05.1 epidemiologia do tabagismo nos profissionais de saúde muitos dados disponíveis permitem...

05.1Epidemiologia do tabagismo nos profissionais de saúde

Epidemiologia do tabagismo nos Epidemiologia do tabagismo nos profissionais de saúdeprofissionais de saúde

Muitos dados disponíveis permitem concluir que, na U.E., os profissionais de saúde fumam menos do que a população em geral (apesar de ainda fumarem muito)


Tobacco Consumption in EuropeTobacco Consumption in Europe15 years and older15 years and older

21% 27%

19%

37%

27%

19%27%

28%

28%

26%

26%

29%15%

26%

24%

42%31%

37%

45%27%

40%

46%

29%38%32%

36%

38%

28%

22%

37%

MalesFemales

Sweden

U.Kingdom

Portugal

Netherlands

Luxembourg

Italy

Ireland

Greece

France

Finland

Spain

Denmark

Belgium

Austria

Germany

From: U.E. OMS Marzo 1996


Smoking: Attributable mortalitySmoking: Attributable mortality

1/5 of all deaths in all ages.

1/4 of all deaths in people aged between 35 – 64 years

Smokers aged between 35–69 years who die because tobacco related illness lost around 22 years of their expectancy life


Tobacco attributable mortality in EU Tobacco attributable mortality in EU (1955 – 1995)(1955 – 1995)

From : Peto, Lopez 1992, 1994

1955 1965 1975 1985 1990 1995

1028

479776 89

324

423 442 423392

184

/1 000

Males

Females


Male

Female

05

101520253035404550

1950 1960 1970 1980 1990 2000

Acu

mu

late

d m

illi

on

s o

f d

eath

s

Tobacco attributable mortality in Tobacco attributable mortality in developed countries (1950 – 2000)developed countries (1950 – 2000)

From : Peto et all Oxford University Press 1992, A22


Smoking habit of Bispebierg Smoking habit of Bispebierg Hospital in Denmark.Hospital in Denmark.

Olsen AD et al. Active and passive smoking among personnel at the

Bispebjerg hospital 1992-1999. Ugeskrift for Laeger. 162(42):5623-7,2000 Oct 16.

SmokingFemales

Smoking males

33% 32%

Complaint for passive smoking= 25%


Smoking habits of HCW from Italian Smoking habits of HCW from Italian hospitalshospitals

Nardini S. et al. Personal smoking habit and attitude toward smoking among the health staff of a general hospital. Monaldi Archives for Chest Disease. 53(1):74-8,1998

44%39%

HCW smokers Physician smokers


Smoking of nurse in Spanish hospital Smoking of nurse in Spanish hospital nursesnurses

Fernandez Ruiz ML, Sanchez Bayle M. Prevalence of smoking by women physicians and nurses in the community of Madrid. Revista Espanola de Salud Publica. 73(3):355-64,1999

47%53%

Smoking nurses no smoking nurses


Smoking habit of hospital Smoking habit of hospital HCW in FranceHCW in France

Grizeau D et al. Attitudes et comportement du personnel hospitalier face au tabagisme. Revue des maladies respiratoire 1998,15,79-87.

Smokers females

Smokers males

31,2% 36,8%

Smoking habits among

HCW in France 32,6%


Tabagismo nos alunos de escolas de enfermagem Tabagismo nos alunos de escolas de enfermagem em Françaem França

0%

20%

40%

60%

80%

100%

Escola SF IFSI Fev 2000 IFSI Out 2000

fumador regular Fumador ocasional ex- fumador não-fumador


Inquéritos na Rede Europeia dos Inquéritos na Rede Europeia dos SSSTSSST

A RESSST propõe 12 perguntas padrão a incluir em todos os questionários sobre o tabagismo nos profissionais de saúde. Assim será possível estabelecer comparações e monitorizar os resultados das acções realizadas.


13 questions on smoking habits of HCW13 questions on smoking habits of HCWage <20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 >60ansSex male femaleYour job: Technical Administrative physician Nurse others Are you at the management level : yes no

Did you work : at fix hours at various hours never the night, sometime the night always the night

Have you smoke some cigarettes in your life ? yes no Presently are you : no-smoker ? former smoker ? smoker ? (since> 1 month) (at least 1/day)

SMOKERS As a mean, how many cigarettes did you smoke a day ? <1 1 2-3 4-5 6-9 10-13 14-19 20-24 25-29 30-34 35-40 41-60 >60/d How many time after the wake up did you smoke your first cigarette? < 5 minutes 6-30 minutes 31-60 minutes > 60 minutesDid you plane to stop to smoke : In the next 3 months in the 6 months in the year not at this time

Smoker in your environment smoker ex-smoker non-smoker

Your husband (wife) is: Your nearest colleague is: Your nearest Friend is:


22 questions on your opinion on tobacco in hospital22 questions on your opinion on tobacco in hospitalSmoking room exist in the hospital ? yes no Nobody smoke in the hospital (except in smoking room) yes no Conflict exist between smokers and non-smokers yes no Protection of non-smoker had to be reinforce ? yes no Smoking room had to be better (more) managed ? yes no I am regularly disturb by the tobacco smoke of the others ? yes no Hospital will be better take in account smoker problems ? yes noIs you colleagues encourage you to be a non smoker ? yes noWich activity push you to smoke

Meeting yes no Discussion yes no Coffe break yes no Treatment yes no during night yes no meal yes no

Are you disturb by tobacco smoke of the others very often often sometime never

Have you sometime complaint about tobacco smoke: : At work place very often often sometime neverIn your hospital very often often sometime neverIn others publics places very often often sometime neverDo you think than try to convince other to quit tobacco is part of your job ? ?

yes, certainly yes, in some case noAs HCW, do you think as a role as example for patients yes no In your activity sector are they : :

A room for smoker staff yes no a Room for non smoker staff yes no

05.1 epidemiologia do tabagismo nos profissionais de saúde muitos dados disponíveis permitem...

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