Tobacco experimentation, prevalence and associated factors among brazilian school children: hierarchical model

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.36437

Keywords:

Adolescent; Alcohol; Risky behavior.

Abstract

Objective: to analyze the prevalence of tobacco experimentation in Brazilian schoolchildren and its association with demographic, socioeconomic, mental and behavioral health variables. Methods: A cross-sectional study with 102,072 Brazilian students using data from the National School Health Survey carried out in 2015, among students who attended the 9th year of Elementary School. The hierarchical block model was used to analyze the association between the factors and tobacco experimentation. Results: a greater number of risk factors was evidenced in block IV, composed of behavior and life habits, which showed to be associated with tobacco experimentation (p<0.001), with higher prevalence ratios (3.41 and 2.03, respectively, for drug experimentation and sexual intercourse). Conclusions: The results show a high prevalence of smoking experimentation among adolescents at an early age and it was mainly associated with behavioral characteristics and life habits. In this sense, the data from the presented study can be used as a basis for planning smoking prevention strategies, to reduce the possibility of experimenting with illicit drugs.

Author Biography

Mariano Martinez Espinosa , Universidade Federal de Mato Grosso

He holds a Bachelor's degree in Statistics from the Federal University of São Carlos (1986), a Master's degree in Statistics from the University of São Paulo (1993) and a PhD in Materials Science and Engineering from the University of São Paulo (2001) with a Post-Doctorate in Reliability from the University of São Paulo (1993). University of São Paulo (2004). He is currently a Full Professor at the Department of Statistics at the Federal University of Mato Grosso. He has experience in Probability and Statistics, with an emphasis on Linear and Nonlinear Models, Design of Experiments, multivariate analysis, reliability theory or survival analyses, sampling, classical and Bayesian inference and time series. Acting mainly in the areas of Public Health and Epidemiology, Nursing, Dentistry, Medicine, Agronomy and Engineering.

References

Barufaldi, L. A., Guerra, R. L., Albuquerque, R. C. R., Nascimento A., Chança, R. D., Souza, M. C. et al. (2021) Risco de iniciação ao tabagismo com o uso de cigarros eletrônicos: revisão sistemática e meta-análise. Ciência & Saúde Coletiva. 26:6089–103.

Bala, M. O., Chebab, M. O., Al-Dahshan, S. S., Khenji, A. A. (2018). Violence among adolescents in Qatar: results from the Global School-based Student Health Survey, 2011. Cureus. 10(7):e2913.

Bertoni, N., Szklo, A., De Boni, R., Coutinho, C., Vasconcellos, M., Silva, P. N. et al. (2019). Electronic cigarettes and narghile users in Brazil: Do they differ from cigarettes smokers? Addict Behav. 98:106007.

Borraci, R. A., Mulassi, A. H. (2015). Tobacco use during adolescence may predict smoking during adulthood: simulation-based research. Arch Argent Pediatr. 113:12–06.

Chaloupka, F. J., Yurekli, A., Fong, G. T. (2012). Tobacco taxes as a tobacco control strategy. Tob Control. 21(2):172–80.

CDC. (2022). Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion. Office on Smoking and Health. Disponível em: https://www.cdc.gov/chronicdisease/resources/publications/aag/tobacco-use.htm.

Dantas, D. R. G., Machado Neto, A. S., Matos, G. S., Silva, G. F., Pinto, I. H. G. P., Mariques, A. C. et al. (2017). Prevalência e risco de tabagismo entre estudantes do ensino médio em cidade do Nordeste do Brasil. Portuguese Journal of Public Health. 35(1):44–51.

Figueiredo, V. C., Szklo, A. S., Costa, L. C., Kuschnir, M. C., Silva, T. L., Bloch, K. V., Szklo, M. (2016). ERICA: smoking prevalence in Brazilian adolescents. Rev. Saúde Pública. 50(Supl. 1):12s.

GBD. (2018). Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 84 behavioral, environmental, and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990- 2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 392:1923–94.

Hallal, A. L. L. C., Figueiredo, V. C., Moura, L., Prado, R. R., Malta, D. C. (2017). Uso de outros produtos do tabaco entre escolares brasileiros (PeNSE 2012). Cadernos de Saúde Pública. 33(Supl.3).

IBGE. (2015). Instituto Brasileiro de Geografia e Estatística. Pesquisa nacional de saúde do escolar: 2015. Rio de Janeiro: IBGE; 2016.

INCA. (2022). Instituto Nacional de Câncer. Dados e números da prevalência do tabagismo. Disponível em: https://www. inca.gov.br/observatorio-da-politica-nacional-de-controle-do-tabaco/dados-e-numeros-prevalencia-tabagismo.

Jordão, E. A. de O. C., Kuschnir, F. C., Fiqueiredo, V. C., Félix, M. M. R., Silva, T. L. N. da, Kuschnir, M. C. C. et al. (2019). ERICA: smoking is associated with more severe asthma in Brazilian adolescents. Jornal de Pediatria. v. 95, p. 538–44.

Khubchandani, J., Sharma, M., Huston, D., Tahiliani, J. (2017). Tobacco use related attitudes and behaviors in Indian Adolescents: association with school-based prevention education. Health Promot Perspect. 7(3):128–33.

Malta, D. C., Gomes, C. S., Alves, F. T. A., Oliveira, P. P. V., Freitas, P. C., Andreazzi, M. (2022). O uso de cigarro, narguilé, cigarro eletrônico e outros indicadores do tabaco entre escolares brasileiros: dados da Pesquisa Nacional de Saúde do Escolar 2019. Revista Brasileira de Epidemiologia. 25.

Matos, M. G., Gaspar, T., Tomé, G., Paiva, T. (2016). Sleep variability and fatigue in adolescents: associa¬tions with school-related features. Int J Psychol. 51:323–31.

NIDA. (2020). National Institute on Drog Abuse. How many adolescents use tobacco? Disponível em: https://www.drugabuse.gov/publications/research-reports/tobacco-nicotine-e-cigarettes/how-many-adolescents-use-tobacco.2020.

Oliveira, L. M., Santos, A. R., Farah, B. Q., Ritti-Dias, R. M., Freitas, C. M., Diniz, P. R. (2019). Influência do tabagismo parental no consumo de álcool e drogas ilícitas entre adolescentes. Einstein, São Paulo. 17(1).

Oliveira, G., Silva, T. L. N., Silva, I. B., Coutinho, E. S. F., Bloch, K. V., Oliveira, E. R. A. (2019). Agregação dos fatores de risco cardiovascular: álcool, fumo, excesso de peso e sono de curta duração em adolescentes do estudo ERICA. Cadernos de Saúde Pública. 35(12):1–12.

Oliveira, M. M., Campos, M. O., Andreazzi, M. A., Malta, D. C. (2017). Características da pesquisa nacional de saúde do escolar-PeNSE. Epidemiologia e Serviços de Saúde. jul./set., 26(3):605–16.

OMS. (s.d). Organização Mundial de Saúde. Tabagismo. Disponível em: http://www.paho.org/bra/index.php?option=com_content&view=article&id=574:tabagismo&Itemid=463.

Pereira Junior, J., Espinosa, M. M., Maciel, R. L. S., Rodrigues, I. A. (2019). Planejamento amostral para reduzir a imprecisão na amostragem por conglomerados em duas etapas. Sigmae. 8(2e):698–703.

PESSOA D., SILVA P. N. (2018). Análise de dados amostrais complexos. In: Simpósio Nacional De Probabilidade E Estatística, 13., 2018, Caxambu. Anais... São Paulo: Associação Brasileira de Estatística - ABE, 2018. Disponível em: https://djalmapessoa.github.io/adac/index.html#agradecimentos

Pinto, I. V., Barufaldi, L. A., Campos, M. O., Malta, D. C., Souto, R. M. C. V., Freitas, M. G. et al. (2018) Tendências de situações de violência vivenciadas por adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar 2009, 2012 e 2015. Revista Brasileira de Epidemiologia. 21(suppl 1).

Romeiro, J. S., Corrêa, M. M., Pazó, R., Leite, F. M. C., Cade, N. V. (2021). Violência física e fatores associados em participantes da Pesquisa Nacional de Saúde do Escolar (PeNSE). Ciência & Saúde Coletiva. 26(2):611–24.

Reis, A. A. C., Malta, D. C., Furtado, L. A. C. (2018). Desafios para as políticas públicas voltadas à adolescência e juventude a partir da Pesquisa Nacional de Saúde do Escolar (PeNSE). Ciência & Saúde Coletiva. 23(9):2879–90.

Santos, F. B., Schneider, B. C., Valença, M. S., Peter, N. B., Muniz, L. C. (2021). Fatores de risco comportamentais para doenças cardiovasculares entre adolescentes da zona rural de um município do Sul do Brasil. Cadernos de Saúde Pública. 37(2).

Silva, R. M. A., Bezerra, V. M., Medeiros, D. S. (2019). Experimentação de tabaco e fatores associados entre adolescentes da zona rural de Vitória da Conquista, BA, Brasil. Ciência & Saúde Coletiva. 24:431–41.

Seo, Y. G., Choi, M. K., Kang, J. H., Lee, H. J., Jang, H. B., Park, S. I. et al. (2018). Cardiovascular disease risk factor clustering in children and adolescents: a prospective cohort study. Arch Dis Child. 103:968–73.

Senanayake, S. J., Gunawardena, S., Wickramasinghe, S. (2019). Prevalence and correlates of interpersonal violence among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan global school-based health survey. Asia Pacific Journal of Public Health. 31(2):147–56.

Schutz, Q. C., Truccolo, A. B. (2022). Prevalência do uso de tabaco por adolescentes residentes em município da região sul do país. Brazilian Journal of Development. 8(1):4944–957.

Victora, C. G., Huttly, S. R., Fuchs, S. C., Olinto, M. T. A. (1997). The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol. 26 (1): 224–7.

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Published

31/10/2022

How to Cite

FREITAS, E. A. de O. .; MARTINEZ ESPINOSA , M. . Tobacco experimentation, prevalence and associated factors among brazilian school children: hierarchical model. Research, Society and Development, [S. l.], v. 11, n. 14, p. e41211436437, 2022. DOI: 10.33448/rsd-v11i14.36437. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/36437. Acesso em: 25 apr. 2024.

Issue

Vol. 11 No. 14

Section

Health Sciences

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Copyright (c) 2022 Elisângela Antônio de Oliveira Freitas; Mariano Martinez Espinosa

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