Tobacco use, cessation, secondhand smoke and exposure to media about tobacco in Brazil: results of the National Health Survey 2013 and 2019

Deborah Carvalho Malta; Crizian Saar Gomes; Fabiana Martins Dias de Andrade; Elton Junio Sady Prates; Francielle Thalita Almeida Alves; Patrícia Pereira Vasconcelos de Oliveira; Paula Carvalho de Freitas; Cimar Azeredo Pereira; Roberta de Betânia Caixeta

doi:10.1590/1980-549720210006.supl.2

journal article Open Access Jan 01, 2021

Tobacco use, cessation, secondhand smoke and exposure to media about tobacco in Brazil: results of the National Health Survey 2013 and 2019

Deborah Carvalho Malta Crizian Saar Gomes

Fabiana Martins Dias de Andrade

Elton Junio Sady Prates

Francielle Thalita Almeida Alves

Patrícia Pereira Vasconcelos de Oliveira

Paula Carvalho de Freitas

Cimar Azeredo Pereira

Roberta de Betânia Caixeta

Revista Brasileira de Epidemiologia Vol. 24 No. suppl 2 · FapUNIFESP (SciELO)

View at Publisher Save 10.1590/1980-549720210006.supl.2

Abstract

ABSTRACT Objective: To compare indicators of tobacco use, secondhand smoke, cessation and exposure to pro- and anti-tobacco media in 2013 and 2019, and to describe these indicators according to sociodemographic variables in 2019. Methods: Cross-sectional study with data from the National Health Survey. The indicators of use, secondhand smoke, cessation and exposure to tobacco-related media were evaluated. Prevalence and confidence intervals (95%CI) were estimated for the total population in 2013 and 2019 and according to sociodemographic variables for 2019. Poisson regression with robust variance was used to assess differences in prevalence. Results: There was an improvement in most of the indicators studied: an increase in ex-smokers, a reduction in secondhand smoke and attempts to quit smoking. All pro- and anti-tobacco media exposure indicators declined. When considering the prevalence according to sociodemographic characteristics in 2019, 43.8% (95%CI 41.6–46.0) of men tried to quit smoking, and 50.8% (95%CI 48.5–53.2) of women. Secondhand smoke at home was higher among women (10.2%; 95%CI 9.7–10.8). Among those who thought about quitting smoking because of warnings, the proportion was higher among women (48.0%; 95%CI 45.3–50.6). Tobacco use was higher among men (43.8%; 95%CI 41.6–46.0), in the population aged 40 to 59 years (14.9%; 95%CI 14.2–15.6), with a lower level of education (17.6%; 95%CI 16.8–18.4). Conclusion: The study showed improvement in tobacco-related indicators between the years studied. It is noteworthy that this advance was smaller in relation to the other periods previously analyzed, and therefore, greater investments in public policies to combat and control smoking in Brazil are necessary.

Topics

No keywords indexed for this article. Browse by subject →

References

46

[1]

(2019)

[2]

(2020)

[3]

(2019)

[4]

Malta DC "Trends in prevalence and mortality burden attributable to smoking, Brazil and federated units, 1990 and 2017" Popul Health Metr (2020) 10.1186/s12963-020-00215-2

[5]

(2017)

[6]

Portes LH "Tobacco control policies in brazil: a 30-year assessment" Cien Saude Colet (2018)

[7]

Szklo AS "A snapshot of the striking decrease in cigarette smoking prevalence in Brazil between 1989 and 2008" Prev Med (2012) 10.1016/j.ypmed.2011.12.005

[8]

Malta DC "Apresentação do plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis no Brasil, 2011 a 2022" Epidemiol Serv Saude (2011) 10.5123/s1679-49742011000400002

[9]

(2013)

[10]

Szwarcwald CL "Pesquisa Nacional de Saúde no Brasil: concepção e metodologia de aplicação" Cien Saude Colet (2014) 10.1590/1413-81232014192.14072012

[11]

Stopa SR "National Health Survey 2019: history, methods and perspectives" Epidemiol Serv Saude (2020)

[12]

(2014)

[13]

(2020)

[14]

Giovino GA "Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys" Lancet (2012) 10.1016/s0140-6736(12)61085-x

[15]

(2017)

[16]

Flor LS "The effects of tobacco control policies on global smoking prevalence" Nat Med (2021) 10.1038/s41591-020-01210-8

[17]

Apelberg B (2010)

[18]

Huxley RR "Cigarette smoking as a risk factor for coronary heart disease in women compared with men: a systematic review and meta-analysis of prospective cohort studies" Lancet (2011) 10.1016/s0140-6736(11)60781-2

[19]

Vollset SE "Smoking and deaths between 40 and 70 years of age in women and men" Ann Intern Med (2006) 10.7326/0003-4819-144-6-200603210-00004

[20]

Malta DC "Trends in smoking prevalence in all Brazilian capitals between 2006 and 2017" J Bras Pneumol (2019) 10.1590/1806-3713/e20180384

[21]

Silva AG "Monitoring and projection of targets for risk and protection factors for coping with noncommunicable diseases in Brazilian capitals" Cien Saude Colet (2021)

[22]

Malta DC "Factors associated with the use of waterpipe and other tobacco products among students, Brazil, 2015" Rev Bras Epidemiol (2018)

[23]

Malta DC "Use of tobacco and exposure to tobacco smoke in Brazil: results from the National Health Survey 2013" Epidemiol Serv Saude (2015)

[24]

(2019)

[25]

Figueiredo VC "Tobacco control in Brazil: the achievements and challenges of a successful policy" Cad Saude Publica (2017)

[26]

(2003)

[27]

Borges LC "Dilemmas in the implementation of the World Health Organization Framework Convention on Tobacco Control" Cad Saude Publica (2020)

[28]

(2004)

[29]

(2013)

[30]

(2008)

[31]

Tilloy E "Characteristics of current smokers, former smokers, and second-hand exposure and evolution between 1985 and 2007" Eur J Cardiovasc Prev Rehabil (2010) 10.1097/hjr.0b013e32833a9a0c

[32]

Passos VM "Tabagismo passivo no Brasil: resultados da Pesquisa Especial Do Tabagismo, 2008" Cien Saude Colet (2011) 10.1590/s1413-81232011001000004

[33]

Cavalcante TM "O controle do tabagismo no Brasil: avanços e desafios" Rev Psiquiatr Clín (2005) 10.1590/s0101-60832005000500006

[34]

(2011)

[35]

(2014)

[36]

(1996)

[37]

(2011)

[38]

D’Ornellas MCGDS "Plain packaging of tobacco products in Brazil: the contribution of science to the decision to safeguard the human right to health" Cad Saude Publica (2017)

[39]

(2016)

[40]

Paes-Sousa R "Fiscal austerity and the health sector: the cost of adjustments" Cien Saude Colet (2019) 10.1590/1413-812320182412.23232019

[41]

Malta DC "Trends in mortality due to non-communicable diseases in the Brazilian adult population: national and subnational estimates and projections for 2030" Popul Health Metr (2020) 10.1186/s12963-020-00216-1

[42]

Souza LE "Smoking prevalence and economic crisis in Brazil" Rev Saude Publica (2021) 10.11606/s1518-8787.2021055002768

[43]

Vieira FS "Health financing in Brazil and the goals of the 2030 Agenda: high risk of failure" Rev Saude Publica (2020)

[44]

Malta DC "Fiscal austerity measures hamper noncommunicable disease control goals in Brazil" Cien Saude Colet (2018)

[45]

Instituto Nacional de Câncer (2021)

[46]

Lima-Costa MF "Validade do diabetes auto-referido e seus determinantes: evidências do projeto Bambuí" Rev Saude Publica (2007) 10.1590/s0034-89102007000600009

Metrics

34

Citations

46

References

Details

Published: Jan 01, 2021
Vol/Issue: 24(suppl 2)
License: View

Authors

D

Deborah Carvalho Malta