninth grade of elementary school were interviewed, with average age of 14 years. The prevalence of indicators of protective (consumption of beans and fruit; physical education classes at school; practice of physical activity for 60 minutes or more) and risk factors (consumption of candies and soft drinks; use of cigarettes and alcohol in the last 30 days; drug testing) were estimated through linear regression. Results: There was a significant increase (p < 0.05) in the prevalence of fruit consumption and in the reduction of bean, soft drinks and candies consumption, as well as the consumption of alcoholic beverages and cigarettes. However, an increase in the prevalence of illicit drug experimentation was observed. Discussion: Despite the tendency to reduce risk factors, prevalences are high when compared with other sociocultural realities. Conclusion: The school is an important area of access to the adolescent public, and it is necessary to encourage school health promotion programs to reduce health risk behaviors, as well as to stimulate protective ones.

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Tendência de fumantes na população Brasileira segundo a Pesquisa Nacional de Amostra de Domicílios 2008 e a Pesquisa Nacional de Saúde 2013

Cited by 57 publications

References 12 publications

Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015

Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015

Fatores de risco relacionados à carga global de doença do Brasil e Unidades Federadas, 2015

Fatores de risco e proteção para as doenças crônicas não transmissíveis em adolescentes nas capitais brasileiras

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