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巴西南部佩洛塔斯三个初级卫生保健单位中每日吸烟者的患病率及概况。

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

作者信息

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

机构信息

Programa de Pós-Graduação em Saúde e Comportamento, Universidade Católica de Pelotas (UCPel), Pelotas, RS, Brazil.

Programa de Pós-Graduação em Saúde e Comportamento, UCPel.

出版信息

Trends Psychiatry Psychother. 2012 Sep;34(3):154-60. doi: 10.1590/s2237-60892012000300007.

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.

摘要

目的

评估巴西南部佩洛塔斯市一家大学医院附属的三个初级卫生保健单位使用者中每日吸烟的患病率,并确定与每日烟草消费相关的因素。

方法

这项横断面研究纳入了2009年6月29日至2010年2月23日期间在卫生保健单位寻求治疗且居住在该单位覆盖区域内的所有14岁以上个体。在家庭访视期间进行访谈,以收集社会人口学特征和健康行为数据;使用迷你国际神经精神病学访谈(MINI)评估情绪障碍的存在;并使用酒精、吸烟和物质使用筛查测试(ASSIST)中关于过去3个月每日烟草使用情况的一个问题来评估吸烟情况。

结果

总样本包括1848名个体,大多数为女性(72.9%),年龄在46至60岁之间(28.5%),属于社会经济C类(61%)。每日吸烟的患病率为23.4%(n = 432),男性和女性之间存在统计学显著差异:分别为27%和22.1%(p < 0.050)。

结论

我们的研究结果证实初级卫生保健单位使用者中吸烟率很高,强调了这些机构需要更准确的诊断和治疗过程。

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