O objetivo do estudo foi analisar a frequência de afastamentos por doenças ocupacionais de trabalhadores rurais em uma safra canavieira. Foram analisados 1.230 atestados médicos classificados de acordo com a 10a revisão da Classificação Internacional de Doenças (CID-10) de 400 trabalhadores rurais. Nos atestados foram analisados: diagnóstico médico, sexo, dias de afastamento e período do afastamento. Em todos os períodos as doenças osteomusculares apresentaram maior frequência de atestados seguidos das doenças respiratórias (p < 0,05). Os atestados por doenças osteomusculares foram mais frequentes no fim da safra do que na entressafra (p < 0,05). Em relação ao número de dias afastados, 75% dos atestados foram de um dia. Os atestados por doenças do aparelho geniturinário obtiveram maior número de dias afastados (p < 0,001). Assim, é fundamental a atuação de uma equipe multidisciplinar de profissionais da saúde que atentem para o desenvolvimento de atividades de ergonomia, equipamentos de proteção individual e orientações de saúde direcionadas especificamente às necessidades dessa população.

Background and aims Smokers exhibit a high prevalence of psychological abnormalities, and these factors may contribute to smoking initiation, its maintenance, and quitting difficulties. This study reports the development of a scale aiming at evaluating the emotional status of smokers in face of tobacco. Methods Levels of Anxiety, Depression, Perceived Stress, Self‐esteem, and Loneliness of 120 smokers (age: 54.6 years; 74 women) were compared with those of 76 nonsmokers (age: 45.5 years; 47 women). Correlations between psychological scores, plus the feature Attachment to Cigarettes, and Fagerström test of nicotine dependence (FTND) counts were explored. Features showing the best correlations with FTND were selected to be part of a 6‐item scale called Smoker’s Emotional Test (SET). SET scores of this group and of an additional sample of smokers (n = 102; age = 52.6; women = 63) were submitted to psychometric analyses and validation tests. Results SET showed a structure of two factors, Anxiety/Depression and Attachment to Cigarettes. SET showed significant correlations with FTND (r = 0.418), number of smoked cigarettes (r = 0.299), time to urge for a new cigarette (r = −0.441), and pleasure of smoking (r = 0.346). The internal consistency of SET was higher than that of FTND scores (Cronbach’s alpha: respectively .712 and .542). The test‐retest reliability of SET was excellent (ICC = 0.944). SET scores higher than four distinguished smokers from nonsmokers with sensitivity of 87.3% and specificity of 92.7%. Conclusions SET is a simple instrument that gives an estimative of smoking‐related emotional status and may define a new valuable construct of tobacco addiction.

(TEF). TEF scores of this initial group and of an additional sample of smokers (n=102; age= 52.6; women= 63) were submitted to psychometric analyses and validation tests. Results: TEF showed a consistent structure of two factors, Anxiety/Depression and Attachment to Cigarettes. TEF scores showed significant correlations with TDNF (r=0.418), number of smoked cigarettes (r=0.299), time to urge for a new cigarette (r=-0.441) and pleasure of smoking (r=0.346). The internal consistency of TEF was higher than that of FTND scores (Cronbach's alpha: respectively 0.712 and 0.542). The test-retest reliability of TEF was excellent (intraclass correlation coefficient=0.944). TEF scores higher than 4 could distinguish smokers from nonsmokers with sensitivity of 87.3% and specificity of 92.7%. In conclusion, TEF is a simple instrument that gives an estimative of smoking-related emotional status and may define a new valuable construct of tobacco addiction. TEF has the potential to become a useful tool in smoking cessation interventions.