05.1 epidemiologia do tabagismo nos profissionais de saúde muitos dados disponíveis permitem...
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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)
05.2Epidemiologia do tabagismo nos profissionais de saúde
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
05.3Epidemiologia do tabagismo nos profissionais de saúde
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
05.4Epidemiologia do tabagismo nos profissionais de saúde
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
05.5Epidemiologia do tabagismo nos profissionais de saúde
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
05.6Epidemiologia do tabagismo nos profissionais de saúde
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%
05.7Epidemiologia do tabagismo nos profissionais de saúde
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
05.8Epidemiologia do tabagismo nos profissionais de saúde
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
05.9Epidemiologia do tabagismo nos profissionais de saúde
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%
05.10Epidemiologia do tabagismo nos profissionais de saúde
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
05.11Epidemiologia do tabagismo nos profissionais de saúde
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.
05.12Epidemiologia do tabagismo nos profissionais de saúde
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:
05.13Epidemiologia do tabagismo nos profissionais de saúde
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