Tabagismo e transtorno mental comum na população de São Paulo - SP: um estudo a partir do inquérito de saúde no município de São Paulo (ISA-CAPITAL) / Smoking and common mental distress in the population of São Paulo SP: a study from the São Paulo Municipality Health Inquery (ISA-Capital).




Introducion. There is proven evidence of a close association between somoking and concomitant presence of mental distress. Nicotine is a stimulant drug that causes the brain to release a wide range of neurotransmitters that may render the smoker a pleasant sensation. It is believed that the act of smoking may momentarily steer away a stressful situation distracting the individual from his problems. Knowledge on psychological and psychiatric factors associated to smoking is important for the intervention on behalf of the care for these individuals. Objective. Analysing the associaion between smoking and Common Mental Distress in the 16 year old and over population of São Paulo municipality. Method. Data were obtained though the São Paulo Health Inquiry Capital, carried out in 2003. The Stata 10 statistical package survey mode was used for the characterization of smoking and Common Mental Disorder (CMD) aged 16 and over. For the analysis of the association between smoking and CMD the Poisson regression model was used once it presents as effect measure the prevalence ratio, which allowed more precise interpretation. Result. A statistically significant association between smoking and CMD in the general population was not found but such association was positive with the univariate analysis for women (PR: 1.58; CI95 per cent: 1.06-2.37). With the multivariate analysis the CMD variable lost significant stastistic association, being discarded in the final model. Discussion. Historically, the positive social context concocted by the publicity campaigns of the smoking industries has been, at times, the idealisation tool for smoking behavior. Furthermore, nicotine absence syndorme symptoms such as anxiety and irritability may contibute to the maintenance of somoking. The anti-smoking campaigns have contributed to significative change of the paradigm, where smoking once depicted as elegant and charming has been seen as na undesirable behavior. Yet, the smoking prevalence is high in the population, irrespective of the kmowledge of physical or psychlogical harm it causes. Final Considerations. Individual psychologial characteristics are determinant of initiation and maintenance or tobacco dependence, and for this reason the knowledge on the mental/emotional health of smokers is deemed necessaty in the devising of health programs geared to their care


tabagismo inquéritos de saúde transtorno mental comum epidemiologia saúde mental epidemiology smoking common mental disorder mental health health inquiries

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