https://ninho.inca.gov.br/jspui/handle/123456789/7781 Coleção voltada para a inserção de artigos de periódicos da área de Controle de Tabagismo Thu, 23 Apr 2026 19:54:48 GMT 2026-04-23T19:54:48Z https://ninho.inca.gov.br/jspui/handle/123456789/12593 Title: “Tobacco denormalization at home”: the contribution of the smoking ban in enclosed workplaces in Brazil Authors: Cavalcante, Tânia Maria; Reis, Neilane Bertoni dos; Souza, Mirian Carvalho de; Szklo, Andre Salem Abstract: Estimates suggest that exposure to environmental tobacco smoke is related to 1.2 million deaths per year worldwide. Synergy between various anti-smok ing legislative and educational measures is essential to stimulate cessation and prevent initiation. This article aimed to explore how legislative protec tion from exposure to environmental tobacco smoke in enclosed workplaces in Brazil, whose strengthening occurred in a phased manner between 1996 and 2014, possibly contributed to the protection from passive smoking at home. We evaluated, via generalized linear models, the absolute and relative dif ferences in the proportion of individuals living in smoke-free homes between those exposed and not exposed to passive smoking in enclosed workplaces, both crude and adjusted by sociodemographic and smoking behavior variables, and stratified by non-smokers and smokers. Data from three national surveys con ducted in 2008, 2013, and 2019 were used. Regardless of smoking status and year when the data were analyzed, individuals who were employed in smoke free workplaces were more likely to live in smoke-free homes than smokers who were employed in workplaces that allowed smoking. Adjusted absolute difference increased from +5.5% in 2008 to +10.5% in 2013 among non-smok ers, and from +7.1% in 2013 to 15.6% in 2019 among smokers (p-values for additive interaction ≤ 0.05). Strengthening the Brazilian smoke-free legisla tion was likely associated with a reduction in passive smoking at home, which, therefore, may also reduce the burden of mortality, morbidity, and costs for society related to smoking. Description: 13 p. : il. p&b. Sat, 01 Jan 2022 00:00:00 GMT https://ninho.inca.gov.br/jspui/handle/123456789/12593 2022-01-01T00:00:00Z https://ninho.inca.gov.br/jspui/handle/123456789/12587 Title: Prevalence of electronic nicotine delivery systems and waterpipe use in Brazil: where are we going? Authors: Souza, Mirian Carvalho de; Reis, Neilane Bertoni dos; Szklo, Andre Salem; Cavalcante, Tânia Maria Abstract: Objective: To describe the prevalence of use of electronic nicotine delivery systems (ENDS) and waterpipe in Brazil, by population subgroups, and to evaluate the trend between 2013 and 2019. Methods: We used data from the 2019 National Health Survey to estimate the prevalence of lifetime and current use of ENDS and current use of waterpipes by socio-behavioral characteristics. Differences in prevalence over time were calculated using data from the III Brazilian Household Survey on Substance Use-2015 and the National Health Survey-2013. Results: For 2019, the prevalence of current use of ENDS was estimated at 0.64% (~1 million people), of which ~70% were in the age group of 15–24 years old. The highest prevalence was observed in the Midwest region, but the Southeast region concentrates half of these users. Almost 90% are non-smokers, with high prevalence among those who also use waterpipe and abuse alcohol. There was an increase in ENDS use between 2015 and 2019, particularly among younger people. The prevalence of current waterpipe use in 2019 was estimated at 0.47% (~800,000 individuals), of which ~80% were 15–24 years old. There was an increase in the prevalence of current waterpipe use between 2013 and 2019, and among young people the increase was ~300%. Conclusions: In Brazil, ENDS have been used mostly by young people, and by never smokers of manufactured cigarettes. The use of ENDS and waterpipe has been increasing even with the country’s regulatory restrictions, which may compromise the successful history of the tobacco control policy. Description: 14 p.: il. color. Fri, 01 Jan 2021 00:00:00 GMT https://ninho.inca.gov.br/jspui/handle/123456789/12587 2021-01-01T00:00:00Z https://ninho.inca.gov.br/jspui/handle/123456789/12321 Title: The tobacco epidemic curve in Brazil: where are we going? Authors: Souza, Mirian Carvalho de; Giunta, Diego Herman; Almeida, Liz Maria de; Szklo, Moysés; Szklo, Andre Salem Abstract: Brazil experienced a robust decline in smoking prevalence rates as a consequence of public policies. Since lung cancer is strongly associated with smoking, trends in lung cancer mortality rates may be used as a delayed effectiveness indicator of smoking prevention interventions. Objectives: The aim of this study was to estimate lung cancer mortality trends from 1980 through 2017 and to predict temporal trends in lung cancer mortality rates, in Brazil from 2016 through 2040. Methods: Time trends in lung cancer mortality rates were evaluated using data from available public databases. Crude and age-standardized mortality rates were calculated for each year sex-specific mortality predictions were made for each five-year period from 2016 to 2020 through 2036–2040 using an age-period-cohort (APC) model. Sex ratios were estimated using age-standardized lung cancer mortality rates. Results: A decline in age-standardized lung cancer mortality rates has been observed for males since 2005 and for all predicted periods. It is expected that females aged 55 or younger will experience a reduction in lung cancer mortality from 2021 to 2026 onwards, but for those aged 75 or over rates are predicted to continue increasing through 2036–2040. Conclusion: Smoking prevention and cessation policies are essential, and it is important to commit to an ethical framework whereby equity in tobacco control activities between genders is achieved. This will avert many premature and preventable smoking-related deaths in the next decades. Description: 6 p.: il. p&b. Wed, 01 Jan 2020 00:00:00 GMT https://ninho.inca.gov.br/jspui/handle/123456789/12321 2020-01-01T00:00:00Z https://ninho.inca.gov.br/jspui/handle/123456789/12315 Title: Risco de iniciação ao tabagismo com o uso de cigarros eletrônicos: revisão sistemática e meta-análise Authors: Barufaldi, Laura Augusta; Guerra, Renata Leborato; Albuquerque, Rita de Cássia Ribeiro de; Nascimento, Aline do; Chança, Raphael Duarte; Souza, Mirian Carvalho de; Almeida, Liz Maria de Abstract: O objetivo deste artigo é avaliar a asso ciação entre uso de cigarros eletrônicos e iniciação ao tabagismo, por meio de uma revisão sistemática com meta-análise de estudos longitudinais. Busca bibliográfica foi realizada nas bases MEDLINE, Embase, LILACS e PsycInfo. As etapas de seleção de referências, extração dos dados e avaliação do risco de viés dos estudos foi realizada em dupla, de forma independente e as divergências discuti das com um terceiro pesquisador para obtenção de consenso. Meta-análise foi realizada por meio do modelo Mantel-Haenszel de efeitos aleatórios. Dentre os 25 estudos incluídos, 22 avaliaram o desfecho de experimentação de cigarro convencio nal e nove avaliaram o desfecho de tabagismo atu al (nos últimos 30 dias). A meta-análise demons trou que o uso de cigarro eletrônico aumentou em quase três vezes e meia o risco de experimentação de cigarro convencional (RR=3,42; IC95% 2,81- 4,15) e em mais de quatro vezes o risco de tabagis mo atual (RR=4,32; IC95% 3,13-5,94). O risco de iniciação ao tabagismo é significativamente maior entre usuários de cigarro eletrônico. A liberação da comercialização desses dispositivos pode re presentar uma ameaça para as políticas de saúde pública no Brasil. Description: 16 p.: il. p&b. Fri, 01 Jan 2021 00:00:00 GMT https://ninho.inca.gov.br/jspui/handle/123456789/12315 2021-01-01T00:00:00Z