BackgroundSeveral studies worldwide have pointed to depression and anxiety symptoms as being related to adolescent smoking. The aim of this study was to investigate, the potential link of cigarette smoking with depression, anxiety, and suicidal ideation and the influence of gender on these relationships in Brazilian adolescents.MethodsAssociations of smoking with Children Depressive Inventory version 2 (CDI2) scores, Hamilton Anxiety Scale (HAM-A) scores, and poor school performance (i.e., grade retention) were examined in 988 Brazilian students (age range, 11–17 years) enrolled in 82 public and private schools. Logistic regression modeling was employed and the resultant odds ratios (ORs) are reported with 95% CIs.ResultsOf 988 participants, 240 (24.3%) were smokers. Mean (±standard error) HAM-A scores were higher for smokers (21.1 ± 9.7) than nonsmokers (15.4 ± 8.6; p < 0.0001). Relative to nonsmokers, smokers had higher total CDI2 scores (p = 0.033), and higher scores for the CDI2 domains of Emotional Problems (p = 0.023), Negative Self-esteem (p < 0.001), and Functional Problems (p = 0.046). Suicidal ideation was common among smokers with depressive symptoms (54.2%). Smoking was associated with being held back three grades (p < 0.001). Female smokers were more likely to report suicidal ideation than male smokers (p = 0.020). Logistic regression modeling revealed significant associations of suicidal ideation with being female (OR, 1.81; 95% CI, 1.38–2.37), being a female smoker (OR, 2.05; 95% CI, 1.51–2.80), and having a HAM-A score > 16 (OR, 2.18; 95% CI, 1.66–2.86).ConclusionSmoking was found to be associated with anxiety symptoms, depressive symptoms, and poor school performance in Brazilian adolescents; and female smokers reported more suicidal ideation than male smokers.

This study describes the neonatal health care implemented through the Family Health Program in a unit in Guarapuava, State of Paraná, with the aim of supporting the organization of child health care in a family context. It is a descriptive survey based on data from live birth statements and files of families with babies born between October 1, 2003 and September 30, 2004, totaling 90 infants. The description of how clients were attracted and the verification of care delivery made possible the construction of a newborn health care flow chart. It was found that the flow chart represents a means for identifying the type of demand, the care delivered by each professional, the procedures, the referrals and the returns, as well as the gaps. This made possible for us to visualize the health care schematically, thus contributing to the organization of newborn health care in Family Health Program units.

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RESUMOO Brasil possui o maior índice de pessoas com transtornos de ansiedade em todo o mundo -9,3%, quase 19 milhões de brasileiros encontram-se com a saúde emocional comprometida. Objetivo: proporcionar conhecimento à categoria docente sobre saúde emocional, seguido da aplicação da Escala de Hamilton -Hamilton Anxiety Rating Scale/HAM-A (preenchimento voluntário), composta de 14 itens, que propõe avaliar o nível de ansiedade no ser humano, possibilitando assim, a identificação de sinais de alerta e redução de danos no que se refere aos sintomas. Metodologia: as atividades foram feitas em 25 escolas públicas com 475 docentes. Os agendamentos aconteceram após contato com cada escola. Os encontros ocorreram em momentos de semana pedagógica e hora atividade -AA, com tempo de duração de 1 hora. Resultados e Discussão: 88% de presença docente. Quanto à análise da Escala de Hamilton, verificou-se grau de ansiedade considerado moderado em 32,3% e considerado grave em 33,3%, identificando assim que, mais da metade dos docentes (65,6%) apresentam quadro significativo de ansiedade. Conclusão: Os dados obtidos, demonstraram presença importante de instabilidade emocional na categoria docente. Fato este, que nos traz alerta para conduzir melhores cuidados individuais e coletivos aos profissionais e alunos em ambiente escolar.