{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T13:49:57Z","timestamp":1781704197564,"version":"3.54.5"},"reference-count":44,"publisher":"FapUNIFESP (SciELO)","issue":"0","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"published-print":{"date-parts":[[2017,12,4]]},"abstract":"<jats:p>ABSTRACT  Objective: To estimate the degree of tobacco addiction and identify independently associated factors by comparing the psychiatric population of secondary and tertiary care with the general population of the primary healthcare network.  Method: This is a cross-sectional epidemiological study, conducted in a municipality of S\u00e3o Paulo, with 134 smokers of a Mental Health Outpatient Unit (MHOU), a Psychiatric Hospital (PH), and a Primary Healthcare Unit (PHU). Data were collected by means of individual interviews, recorded on a mobile device. Data were statistically processed using Stata\/12  Results: Of the 134 participants, 54.5% were women. While 49.1% of the psychiatric population (MHOU\/PH) had medium\/high nicotine addiction, 58.3% of smokers of the general population had very low\/low dependency. The Poisson regression model indicated a higher prevalence of smokers with high dependence among men (PR = 1.41), people aged 49 years or less (15 - 29 years, PR = 4.06, 30 - 39 PR = 2.96 years, 40 - 49 years PR = 1.84), with severe mental disorders (PR = 3.05), with anxiety disorders\/other (PR = 3.98), and with high suicide risk (PR = 1.55).  Conclusion: Nicotine dependence was greater in the psychiatric population than in the general population. The independent factors associated with severe dependence were sex, age group, diagnosis, and current risk of suicide. These results trigger reflection among nurses on the need to focus more attention on a neglected subject in mental health services.<\/jats:p>","DOI":"10.1590\/1518-8345.2202.2945","type":"journal-article","created":{"date-parts":[[2017,12,2]],"date-time":"2017-12-02T22:32:51Z","timestamp":1512253971000},"source":"Crossref","is-referenced-by-count":4,"title":["Tobacco addiction in the psychiatric population and in the general population"],"prefix":"10.1590","volume":"25","author":[{"given":"Renata Marques de","family":"Oliveira","sequence":"first","affiliation":[{"name":"Hospital das Cl\u00ednicas de Mar\u00edlia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jair L\u00edcio Ferreira","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia Regina Ferreira","family":"Furegato","sequence":"additional","affiliation":[{"name":"Universidade de 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Res"},{"issue":"2","key":"ref4","first-page":"1","article-title":"Congruencies in increased mortality rates, years of potential life lost, and causes of death among public mental health clients in eight states","volume":"3","author":"Colton CW","year":"2006","journal-title":"Prev Chronic Dis"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.schres.2015.11.010","article-title":"Mortality in schizophrenia and bipolar disorder clinical and serological predictors","volume":"170","author":"Dickerson F","year":"2016","journal-title":"Schizophr Res"},{"issue":"1-3","key":"ref6","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.schres.2013.01.014","article-title":"Cardiovascular mortality in schizophrenia defining a critical period for prevention","volume":"146","author":"Srihari VH","year":"2013","journal-title":"Schizophr 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dependence in the mental disorders, relationship with clinical indicators, and the meaning for the user","volume":"22","author":"Oliveira RM","year":"2014","journal-title":"Rev Lat Am Enfermagem"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1146\/annurev-publhealth-031816-044618","article-title":"Smoking, Mental Illness, and Public Health","volume":"38","author":"Prochaska JJ","year":"2017","journal-title":"Annu Rev Public Health"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1146\/annurev.publhealth.012809.103701","article-title":"Confronting a neglected epidemic tobacco cessation for persons with mental illnesses and substance abuse problems","volume":"31","author":"Schroeder SA","year":"2010","journal-title":"Annu Rev Public Health"},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/S0277-9536(01)00008-9","article-title":"Smoking and quitting: a qualitative study with community-living psychiatric clients","volume":"54","author":"Lawn SJ","year":"2002","journal-title":"Soc Sci Med"},{"issue":"2","key":"ref14","first-page":"206. Available","article-title":"Financial implications of cigarette smoking among individuals with schizophrenia","volume":"13","author":"Steinberg M","year":"2004","journal-title":"Tob Control"},{"key":"ref15","series-title":"The economics of tobacco use & tobacco control in the developing world","year":"2003"},{"issue":"4","key":"ref16","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1192\/bjp.bp.111.107953","article-title":"Nicotine dependence and illness severity in schizophrenia","volume":"201","author":"Krishnadas R","year":"2012","journal-title":"Br J Psychiatry"},{"issue":"3","key":"ref17","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1056\/NEJMp1105248","article-title":"Smoking and mental illness breaking the link","volume":"365","author":"Prochaska JJ","year":"2011","journal-title":"N Engl J Med"},{"issue":"2","key":"ref18","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1097\/YCO.0b013e3283366643","article-title":"Why do patients with schizophrenia smoke","volume":"23","author":"Winterer G","year":"2010","journal-title":"Curr Opin Psychiatry"},{"key":"ref19","series-title":"MINI - Mini International Neuropsychiatric Interview, Brazilian Version 5.0.0","author":"Lecrubier Y"},{"issue":"1\/2","key":"ref20","first-page":"73","article-title":"Adaptation into portuguese for the Fagerstr\u00f6m test for nicotine dependence (FTND) to evaluate the dependence and tolerance for nicotine in brazilian smokers","volume":"59","author":"Carmo JT","year":"2002","journal-title":"RBM Rev Bras Med"},{"issue":"e2726","key":"ref21","first-page":"1","article-title":"Desenvolvimento do aplicativo TabacoQuest para informatiza\u00e7\u00e3o de coleta de dados sobre tabagismo na enfermagem psiqui\u00e1trica","volume":"24","author":"Oliveira RM","year":"2016","journal-title":"Rev Latino Am Enfermagem"},{"issue":"12","key":"ref22","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1016\/S0895-4356(96)00236-3","article-title":"A 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