2011, Number 4
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MEDICC Review 2011; 13 (4)
Tobacco and alcohol use in cuban women
Varona P, Chang M, García RG, Bonet M
Language: English
References: 42
Page: 38-44
PDF size: 74.89 Kb.
ABSTRACT
Introduction: Tobacco and alcohol are currently the most widely consumed legal psychoactive substances in the world. They represent a heavy burden for health and society in almost all populations. Increasing consumption of both substances is a trend observed in women.
Objetive: Describe the profile of women aged ≥ 15 years residing in urban areas of Cuba with respect to tobacco and alcohol consumption.
Method: Basic information on tobacco and alcohol consumption by Cubans aged ≥ 15 years in urban areas was obtained from the Second National Survey on Risk Factors and Chronic Diseases (2001), a national descriptive cross-sectional study, the objective of which was to determine the frequency and epidemiological characteristics of the urban population's main chronic disease risk factors. Sampling design was complex stratified multi-stage cluster. Of a sample of 23,743 individuals, 22,851 were surveyed, representative of 6.8 million Cubans. A questionnaire and structured interview were used. Variables were tobacco and alcohol use, as well as sociodemographic factors: sex, age, educational level, skin color, marital status, type of full-time employment and perceived economic situation. Prevalence, with 95% confidence intervals, and male:female prevalence ratios were estimated.
Results: Women who smoked were predominantly aged 40–59 years; had completed less than university education; of black skin color; divorced; laborers, service workers or managers, and with a perceived economic situation as very poor. Women who consumed alcohol were predominantly aged 15–59 years, had at least middle school education, of mestizo or black skin color, of marital status other than widowed; there was no typical profile for occupation or perceived economic situation. Women who were both smokers and alcohol consumers were predominantly 20–59 years, of black or mestizo skin color, of marital status other than widowed; with no typical profile for educational level, occupation or perceived economic situation.
Conclusions: The first nationwide socioeconomic profile of Cuban women using tobacco, alcohol or both constitutes a baseline for comparison to results of a new national study now under way, permitting evaluation of trends over time and effectiveness of prevention and control efforts.
REFERENCES
World Health Organization. WHO report on the global tobacco epidemic, 2008: the MPOWER package [Internet]. Geneva: World Health Organization; 2008 [cited 2011 Jan 15]. Available from: http://www.who.int/tobacco/mpower/2008/ en/index.html
González Menéndez R. Tabaco y alcohol: Las drogas bajo piel de cordero. Rev Cubana Med Gen Integr. 2007;23(3). Spanish.
Shafey O, Eriksen M, Ross H, Mackay J. El Atlas del Tabaco. 3rd ed. [place of publication unknown]: American Cancer Society; 2009. Spanish.
Teesson M, Baillie A, Lynskey A, Manor B, Degenhardt L. Substance use, dependence and treatment seeking in the United States and Australia: a cross-national comparison. Drug Alcohol Depend. 2006 Feb 1;81(2):149–55.
Mackay L, Eriksen M, Shafe O. El atlas del tabaco. 2nd ed.[place unknown]: American Cancer Society; 2006. Spanish.
Villalbí JR, Gual A. Las políticas preventivas del consumo de sustancias adictivas y la responsabilidad de los profesionales. Adicciones. 2009;21(1):5–8. Spanish.
Gual A. PortalesMedicos [Internet]. Barcelona: PortalesMedicos; c1999-2011. El alcohol es la principal causa de 60 enfermedades. Hospital Clínico Barcelona; 2006 [cited 2010 Nov 5]; [about 2 screens]. Available from: http://www. portalesmedicos.com/noticias/estudio_alcohol_ europa_061023.htm. Spanish.
WHO. MPOWER: un plan de medidas para hacer retroceder la epidemia de tabaquismo. Geneva: World Health Organization; 2008. 41 p. Spanish.
Flores LD. La Mujer y el Abuso de Alcohol. Departamento de Adicciones de México. [Internet]. México. 2010 [cited 2010 Nov 5]. Available from: http://sesver.ssaver.gob.mx/pls/ portal/docs/page/inicio/adicciones/drogas/la mujer y el abuso de alcohol[1]. Spanish.
Campo-Arias A, Ceballos GA, Herazo E. Consumo de cigarrillos en estudiantes de una ciudad de Colombia: factores asociados al género. Rev Salud Pública (Bogotá). 2009 Aug;11(4):601–12. Spanish.
International Early Lung Cancer Action Program Investigators; Henschke CI, Yip R, Miettinen OS. Women’s susceptibility to tobacco carcinogens and survival after diagnosis of lung cancer. JAMA. 2006 Jul 12;296(2):180–4.
Freedman ND, Leitzmann MF, Hollenbeck AR, Schatzkin A, Abnet CC. Cigarette smoking and subsequent risk of lung cancer in men and women: analysis of a prospective cohort study. Lancet Oncol. 2008 Jul;9(7):649–56.
Mackay J, Amos A. Women and tobacco. Respirology. 2003 Jun;8(2):123–30.
Ortega N. Consumo de alcohol, factores de riesgo e información sobre daños a la salud en estudiantes de pregrado CONADIC 2002. Observatorio mexicano en tabaco, alcohol y otras drogas. SSA México [Internet]. 2010 [cited 2010 April 5]. Available from: http:// www.portalesmedicos.com/publicaciones/ articles/2084/5/Consumo-de-alcohol%2Cfactores-de-riesgo-e-informacion-sobreda%F1os-a-la-salud-en-estudiantes-depregrado. Spanish.
Taylor B, Rehm J, Caldera JT, Aburto C, Bejarano J, Cayetano C, et al. Alcohol, Género, Cultura y Daños en las Américas. Reporte Final del Estudio Multicéntrico. Washington DC: Pan American Health Organization; 2007 Nov. 69 p. Spanish.
Samet JM, Yoon SY. Women and the Tobacco Epidemic. Challenges for the 21st Century. 1st ed. Geneva: World Health Organization; 2001.
National Hygiene, Epidemiology and Microbiology Institute (CU). Informe Técnico II Encuesta Nacional de Factores de Riesgo y Actividades Preventivas de las Enfermedades no Trasmisibles. Havana: Ministry of Public Health (CU); 2002. Spanish.
WHO. Estrategias e intervenciones de base fáctica para disminuir los daños relacionados con el alcohol. Evaluación mundial de los problemas de salud pública provocados por el consumo nocivo de alcohol. 60 Asamblea Mundial de la Salud, abril 2007. Geneva: World Health Organization; 2007 Apr. Spanish.
Varona P, Herrera D, García R, Bonet M, Romero T, Venero S. Smoking-Attributable Mortality in Cuba. MEDICC Rev. 2009 Jul;11(3):43–7.
Comisión Interamericana para el Control del Abuso de Drogas. Elementos orientadores para las Políticas Públicas sobre Drogas en la subregión. Primer estudio comparativo sobre consumo de drogas y factores asociados en poblaciones de 15 a 64 años de edad. New York: United Nations; 2008 Apr. 94 p. Spanish.
WHO. Informe sobre dependencia y abandono del tabaco. Conferencia de las Partes en el Convenio Marco de la OMS para el Control del Tabaco. FCTC/COP/3/10, agosto 2008. Geneva: World Health Organization; 2008 Aug. 17 p. Spanish.
Ministry of Public Health (CU). Proyecciones de la Salud Pública en Cuba para el año 2015. [Internet]. Havana: Ministry of Public Health (CU); 2006 [cited 2010 Nov 5]. Available from: http://www.salud2015.sld.cu/. Spanish.
Ministry of Public Health (CU). Programa Nacional de Prevención y Control del Alcoholismo y otras Farmacodependencias. Havana: Editorial Ciencias Médicas; 2005. Spanish.
National Statistics Bureau (CU). Anuario Estadístico de Cuba 2009. Havana: National Statistics Bureau (CU); 2010. Spanish.
Cañizares P, Barroso U, Alfonso A, García R, Alfonso K, Chang la Rosa M, et al. Estimaciones usadas en diseños muestrales complejos: Aplicaciones en la encuesta de salud cubana en el año 2001. Rev Panam Salud Pública. 2004 Mar;15(3):176–84. Spanish.
WHO. Gender and tobacco control: A Policy Brief, 2007. Geneva: World Health Organization; 2007.
Kreuzer M, Boffetta P, Whitley E, Ahrens W, Gaborieau W, Heinrich J, et al. Gender differences in lung cancer risk by smoking: a multicentre case-control study in Germany and Italy. Br J Cancer. 2000 Jan;82(1):227–33.
Thun MJ, Henley SJ, Calle EE. Tobacco use and cancer: an epidemiologic perspective for geneticists. Oncogene. 2002 Oct 21;21(48):7307–25.
Fu JB, Kau TY, Severson RK, Kalemkerian GP. Lung cancer in women: analysis of the national Surveillance, Epidemiology, and End Results database. Chest. 2005 Mar;127(3):768–77.
International Early Lung Cancer Action Program Investigators. Women’s Susceptibility to Tobacco Carcinogens and Survival After Diagnosis of Lung Cancer [Internet]. JAMA. 2006 [cited 2010 Nov 5];296(2):180–4. Available from: http://jama. ama-assn.org/cgi/content/full/296/2/180
Centers for Disease Control and Prevention (CDC). Diff erences by Sex in Tobacco Use and Awareness of Tobacco Marketing — Bangladesh, Thailand, and Uruguay, 2009. MMWR. 2010 May 28;59(20):613–8.
WHO. International Agency for research on cancer. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans. 2004;(83):1081–97.
Lancés L, Quesada A, Hadad J, Varona P, Landrove O. Centres for Disease Control and Prevention (CDC). Pan American Health Organization [Internet]. Washington D.C: Pan American Health Organization; c2011. Resultados de la Encuesta Mundial de Tabaquismo en la Juventud: Resultados en las Américas; 2002 [cited 2010 Nov 5]; [about 2 screens]. Available from: http://www.paho.org/ spanish/sha/be_v23n2-EMTJ.htm. Spanish.
PAHO. Alcohol y Salud en las Américas: Un caso para la Acción. Geneva: Pan American Health Organization; 2007. Spanish.
Varona P. Humo ambiental de tabaco en el hogar y percepción de riesgo en la población residente en el área urbana. Cuba, año 2001 [thesis]. [Havana]: Calixto García School of Medicine; 2008. Spanish.
Centers for Disease Control and Prevention. Tobacco Use Among Adults—United States, 2005. MMWR [Internet]. 2006 Oct 27 [cited 2010 Nov 5];55(42):1145–8. Available from: http://www.cdc.gov/mmwr/preview/mmwrhtml/ mm5542a1.htm
Centers for Disease Control and Prevention. Tabaquismo y Salud en las Américas. Informe de la Cirujana General. Pan American Health Organization; 1992. Spanish.
WHO; Department of Mental Health and Substance Abuse. Global Status Report on Alcohol 2004. Geneva: World Health Organization; 2004. 94 p.
Dusek D, Girdano DA. Apocatástasis.com [Internet]. [place unknown]: Apocatastasis. c2011. Causas sobre el alcoholismo en las mujeres. In: Drogas, un estudio basado en hechos. 3rd ed; 2010 [cited 2010 Apr 16]; [about 2 screens]. Available from: http://www. apocatastasis.com/alcoholismo/femenino-mujeralcoholica.php. Spanish.
Boland M, Fitzpatrick P, Scallan E, Daly L, Herity B, Horgan J, et al. Trends in medical student use of tobacco, alcohol and drugs in an Irish university, 1973–2002. Drug Alcohol Depend. 2006 Nov 8;85(2):123–8.
Corral V, Frías A, González L. Percepción de riesgos, conducta proambiental y variables sociodemográ cas en una comunidad de Sonora México. Región y Sociedad. 2003;15(26). Spanish.
Gustafson PE. Gender Differences in Risk Perception: Theoretical and Methodological perspectives. Risk Anal. 1998 Dec;18(6):805–11.