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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO determine the number of smokers&#44; their demographic characteristics&#44; and the stages of change among patients visiting health care centers&#46;</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p class="elsevierStyleSimplePara elsevierViewall">Descriptive cross-sectional study carried out at 7 primary health care centers in Health District 5 of the Autonomous Community of Valencia&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">An interview was given to 3633 people with a mean &#40;SD&#41; age of 55 &#40;19&#41; years&#44; &#40;range&#58; 14-96 years&#41;&#46; Women made up 61&#46;7&#37;&#44; and 65&#37; were seeking medical attention&#46; Twenty-three per cent were current smokers &#40;mean age 41&#46;8 &#91;15&#46;2&#93; years&#41;&#44; 17&#46;2&#37; ex-smokers &#40;60&#46;6 &#91;16&#46;2&#93; years&#41;&#44; and 59&#46;8&#37; never smokers &#40;58&#46;4 &#91;18&#46;8&#93; years&#41;&#46; The stages of change were pre-contemplation for 32&#46;1&#37;&#44; contemplation for 4&#46;9&#37;&#44; chronic contemplation for 12&#46;2&#37;&#44; preparation to quit for 6&#46;8&#37;&#44; action for 2&#46;3&#37;&#44; maintenance for 15&#46;1&#37;&#44; and termination for 26&#46;7&#37;&#46; According to current recommendations&#44; it seems that between 23&#46;6&#37; and 44&#46;7&#37;&#44; depending on category definitions&#44; needed specific attention concerning tobacco dependence&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Twenty-three per cent of the patients attended by the primary care physician were smokers&#46; More than half did not want to quit smoking and 1 in 10 were prepared to do so&#46; Between 23&#46;6&#37; and 44&#46;7&#37; of the people who came to the primary care center needed specific attention concerning tobacco dependence&#46;</p>"
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Vol. 40. Issue 4.
Pages 160-165 (April 2004)
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Vol. 40. Issue 4.
Pages 160-165 (April 2004)
Original Articles
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Demographic Study of Tobacco Addiction in Health District 5, Valencia, Spain
Visits
3724
R. Peris Cardellsa,
Corresponding author
rafa1680@separ.es

Correspondence: Dr. R. Peris Cardells. Servicio de Neumología. Hospital Arnau de Vilanova. San Clemente, 26. 46015 Valencia. España
, I. Rico Salvadorb, P. Herrera de Pablob, A. Pérez Jiménezc, F. Sánchez-Tóril Lópeza, J.A. Pérez Fernándeza
a Servicio de Neumología, Hospital Arnau de Vilanova, Valencia, Spain
b Resident Family Doctors, Hospital Arnau de Vilanova, Valencia, Spain
c DUE, Hospital Arnau de Vilanova, Valencia, Spain
This item has received
Article information
Objective

TO determine the number of smokers, their demographic characteristics, and the stages of change among patients visiting health care centers.

Patients and method

Descriptive cross-sectional study carried out at 7 primary health care centers in Health District 5 of the Autonomous Community of Valencia.

Results

An interview was given to 3633 people with a mean (SD) age of 55 (19) years, (range: 14-96 years). Women made up 61.7%, and 65% were seeking medical attention. Twenty-three per cent were current smokers (mean age 41.8 [15.2] years), 17.2% ex-smokers (60.6 [16.2] years), and 59.8% never smokers (58.4 [18.8] years). The stages of change were pre-contemplation for 32.1%, contemplation for 4.9%, chronic contemplation for 12.2%, preparation to quit for 6.8%, action for 2.3%, maintenance for 15.1%, and termination for 26.7%. According to current recommendations, it seems that between 23.6% and 44.7%, depending on category definitions, needed specific attention concerning tobacco dependence.

Conclusions

Twenty-three per cent of the patients attended by the primary care physician were smokers. More than half did not want to quit smoking and 1 in 10 were prepared to do so. Between 23.6% and 44.7% of the people who came to the primary care center needed specific attention concerning tobacco dependence.

Key words:
Tobacco dependence
Stages of change
Primary health care
Objetivo

Determinar la prevalencia, los datos demográ-ficos y los estadios de abandono del tabaquismo entre los pa-cientes que acuden al centro de salud.

Pacientes y métodos

Estudio descriptivo transversal en 7 centros de salud del Área Asistencial 5 de la Comunidad Valenciana.

Resultados

Se entrevistá a 3.633 personas, con una edad media de 55 ± 19 años (extremos: 14-96 años). El 61,7% eran mujeres, y el 65% consultaba por motivos médicos. El 23% eran fumadores activos (41,8 ± 15,2 años), el 17,2% ex fumadores (60,6 ± 16,2 años) y el 59,8% nunca había fuma-do (58,4 ± 18,8 años). Los estadios de abandono fueron: pre-contemplación en el 32,1%, contemplación en el 4,9%, contemplación crónica en el 12,2%, preparación en el 6,8%, acción: en el 2,3%, mantenimiento en el 15,1% y finaliza-ción en el 26,7%. Teniendo en cuenta las normativas actua-les, podrían precisar una acción específica sobre el tabaquismo del 44,7 al 23,6% de los pacientes, dependiendo de las condiciones que determinemos.

Conclusions

De los pacientes que acudían al médico de atención primaria, el 23% eran fumadores. De ellos, más de la mitad no querían dejar de fumar y uno de cada 10 estaría preparado para hacerlo. De los pacientes que acuden al centro de salud, entre el 23,6% y el 44,7% podría precisar una atención específica sobre tabaquismo.

Palabras clave:
Tabaquismo
Estadios de cambio
Atención primaria
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