Factors associated to smoking habit among older adults (The Bambuí Health and Aging Study)

Abstract

ObjectiveTo describe the characteristics and associated factors of the smoking habit among older adults. Methods A population-based study was carried out comprising 1,606 (92.2%) older adults (≥60 years old) living in the Bambuí town, Southeastern Brazil in 1997. Data was obtained by means of interview and socio-demographic factors, health status, physical functioning, use of healthcare services and medication were considered. The multiple multinomial logistic regression was used to assess independent associations between smoking habits (current and former smokers) and the exploratory variables. ResultsThe prevalence of current and past smoking was 31.4% and 40.2% among men, and 10.3% and 11.2% among women, respectively (p<0.001). Among current smokers, men consumed a larger number of cigarettes per day and started the habit earlier than women. Among men, current smoking presented independent and negative association with age (≥80 years) and schooling (≥8 years) and positive association with poor health perception and not being married. Among women, independent and negative associations with current smoking were observed for age (75-79 and ≥80 years) and schooling (4-7 and ≥8 years). ConclusionsSmoking was a public health concern among older adults in the studied community, particularly for men. Yet, in a low schooling population, a slightly higher level was a protective factor against smoking for both men and women. Programs for reducing smoking in the elderly population should take these findings into consideration. Resumo Objetivo

Uso de serviços básicos de saúde por idosos portadores de condições crônicas, Brasil

“…5 The greater participation of the elderly who are ex-smokers in groups of educational activities is due to the higher prevalence of chronic diseases in these individuals. 15 The lower participation in groups of educational activities of elderly people with functional disability in the Northeast region indicates that these individuals have less access to the UBS that serve their dwelling area than those who do not have functional limitations. 16 The greater participation in groups of educational activities of elderly individuals residing in catchment areas of UBS with PSF model in the South and Northeast regions shows that PSF promotes greater access to the UBS of elderly individuals with chronic health conditions when compared to the traditional model.…”

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“…As doenças crônicas analisadas foram depressão, artrite/reumatismo, câncer, doença neurológica crô-nica (exceto acidente vascular encefálico -AVE), hipertensão arterial sistêmica (HAS), diabetes melito, asma/bronquite/enfisema, AVE, deficiência visual incapacitante ou deficiência auditiva incapacitante. A prevalência do tabagismo foi caracterizada em: nunca fumou (menos de 100 cigarros durante a vida); já fumou, (pelo menos 100 cigarros durante a vida) e fumante (mais de 100 cigarros durante a vida e consumo atual), de acordo com National Center for Health Statistics, 1994, já utilizado no Brasil por Peixoto (2005) 12 . O consumo de álcool foi avaliado com base nos critérios do questionário "CAGE" 13 .…”

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“…Conversely, poor perception of health and not being married were associated with a greater risk of continuing smoking. (12) Despite the great number of epidemiological surveys in the international literature that describe the smoking epidemic, there is still a lack of studies that increase knowledge of the profile of the smokers who seek centers specialized in smoking cessation treatment. The tendency toward modeling new smoking cessation programs to the target population makes it necessary to investigate this profile in order to achieve better results.…”