Epidemiology of tobacco use and nicotine dependence in truck drivers

Authors

DOI:

https://doi.org/10.11606/s1518-8787.2022056003698

Keywords:

Tobacco Use Disorder, epidemiology, Nicotine, Motor Vehicles, Occupational Health, Brazil

Abstract

OBJECTIVE: To investigate the epidemiology of tobacco use and nicotine dependence in a sample of truck drivers in Brazil. METHODS: Between 2015 and 2016, a cross-sectional study was conducted on 624 truck drivers who operate on the BR-050 highway in Brazil. Participants were interviewed about sociodemographic data, occupational characteristics, mental health, behavioral data, and tobacco use. Then, the Fagerstrom Test for Nicotine Dependence (FTND) was used to verify nicotine dependence in smoking truck drivers. Logistic regression and linear regression were also used to verify factors associated with tobacco use in the previous 30 days and nicotine dependence scores, respectively. RESULTS: The prevalence of tobacco use among truck drivers was 21.1% (n = 132; 95%CI: 18.1–24.5). Of the total number of smokers who responded to the FTND (n = 118; 89.4%), most had high/very high nicotinic dependence (68.6%; 95%CI: 59.8–76.3). Tobacco use was associated with absence of religion (adjusted odds ratio [AOR]: 2.60; 95%CI: 1.35–5.01), employment relationship of the contract (AOR = 1.98; 95%CI: 1.26–3.13); > 12 hours daily working time (AOR = 1.80; 95%CI: 1.09–2.98) and alcohol use in the previous 30 days (AOR = 2.92; 95%CI: 1.86–4.57). Irregular physical activity was associated with higher scores of nicotine dependence (β = 1.87; 95%CI: 0.55–3.19). CONCLUSION: The results showed a high prevalence of tobacco use and high/very high nicotine dependence among the truck drivers.

References

World Health Organization. Tobacco. Geneva (CH): WHO; 2020 [cited 2021 Nov 5]. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco

Giovino GA, Mirza SA, Samet JM, Gupta PC, Jarvis MJ, Bhala N, et al; GATS Collaborative Group. Tobacco use in 3 billion individuals from 16 countries: an analysis of nationally representative cross-sectional household surveys. Lancet. 2012;380(9842):668-79. https://doi.org/10.1016/S0140-6736(12)61085-X

Nascimento EC, Nascimento E, Silva JP. [Alcohol and amphetamines use among long-distance truck drivers]. Rev Saude Publica. 2007;41(2):290-3. Portuguese. https://doi.org/10.1590/S0034-89102007000200017

Mansur AP, Rocha MABS, Leyton V, Takada JY, Avakian SD, Santos AJ, et al. Risk factors for cardiovascular disease, metabolic syndrome and sleepiness in truck drivers. Arq Bras Cardiol. 2015;105(6):560-5. https://doi.org/10.5935/abc.20150132

Masson VA, Monteiro MI. [Life style, health aspects and work among truck drivers]. Rev Bras Enferm. 2010;63(4):533-40. Portuguese. https://doi.org/10.1590/S0034-71672010000400006

Knauth DR, Pilecco FB, Leal AF, Seffner F, Teixeira AMFB. Staying awake: truck drivers’ vulnerability in Rio Grande do Sul, Southern Brazil. Rev Saude Publica. 2012;46(5):886-93. https://doi.org/10.1590/s0034-89102012000500016

Lee S, Jeong BY. Comparisons of traffic collisions between expressways and rural roads in truck drivers. Saf Health Work. 2016;7(1):38-42. https://doi.org/10.1016/j.shaw.2015.11.005

Takitane J, Oliveira LG, Endo LG, Oliveira KC, Muñoz DR, Yonamine M, et al. [Amphetamine use by truck drivers on highways of São Paulo State: a risk for the occurrence of traffic accidents?] Cien Saude Colet. 2013;18(5):1247-54. Portuguese. https://doi.org/10.1590/S1413-81232013000500009

Pereira MM, Mansur AP, Takada JY, Leyton V. Demographic and cardiovascular risk factors associated with drug use in truck drivers in the state of São Paulo, Brazil: a cross-sectional study. Int J Environ Res Public Health. 2021;18(9):4927. https://doi.org/10.3390/ijerph18094927

Leopoldo K, Leyton V, Oliveira LG. [Alcohol use alone and in combination with other drugs among truck drivers on highways in São Paulo State, Brazil: a cross-sectional study]. Cad Saude Publica. 2015;31(9):1916-28. Portuguese. https://doi.org/10.1590/0102-311X00047214

Carmo JT, Pueyo AA. [Adaptation into Portuguese for the Fagerström test for nicotine dependence (FTND) to evaluate the dependence and tolerance for nicotine in Brazilian smokers]. RBM Rev Bras Med. 2002;59(1):73-80. Portuguese.

Instituto Brasileiro de Geografia e Estatística, Diretoria de Pesquisas, Coordenação de População e Indicadores Sociais. Características étnico-raciais da população: um estudo das categorias de classificação de cor ou raça 2008. Rio de Janeiro: IBGE; 2011 [cited 2021 Nov 5]. Available from: http://biblioteca.ibge.gov.br/visualizacao/livros/liv49891.pdf

Confederação Nacional do Transporte. Pesquisa CNT Perfil dos Caminhoneiros 2016. Brasília, DF: CNT; 2016 [cited 2021 Nov 5]. Available from: http://cms.cnt.org.br/Imagens CNT/PDFs CNT/Pesquisa de Perfil dos Caminhoneiros/Pesquisa_CNT_de_Perfil_dos_Caminhoneiros_2016_Completo.pdf

Sangaleti CT, Trincaus MR, Baratieri T, Zarowy K, Ladika MB, Menon MU, et al. Prevalence of cardiovascular risk factors among truck drivers in the South of Brazil. BMC Public Health. 2014;14:1063. https://doi.org/10.1186/1471-2458-14-1063

Malta DC, Vieira ML, Szwarcwald CL, Caixeta R, Brito SMF, Reis AAC. al. Smoking trends among Brazilian population - National Household Survey, 2008 and the National Health Survey, 2013. Rev Bras Epidemiol. 2015;18 Suppl 2:45-56. https://doi.org/10.1590/1980-5497201500060005

Birdsey J, Sieber WK, Chen GX, Hitchcock EM, Lincoln JE, Nakata A, et al. National survey of US Long-Haul Truck Driver Health and Injury: health behaviors. J Occup Environ Med. 2015;57(2):210-6. https://doi.org/10.1097/JOM.0000000000000338

Rosso GL, Montomoli C, Candura SM. Poor weight control, alcoholic beverage consumption and sudden sleep onset at the wheel among Italian truck drivers: a preliminary pilot study. Int J Occup Med Environ. Health. 2016;29(3):405-16. https://doi.org/10.13075/ijomeh.1896.00638

Girotto E, Mesas AE, Andrade SM, Birolim MM. Psychoactive substance use by truck drivers: a systematic review. Occup Environ Med. 2014;71(1):71-6. https://doi.rg/10.1136/oemed-2013-101452

Moreno CRC, Rotenberg L. [Determinant factors of truck drivers’ work and repercussions on their health from the collective analysis of work perspective]. Rev Bras Saude Ocup. 2009;34(120);128-38. Portuguese. https://doi.org/10.1590/S0303-76572009000200004

Benavides F, Benach J, Diez-Roux A, Roman C. How do types of employment relate to health indicators? Findings from the Second European Survey on Working Conditions. J Epidemiol Community Health. 2000;54(7):494-501. https://doi.org/10.1136/jech.54.7.494

Schmidt A, Neumann M, Wirtz M, Ernstmann N, Staratschek-Jox A, Stoelben E, et al. The influence of occupational stress factors on the nicotine dependence: a cross sectional study. Tob Induc Dis. 2010;8(1):6. https://doi.org/10.1186/1617-9625-8-6

Kaleta D, Polańska K, Korytkowski P, Usidame B, Bąk-Romaniszyn L. Patterns of nicotine dependence in four Eastern European countries. BMC Public Health. 2015;15:1189. https://doi.org/10.1186/s12889-015-2537-0

Goodwin RD, Pagura J, Spiwak R, Lemeshow AR, Sareen J. Predictors of persistent nicotine dependence among adults in the United States. Drug Alcohol Depend. 2011;118(2-3):127-33. https://doi.org/10.1016/j.drugalcdep.2011.03.010

Loprinzi PD, Walker JF. Nicotine dependence, physical activity, and sedentary behavior among adult smokers. N Am J Med Sci. 2015;7(3):94-9. https://doi.org/10.4103/1947-2714.153920

Masood S, Cappelli C, Li Y, Tanenbaum H, Chou CP, Spruijt-Metz D, et al. Cigarette smoking is associated with unhealthy patterns of food consumption, physical activity, sleep impairment, and alcohol drinking in Chinese male adults. Int J Public Health. 2015;60(8):891-9. https://doi.org/10.1007/s00038-015-0730-7

Azagba S, Asbridge M. Nicotine dependence matters: examining longitudinal association between smoking and physical activity among Canadian adults. Prev Med. 2013;57(5):652-7. https://doi.org/10.1016/j.ypmed.2013.08.020

Smith MA, Lynch WJ. Exercise as a potential treatment for drug abuse: evidence from preclinical studies. Front Psychiatry. 2012;2:82. https://doi.org/10.3389/fpsyt.2011.00082

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Published

2022-12-07

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Original Articles

How to Cite

Fernandes, I. L., Guimarães, R. A., Lucchese, R., Vera, I., Brito, R. P. de, Ramos, C. B., Marinho, T. A., Nunes, P. S. ., Diniz-Pinto, H. S., & Amorim, T. A. (2022). Epidemiology of tobacco use and nicotine dependence in truck drivers. Revista De Saúde Pública, 56, 108. https://doi.org/10.11606/s1518-8787.2022056003698