Patterns of tobacco consumption among residents of a rural settlement: a cross-sectional study

Silva, Andrécia Cósmem da; Vargas, Lorena Silva; Lucchese, Roselma; Calixto, Bruno de Souza; Guimarães, Rafael Alves; Vera, Ivania; Castro, Paulo Alexandre de; Pagotto, Valéria; Fernandes, Inaina Lara

doi:10.11606/S1518-8787.2017051006781

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Original Articles • Rev. Saúde Pública 51 • 2017 • https://doi.org/10.11606/S1518-8787.2017051006781 copy

Patterns of tobacco consumption among residents of a rural settlement: a cross-sectional study

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

OBJECTIVE

Investigate patterns and factors associated with tobacco consumption among residents of a rural settlement.

METHODS

A cross-sectional study conducted between September and November 2014, with 172 residents of a rural settlement in the Midwest region of Brazil. We analyzed as dependent variables tobacco consumption at some point in life; current tobacco consumption; tobacco abuse; and the high risk of nicotine dependence, with sociodemographic variables associated with tobacco use, and we applied the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) and Self-Reporting Questionnaire (SRQ-20).

RESULTS

The prevalence of tobacco use in life, current use, tobacco abuse, and high risk of nicotine dependence were 62.2%, 20.9%, 59.8%, and 10.3%, respectively. Advanced age, low education level, evangelical religion, marijuana use, hypnotic or sedative consumption, and male gender were factors associated with smoking patterns in the settlers.

CONCLUSIONS

There was a high prevalence of smoking patterns, evidencing the need for public policies on tobacco prevention and control in this population.

Tobacco Use Disorder, epidemiology; Rural Settlements; Risk Factors; Socioeconomic Factors; Cross-Sectional Studies

Variable	Total^a	Lifetime tobacco consumption		Gross PR		Current tobacco consumption^b		Gross PR

	(n = 172)	n	%	95%CI	p^b	n	%	95%CI	p^b
Age (years)
< 30	45	13	28.9	1.00		6	13.3	1.00
30–44	45	30	66.7	2.30 (1.39–3.82)	< 0.01	10	22.2	1.66 (0.65–4.20)	0.28
> 44	82	64	78.0	2.70 (1.68–4.33)	< 0.01	20	24.4	1.82 (0.79–4.23)	0.15
Gender
Female	82	47	57.3	1.00		15	18.3	1.00
Male	90	60	66.7	1.16 (0.91–1.47)	0.21	21	23.3	1.27 (0.70–2.30)	0.42
Children
No	48	49	39.6	1.00		7	14.6	1.00
Yes	124	88	71.0	1.79 (1.24–2.59)	< 0.01	29	23.4	1.60 (0.75–3.42)	0.22
Education (years)
≥ 8	81	33	40.7	1.00		9	11.1	1.00
< 8	91	74	81.3	1.99 (1.50–2.64)	< 0.01	27	29.7	2.67 (1.33–5.34)	< 0.01
Marital status
Single or divorced	53	22	41.5	1.00		8	15.1	1.00
Married	119	85	71.4	1.72 (1.22–2.40)	< 0.01	28	23.5	1.55 (0.76–3.19)	0.22
Religion
No	18	8	44.4	1.00		5	27.8	1.00
Evangelic	73	42	57.5	1.29 (0.74–2.25)	0.36	6	8.2	0.29 (0.10–0.,86)	0.03
Catholic	81	57	70.4	1.58 (0.92–2.70)	0.09	25	30.9	1.11 (0.49–2.51)	0.80
Suffered an act of violence
No	138	85	61.6	1.00		25	18.1	1.00
Yes	34	22	64.7	1.05 (0.79–1.39)	0.73	11	32.4	1.78 (0.97–3.26)	0.06
Regular physical activity
Yes	57	26	45.6	1.00		7	12.3	1.00
No	115	81	70.4	1.54 (1.13–2.10)	< 0.01	29	25.2	2.05 (0.95–4.40)	0.07
Access to BHU
Yes	139	92	66.2	1.00		29	20.9	1.00
No	15	15	45.5	0.68 (0.46–1.01)	0.06	7	21.2	1.47 (0.89–2.45)	0.12
Suspected CMD
No	123	71	57.7	1.00		22	17.9	1.00
Yes	39	29	74.4	1.28 (1.01–1.63)	0.04	10	25.6	1.43 (0.74–2.76)	0.28
Use of hypnotics or sedatives^c
No	145	88	60.7	1.00		26	17.9	1.00
Yes	27	19	70.4	1.59 (0.87–1.53)	0.30	10	37.0	2.06 (1.12–3.78)	0.02
Marijuana usage^d
No	159	94	59.1	1.00		28	17.6	1.00
Yes	13	13	100	1.70 (1.48–1.91)	< 0.01	8	61.5	3.21 (1.79–5.76)	< 0.01
Cocaine or crack usage^d
No	166	102	61.4	1.00		34	20.3	1.00
Yes	6	5	83.3	1.35 (0.92–1.98)	0.11	2	33.3	1.62 (0.50–5.26)	0.41

Variable	Adjusted PR	95%CI	p
Lifetime tobacco consumption^a
Age (30–44 years)	1.74	1.10–2.75	0.02
Age (> 44 years)	1.89	1.21–2.97	< 0.01
Education (< 8 years)	1.46	1.12–1.90	< 0.01
Marijuana consumption^d	2.18	1.62–2.93	< 0.01
Current tobacco consumption^b
Education (< 8 years)	3.43	1.63–4.38	< 0.01
Evangelic	0.24	0.09–0.64	0.01
Consumption of hypnotics or sedatives^c	2.67	1.63–4.38	< 0.01
Marijuana consumption^d	4.06	1.91–8.62	< 0.01

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E-mail: revsp@usp.br

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[1] Correspondence: Andrécia Cósmem da Silva. Rua João Galdino Pereira, 73, Lago das Mansões 75707-140 Catalão, GO, Brasil. E-mail: andreciacs@hotmail.com