Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/S2237-60892012000300007
Trends in Psychiatry and Psychotherapy
Original Article

Prevalence and profile of daily smokers seen at three primary health care units in Pelotas, southern Brazil

Prevalência e perfil dos fumantes diários usuários de três unidades básicas de saúde de Pelotas, sul do Brasil

Mariane Ricardo Acosta Lopez; Karen Jansen; Luciano Dias de Mattos Souza; Ricardo Tavares Pinheiro; Elaine Tomasi; Ricardo Azevedo da Silva

http://dx.doi.org/10.1590/S2237-60892012000300007 Trends Psychiatry Psychother, vol.34, n3, p.154-160, 2012
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Abstract

Objectives: To estimate the prevalence of daily smoking among users of three primary health care units affiliated with a university hospital in the municipality of Pelotas, southern Brazil, and to identify factors associated with daily tobacco consumption. Methods: This cross-sectional study included all individuals over 14 years of age who sought treatment at the health care units between June 29, 2009, and February 23, 2010, and lived in the area covered by the unit. Interviews were conducted during home visits to collect data on sociodemographic characteristics and health behaviors; the Mini International Neuropsychiatric Interview (MINI) was used to assess the presence of mood disorders; and a question from the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) on the daily use of tobacco in the past 3 months was used to assess smoking. Results: The total sample comprised 1,848 individuals, mostly female (72.9%), aged between 46 and 60 years (28.5%), and belonging to socioeconomic class C (61%). The prevalence of daily smoking was 23.4% (n = 432), and there was a statistically significant difference between men and women: 27 vs. 22.1% (p < 0.050). Conclusion: Our findings confirm a high prevalence of smoking among users of primary health care units, underscoring the need for a more accurate process of diagnosis and treatment at these facilities.

Keywords

Smoking, epidemiology, prevalence, primary health care

Resumo

Objetivos: Estimar a prevalência do uso diário de tabaco entre usuários de três unidades básicas de saúde (UBSs) vinculadas a um hospital universitário na cidade de Pelotas (RS) e identificar fatores associados ao consumo diário de tabaco. Métodos: Participaram deste estudo transversal todos os indivíduos maiores de 14 anos que procuraram atendimento nas UBSs no período de 29 de junho de 2009 a 23 de fevereiro de 2010 e que moravam na área de abrangência da UBS. Entrevistas foram realizadas durante visitas domiciliares para coletar dados sobre características sociodemográficas e comportamentos de saúde; a entrevista estruturada Mini International Neuropsychiatric Interview (MINI) foi utilizada para avaliar a presença de transtornos de humor; e uma pergunta do instrumento Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) sobre o uso diário de tabaco nos últimos 3 meses foi utilizada para avaliar o tabagismo. Resultados: A amostra total incluiu 1.848 indivíduos, sendo a maioria do sexo feminino (72,9%), com idade entre 46 e 60 anos (28,5%) e pertencentes à classe socioeconômica C (61%). A prevalência de uso diário de tabaco foi de 23,4% (n = 432), com diferença estatisticamente significativa entre homens e mulheres: 27 versus 22.1% (p < 0,050). Conclusão: Nossos achados confirmam uma alta prevalência de tabagismo entre os usuários de UBSs, reforçando a necessidade de um processo de diagnóstico e tratamento mais eficiente nessas instituições.

Palavras-chave

Tabagismo, epidemiologia, prevalência, atenção primária à saúde

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