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Objectives Introduction Each year, tobacco is responsible for the deaths of about 5 million smokers and ex-smokers and 600,000 people
passively exposed to tobacco smoke. In Portugal, official 2005 data suggests a prevalence of smoking in the
population older than 15 years of age of 20.9%.
To determine the smoking prevalence in the population
enrolled in two Family Health Units (FHU) in the Lisbon area,
with 18 or more years of age.
Manuela R. Carvalho * André Cunha * Cláudia Sanches Pires * Hugo Gaspar * Joana Pinto de Sousa
João Brites Pereira * Liliana Fonte * Sara Sousa Oliveira
Medical interns of specific training in Family Medicine
USF Ars Medica and USF Magnólia - ACES Loures-Odivelas
Gender:
Average age: 47,62 years
Educational attainment:
Smoking habbits
Occasional smokers
Average age: 35,90 years
Gender: ♀ 80,00% ♂ 20,00%
Educational attainment:
Regular smokers
Average age: 40,64 anos
Gender: ♀ 45,31% ♂ 54,69%
Mean tobacco load: 14,17 UMA
Educational attainment:
0
5
10
15
20
25
30
35
40
45
18-24* 25-34 35-44 45-54 55-64 ≥65
USF
LVT
Portugal
FHU Ars Medica and Magnólia (USF)
versus the Region of Lisbon and Tagus Valley (LVT)
versus Portugal
0
10
20
30
40
50
60
18-24* 25-34 35-44 45-54 55-64 ≥65
USF
LVT
Portugal
Results
Descriptive transversal study. Simple randomized sampling of 610 patients. Inclusion criteria: 18 years of age or over; enrolled in FHU Ars Medica and Magnólia. Exclusion criteria:
absence of updated telephone contact, no response after three attempts at telephone contact made in three different days and in different periods of time; communication difficulties
(deafness, language barrier). Variables: age, gender, education, type of smoker and tobacco use in pack-years. Data collection: anonymous questionnaire through telephone interview.
Descriptive statistical analysis performed on informatics program.
Methods
Guidelines for the conduct of tobacco-smoking surveys among health professionals: report of a WHO meeting held in Winnipeg, Canada, 7-9 July 1983 in collaboration with UICC and ACS. * Inquérito Nacional de Saúde 2005-2006. * Direcção Geral da Saúde, Instituto Nacional de Saúde Dr. Ricardo Jorge. Infotabac Relatório –
Primeira avaliação do impacto da aplicação da Lei do Tabaco. Lisboa, 2011.
610 patients
6 refused to answer
Expunged: 10
No response: 182
Comunication difficulties: 3
No updated telephone contact: 111
306 excluded
Agreed to answer
298 patients
Type of smoker Number of patients (%) IC 95%
Non-smokers 177 (59,40%) ± 2.21
Ex-smokers 47 (15,77%) ± 4.75
Occasional smokers 10 (3,36%) ± 5.42
Regular smokers 64 (21,48%) ± 5.64
Sample characterization Prevalence of regular smokers
Females – Age distribution
Males – Age distribution
Discussion The exclusion of patients without telephone number registered in the program may be one of the limitations found in this study. The prevalence of smoking in this population is
similar to the national one. However, contrary to national data, the predominant age group in women smokers is younger (25 to 35 years, compared to 35 to 44 years in the national
study). This can be explained by the fact that the population of this community is younger than the national population. Like the national results, we found that men smoke the most.
This work improved our knowledge about the habits of this population, contributing to the optimization of preventive strategies and stressing the importance of smoking cessation.
0
5
10
15
20
25
30
Illiterate Can read 4th grade 6th grade 9th grade 12th grade Highereducation
40,27%
59,73%
Male
Female
0
20
40
60
80
100
Illiterate Can read 4th grade 6th grade 9th grade 12thgrade
Highereducation
0
1
2
3
4
5
6
Illiterate Can read 4th grade 6th grade 9th grade 12th grade Highereducation
Data: INSA 2005-2006. * Data from LVT and Portugal corresponds to the age group from 15 to 24 years of age.
Data: INSA 2005-2006. * Data from LVT and Portugal corresponds to the age group from 15 to 24 years of age.
Data: INSA 2005-2006.