A prevalence study of current tobacco smoking in later life community and its association with sociodemographic factors, physical health and mental health status
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Data
2008-06-01
Autores
Marinho, Valeska
Blay, Sergio Luis [UNIFESP]
Andreoli, Sergio Baxter [UNIFESP]
Gastal, Fabio
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Objective Evaluate the frequency of current smoking in elderly people living in urban areas of Rio Grande do Sul, Brazil. Methods Cross-sectional design. A representative sample of 6,961 elderly, randomly selected subjects, living in a community, was examined to estimate the frequency of current tobacco smoking. Tobacco use was measured by means of a household questionnaire administered by trained interviewers that inquired about current tobacco use, sociodemographic characteristics, self-rated physical and health status. Mental health was evaluated using the Short Psychiatric Evaluation Schedule (SPES). Results the prevalence of tobacco use was 28.9% among men, 13.6% among women and 18.8% for both sexes. Male gender (OR = 3.25), low income (OR = 1.52), years of schooling (illiterate) (OR = 1.35), non-Protestant religion (OR = 2.17) and absence of physical exercise (OR = 1.21) presented positive and independent association with tobacco use. Presence of pulmonary disease (OR = 1.93) and mental distress (OR = 1.32) and absence of cardiac disease (OR = 1.51), high blood pressure (OR = 1.51) and diabetes (OR = 1.50) were independently associated with an increased chance of current tobacco use. Increasing age (OR = 0.93) and marital status (married) (OR = 0.66) presented independent and negative association with smoking. Conclusion Factors associated with an increased chance of tobacco smoking were: being men, illiterate, with lower income, presence of respiratory and mental disease, and absence of cardiac disease, high blood pressure and diabetes. Factors associated with a decreased risk of tobacco smoking were: aging, exercise, Protestant religion and marriage.
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Social Psychiatry and Psychiatric Epidemiology. Darmstadt: Dr Dietrich Steinkopff Verlag, v. 43, n. 6, p. 490-497, 2008.