巴西各首府按社会经济剥夺程度划分的成年烟民流行率。

Prevalence of adult smokers in Brazilian capitals according to socioeconomic deprivation.

机构信息

Universidade Federal de Minas Gerais, School of Nursing, Department of Maternal-Child Nursing and Public Health - Belo Horizonte (MG), Brazil.

University of Glasgow, Medical Research Council, Scottish Government Chief Scientist Office, Social and Public Health Sciences Unit, School of Health and Wellbeing - Glasgow, UK.

出版信息

Rev Bras Epidemiol. 2023 Oct 20;26:e230044. doi: 10.1590/1980-549720230044. eCollection 2023.

DOI:10.1590/1980-549720230044

PMID:37878832

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10599255/

Abstract

OBJECTIVE

To estimate the prevalence of adult smokers in the 26 capitals and the Federal District according to the Brazilian Deprivation Index (Índice Brasileiro de Privação - IBP).

METHODS

Dataset on smoking were obtained from the Surveillance of Risk and Protective Factors for Noncommunicable Diseases by Survey (Vigitel) system for the 26 capitals and the Federal District, in the period from 2010 to 2013. The IBP classifies the census sectors according to indicators such as: income less than ½ minimum wage, illiterate population and without sanitary sewage. In the North and Northeast regions, the census sectors were grouped into four categories (low, medium, high and very high deprivation) and in the South, Southeast and Midwest regions into three (low, medium and high deprivation). Prevalence estimates of adult smokers were obtained using the indirect estimation method in small areas. To calculate the prevalence ratios, Poisson models are used.

RESULTS

The positive association between prevalence and deprivation of census sector categories was found in 16 (59.3%) of the 27 cities. In nine (33.3%) cities, the sectors with the greatest deprivation had a higher prevalence of smokers when compared to those with the least deprivation, and in two (7.4%) there were no differences. In Aracaju, Belém, Fortaleza, João Pessoa, Macapá and Salvador, the prevalence of adult smokers was three times higher in the group of sectors with greater deprivation compared to those with less deprivation.

CONCLUSION

Sectors with greater social deprivation had a higher prevalence of smoking, compared with less deprivation, pointing to social inequalities.

摘要

目的

根据巴西剥夺指数（Índice Brasileiro de Privação - IBP）评估 26 个首府和联邦区成年烟民的患病率。

方法

利用 2010 至 2013 年期间通过风险和非传染性疾病保护因素监测系统（Vigitel）获取的吸烟数据，对 26 个首府和联邦区进行研究。IBP 依据收入低于最低工资的一半、文盲人口和没有卫生污水等指标对普查区进行分类。在北部和东北部地区，普查区被分为四个类别（低、中、高和极高剥夺），而在南部、东南部和中西部地区则分为三个类别（低、中、高剥夺）。使用小区域间接估计法获得成年烟民的患病率估计值。为计算患病率比，采用泊松模型。

结果

在 27 个城市中的 16 个（59.3%）城市中发现，患病率与普查区类别的剥夺程度之间存在正相关关系。在 9 个（33.3%）城市中，与剥夺程度最低的普查区相比，剥夺程度最高的普查区的烟民比例更高，而在 2 个（7.4%）城市中则没有差异。在阿拉卡茹、贝伦、福塔莱萨、若昂佩索阿、马卡帕和萨尔瓦多，与剥夺程度较低的普查区相比，剥夺程度较高的普查区成年烟民的患病率高出三倍。