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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Evaluate the frequency of current smoking in elderly people living in urban areas of Rio Grande do Sul, Brazil.
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).
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.
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.
KeywordsHigh Blood Pressure Cardiac Disease Elderly Individual Mental Distress Sociodemographic Factor
- 1.Araya R, Gaete J, Rojas G, Fritsch R, Lewis G (2007) Smoking and common mental disorders: a population-based survey in Santiago, Chile. Soc Psychiatry Psychiatr Epidemiol [Epub ahead of print]. Avaiable online: doi: 10.1007/s00127-007-0238-4
- 9.Colsher PL, Wallace RB, Pomrehn PR, LaCroix AZ, Cornoni-Huntley J, Blazer D, Scherr PA, Berkman L, Hennekens CH (1990) Demographic and health characteristics of elderly smokers: results from established populations for epidemiologic studies of the elderly. Am J Prev Med 6(2):61–70PubMedGoogle Scholar
- 11.Critchley J, Capewell S (2005) Smoking cessation for the secondary prevention of coronary heart disease (Cochrane Review). In: The Cochrane Library, Issue 2, 2005. Update Software, OxfordGoogle Scholar
- 12.Ganiwijaya T, Sjukrudin E, Backer GD, Suhana D, Brotoprawiro S, Sukandar H (1995) Prevalence of cigarette smoking in a rural area of West Java, Indonesia. Tob Control 4:335–337Google Scholar
- 13.George LK, Fillenbaum GG (1985) OARS methodology. A decade of experience in geriatric assessement. J Am Ger Soc 33:607–615Google Scholar
- 17.Goldberg DP, Cooper B, Eastwood MR, Kedward HB, Shepherd M (1970) A standardized psychiatric interview for the use in community surveys. B J Prev Soc Med 24:18–23Google Scholar
- 21.IBGE (1997) Governo do Estado do Rio Grande do Sul. Os idosos do Rio Grande do Sul. Relatório de Pesquisa. Conselho Estadual do Idoso. Porto Alegre, CEIGoogle Scholar
- 24.Kamimoto L, Easton AN, Maurice E, Husten CG, Macera CA (1999) Surveillance for five health risks among older adults – United States, 1993–1997. In: CDC Surveillance Summaries, December 17, 1999. MMWR 48(no. ss-8), pp 89–126Google Scholar
- 28.Lima-Costa MF, Barreto SM, Uchôa E, Firmo JOA, Vidigal PG, Guerra HL (2001) The Bambuí Health and Aging Study (BHAS): prevalence of risk factors and use of preventive health care services. Pan Am J Public Health 9(4):219–227Google Scholar
- 29.Lima-Costa MF (2004) A saúde dos adultos na região metropolitana de Belo Horizonte: um estudo epidemiológico de base populacional. Belo Horizonte, Nespe: Fiocruz / UFMG, 132pGoogle Scholar
- 33.National Center for Health Statistics (1994) Evaluation of National Health Interview Survey diagnostic reporting. Vital Health Stat 2(120):1–116Google Scholar
- 34.Østbye T, Taylor DH, Jung SH (2002) A longitudinal study of the effects of tobacco smoking and other modifiable risk factors on ill health in middle-aged and old Americans: results from the Health and Retirement Study and Asset and Health Dynamics among the Oldest Old survey. Prev Med 34(3):334–345PubMedCrossRefGoogle Scholar
- 49.Woollery T, Trosclair A, Husten C, Caraballo RC, Kahende J (2003) Cigarette smoking among adults—United States, 2001. MMWR 52(40):953–954Google Scholar
- 50.World Health Organization (WHO) (2002) The smoker’s body. Tobacco Free Initiative, WHO, 2002. Available at: www.who.int/tobacco/resources/publications/en. Accessibility verified 18 November 2007
- 51.World Health Organization (WHO) (2007) Western Pacific Regional Office. Country profiles, tobacco or health 2000. WHO, 2000. Available at: www.wpro.who.int. Accessibility verified 18 November 2007