Smoking prevalence and economic crisis  in Brazil

Luis Eugenio de Souza; Davide Rasella; Rafael Barros; Erick Lisboa; Déborah Malta; Martin Mckee

doi:10.11606/s1518-8787.2021055002768

Authors

Luis Eugenio de Souza Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil https://orcid.org/0000-0002-3273-8873
Davide Rasella Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil https://orcid.org/0000-0002-7260-4386
Rafael Barros Universidade Federal da Bahia. Escola de Enfermagem. Salvador, BA, Brasil https://orcid.org/0000-0002-1782-7253
Erick Lisboa Universidade Federal da Bahia. Programa de Pós-Graduação em Saúde Coletiva. Salvador, BA, Brasil https://orcid.org/0000-0003-3390-7867
Déborah Malta Universidade Federal de Minas Gerais. Escola de Enfermagem. Belo Horizonte, MG, Brasil https://orcid.org/0000-0002-8214-5734
Martin Mckee London School of Hygiene and Tropical Medicine. London, UK https://orcid.org/0000-0002-0121-9683

DOI:

https://doi.org/10.11606/s1518-8787.2021055002768

Keywords:

Tobacco use disorder, epidemiology, Poverty, Health impact assessment, Financial management

Abstract

OBJECTIVE: To estimate the impact of the 2015–2018 economic crisis on tobacco consumption in Brazil. METHODS: This is an interrupted time series analysis conducted with data from 27 cities collected by VIGITEL, using linear regression models to account for first-order autocorrelation. Analyses were conducted based on gender, age group, and education level. RESULTS: Smoking rates decreased between 2006 and 2018, decelerating after the crisis onset. Differently than women, men showed an immediate but transient increase in smoking, followed by a decelerated decrease. Those over 65 also showed increased smoking rates immediately after the economic crisis onset, but decline accelerated later on. In turn, we found a trend reversal among those aged 31–44. Rates also decreased among those with lower education levels, but decelerated among those with more years of schooling. CONCLUSION: An economic crisis have varied impacts on the smoking habits of different population groups. Tobacco control policies should entail a detailed understanding of smoking epidemiology, especially during an economic crisis. DESCRIPTORS: Tobacco Use Disorder, epidemiology. Poverty. Health Impact Assessment. Financial Management

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Smoking prevalence and economic crisis in Brazil

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