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Tobacco addiction in the psychiatric population and in the general population

OBJECTIVE: To estimate the degree of tobacco addiction and identify independently associated factors by comparing the psychiatric population of secondary and tertiary care with the general population of the primary healthcare network. METHOD: This is a cross-sectional epidemiological study, conducte...

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Autores principales: de Oliveira, Renata Marques, Santos, Jair Lício Ferreira, Furegato, Antonia Regina Ferreira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738870/
https://www.ncbi.nlm.nih.gov/pubmed/29211192
http://dx.doi.org/10.1590/1518-8345.2202.2945
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author de Oliveira, Renata Marques
Santos, Jair Lício Ferreira
Furegato, Antonia Regina Ferreira
author_facet de Oliveira, Renata Marques
Santos, Jair Lício Ferreira
Furegato, Antonia Regina Ferreira
author_sort de Oliveira, Renata Marques
collection PubMed
description OBJECTIVE: To estimate the degree of tobacco addiction and identify independently associated factors by comparing the psychiatric population of secondary and tertiary care with the general population of the primary healthcare network. METHOD: This is a cross-sectional epidemiological study, conducted in a municipality of São Paulo, with 134 smokers of a Mental Health Outpatient Unit (MHOU), a Psychiatric Hospital (PH), and a Primary Healthcare Unit (PHU). Data were collected by means of individual interviews, recorded on a mobile device. Data were statistically processed using Stata/12 RESULTS: Of the 134 participants, 54.5% were women. While 49.1% of the psychiatric population (MHOU/PH) had medium/high nicotine addiction, 58.3% of smokers of the general population had very low/low dependency. The Poisson regression model indicated a higher prevalence of smokers with high dependence among men (PR = 1.41), people aged 49 years or less (15 - 29 years, PR = 4.06, 30 - 39 PR = 2.96 years, 40 - 49 years PR = 1.84), with severe mental disorders (PR = 3.05), with anxiety disorders/other (PR = 3.98), and with high suicide risk (PR = 1.55). CONCLUSION: Nicotine dependence was greater in the psychiatric population than in the general population. The independent factors associated with severe dependence were sex, age group, diagnosis, and current risk of suicide. These results trigger reflection among nurses on the need to focus more attention on a neglected subject in mental health services.
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spelling pubmed-57388702018-01-02 Tobacco addiction in the psychiatric population and in the general population de Oliveira, Renata Marques Santos, Jair Lício Ferreira Furegato, Antonia Regina Ferreira Rev Lat Am Enfermagem Original Article OBJECTIVE: To estimate the degree of tobacco addiction and identify independently associated factors by comparing the psychiatric population of secondary and tertiary care with the general population of the primary healthcare network. METHOD: This is a cross-sectional epidemiological study, conducted in a municipality of São Paulo, with 134 smokers of a Mental Health Outpatient Unit (MHOU), a Psychiatric Hospital (PH), and a Primary Healthcare Unit (PHU). Data were collected by means of individual interviews, recorded on a mobile device. Data were statistically processed using Stata/12 RESULTS: Of the 134 participants, 54.5% were women. While 49.1% of the psychiatric population (MHOU/PH) had medium/high nicotine addiction, 58.3% of smokers of the general population had very low/low dependency. The Poisson regression model indicated a higher prevalence of smokers with high dependence among men (PR = 1.41), people aged 49 years or less (15 - 29 years, PR = 4.06, 30 - 39 PR = 2.96 years, 40 - 49 years PR = 1.84), with severe mental disorders (PR = 3.05), with anxiety disorders/other (PR = 3.98), and with high suicide risk (PR = 1.55). CONCLUSION: Nicotine dependence was greater in the psychiatric population than in the general population. The independent factors associated with severe dependence were sex, age group, diagnosis, and current risk of suicide. These results trigger reflection among nurses on the need to focus more attention on a neglected subject in mental health services. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2017-12-04 /pmc/articles/PMC5738870/ /pubmed/29211192 http://dx.doi.org/10.1590/1518-8345.2202.2945 Text en Copyright © 2017 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
de Oliveira, Renata Marques
Santos, Jair Lício Ferreira
Furegato, Antonia Regina Ferreira
Tobacco addiction in the psychiatric population and in the general population
title Tobacco addiction in the psychiatric population and in the general population
title_full Tobacco addiction in the psychiatric population and in the general population
title_fullStr Tobacco addiction in the psychiatric population and in the general population
title_full_unstemmed Tobacco addiction in the psychiatric population and in the general population
title_short Tobacco addiction in the psychiatric population and in the general population
title_sort tobacco addiction in the psychiatric population and in the general population
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738870/
https://www.ncbi.nlm.nih.gov/pubmed/29211192
http://dx.doi.org/10.1590/1518-8345.2202.2945
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