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. 2017 Dec 4:25:e2945.
doi: 10.1590/1518-8345.2202.2945.

Tobacco addiction in the psychiatric population and in the general population

[Article in English, Portuguese, Spanish]
Renata Marques de Oliveira  1 , Jair Lício Ferreira Santos  2 , Antonia Regina Ferreira Furegato  3
Affiliations

Tobacco addiction in the psychiatric population and in the general population

[Article in English, Portuguese, Spanish]
Renata Marques de Oliveira et al. Rev Lat Am Enfermagem. .

Abstract

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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Figures

Figure 1
Figure 1. Relative frequency (%) of tobacco addiction among the psychiatric population of secondary and tertiary care compared to the general population of the primary health system - Marília (SP), Brazil, 2014
Figure 2
Figure 2. Relative frequency (%) of degree of tobacco dependence, according to the study site (MHOU: Mental Health Outpatient Unit; PH: Psychiatric Hospital; PHU: Primary Health Unit) - Marília (SP), Brazil, 2014
Figure 3
Figure 3. Adjusted Prevalence Ratio for high degree of tobacco dependence, according to age group (reference group: elderly (≥ 60 years)) - Marília (SP), Brazil, 2014
See this image and copyright information in PMC

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