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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Tobacco and women in Brazil

Valeska C. Figueiredo, MD, MPH1, Michael Reichenheim, MD, MPH, PhD2, Moysez Szklo, MD, PhD3, Andre Salem Szklo1, Leticia Casado1, and Jose Azevedo Lozana1. (1) Epidemiology Division /National Coordination for Cancer Prevention, National Cancer Institute, Rua dos Invalidos 212/3 andar, Centro, Rio de Janeiro, Brazil, (2) School of Social Medicine, State University of Rio de Janeiro, Rua Sao Francisco Xavier 918, 7 andar, Rio de Janeiro, Brazil, (3) Epidemiology, Johns Hopkins Public School of Public Health

Objective: The recent increase in tobacco use initiation among women of developing countries got special attention from WHO-FCTC. With tobacco being controlled in developed countries the tobacco industry shift focus to new attractive markets like Asian or Latin American countries as Brazil. In those countries women represent a special promissory market. The objective of this study is to describe the prevalence and characteristics of tobacco use among women of 5 Brazilian regions in order to support Brazilian tobacco control measures.

Methods: A cross-sectional population-based survey was conducted in 16 Brazilian cities in, 2002-2003. A total of 23,447 individuals aged 15 years or older were eligible for the analysis. For the analysis, cities were grouped in 5 regions. Prevalence and age-adjusted gender prevalence rate ratio (PRR) was estimated considering the complex sample design.

Results: The prevalence of tobacco use among women systematically increased from the less to the higher developed regions of Brazil, rising from 11.7% (C.I.95% 10.2;13.4) in the North to 20.7% (C.I. 95%19.9;22.5) in the South. The male and female smoking prevalence among the 15-19 years old was the same on the Southeast (PRR 1,05 C.I.95% 0,43;2,55) and South (PRR 1,08 C.I.95% 0.72;1.62), probably reflecting the increase in the initiation among women. The smoking prevalence was higher among women with four or less years of school compared to women with 8 years or more, with a prevalence rate ratio for the five regions of 1.3 (C.I. 95% 1.1;1.6).

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