Sociodemographic, cardiovascular and sleep pattern determinants associated with tobacco

Thiago Aquino de Amorim, Karine Silva Biliu, Gabriella Nunes, Roselma Lucchese, Ivânia Vera, Graciele Cristina Silva, Andrécia Cosmen da Silva, Carolina Sverzut

Abstract


ABSTRACT

Objective: to determine the factors associated with nicotine dependence in relation to cardiovascular morbidities and sleep behavior. Method: this is a quantitative, case-control, observational study with a sample of 323 smokers (case) and 322 non-smokers (control). A semi-structured questionnaire was applied with sociodemographic data and Fagerström Test For Nicotine Dependence (FTND). Results: lower schooling and income were presented by the case group when compared to the control group. In the multiple analysis, the study group was positively associated with the variables ≤8 years of study, had no religion, no diagnosis of ischemic heart disease, difficulties to sleep through snoring or cough more than twice a week, and did not fall asleep in 30 minutes also more than twice in the week. The case-group was negatively associated with skin color / white race and body mass index ≥30. Conclusion: it was concluded that individuals with nicotinic dependence had a greater chance of ischemic heart disease and disturbances in sleep behavior in the studied population. The importance of greater attention to risk factors related to nicotinic dependence, which potentiate chronic health problems and should be considered in the promotion and prevention of such damages, is reinforced. Descriptors: Tobacco; Cardiovascular diseases; Sleep; Nicotine; Epidemiology; Public health.

RESUMO

Objetivo: determinar os fatores associados à dependência da nicotina em relação às morbidades cardiovasculares e ao comportamento do sono. Método: trata-se de um estudo quantitativo, caso-controle, observacional com amostra de 323 indivíduos fumantes (caso) e 322 não fumantes (controle). Aplicou-se questionário semiestruturado com dados sociodemográficos e Fagerström Test For Nicotine Dependence (FTND). Resultados: apresentaram-se menores escolaridade e renda pelo grupo-caso quando comparado ao controle. Associou-se positivamente, na análise múltipla, o grupo-caso com as variáveis ≤8 anos de estudo, não possuir religião, diagnóstico de doença isquêmica do coração, dificuldades para dormir por ronco ou tosse mais que duas vezes na semana e não adormecer em 30 minutos também mais que duas vezes na semana. Associou-se negativamente o grupo-caso com a cor de pele/raça branca e o índice de massa corporal ≥30. Conclusão: conclui-se que indivíduos com dependência nicotínica apresentaram maior chance de doença isquêmica do coração e distúrbios no comportamento do sono na população estudada. Reforça-se a importância de maior atenção aos fatores de risco relacionados à dependência da nicotínica, que potencializam agravos crônicos à saúde e devem ser considerados na promoção e na prevenção de tais danos. Descritores: Tabaco; Doenças Cardiovasculares; Sono; Nicotina; Epidemiologia; Saúde Pública.

RESUMEN

Objetivo: determinar los factores asociados a la dependencia de la nicotina en relación a las morbilidades cardiovasculares y al comportamiento del sueño. Método: se trata de un estudio cuantitativo, caso-control, observacional con muestra de 323 individuos fumadores (caso) y 322 no fumadores (control). Se aplicó un cuestionario semiestructurado con datos sociodemográficos y Fagerström Test For Nicotine Dependence (FTND). Resultados: se presentaron menores escolaridades e ingresos por el grupo-caso cuando comparado al control. Se asoció positivamente, en el análisis múltiple, el grupo-caso con las variables ≤8 años de estudio, no poseía religión, diagnóstico de enfermedad isquémica del corazón, dificultades para dormir por ronquido o tos más que dos veces a la semana y no dormirse en 30 minutos también más que dos veces a la semana. Se asoció negativamente el grupo-caso con el color de piel / raza blanca y el índice de masa corporal ≥30. Conclusión: se concluye que individuos con dependencia nicotínica presentaron mayor probabilidad de enfermedad isquémica del corazón y disturbios en el comportamiento del sueño en la población estudiada. Se refuerza la importancia de mayor atención a los factores de riesgo relacionados con la dependencia de la nicotina, que potencian agravios crónicos a la salud y deben ser considerados en la promoción y la prevención de tales daños. Descriptores: Tabaco; Enfermedades Cardiovasculares; Sueño; Nicotina; Epidemiología, Salud Publica.


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DOI: https://doi.org/10.5205/1981-8963-v13i1a238432p40-50-2019



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