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Prevalence of smoking, quit attempts and access to cessation treatment among adults with mental illness in Brazil: a cross-sectional analysis of a National Health Survey by Erica Cruvinel; Edward Liebman; Isabel Leite; Jinxiang Hu; Kimber P Richter is a Medicine article available to read on EtoBox.

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## Objectives Determine the national prevalence of smoking and factors related to smoking among adults with mental illness (PLWMI; people living with mental illness) in Brazil. ## Design Cross-sectional study. ## Setting We used data from the nationally representative general health survey __Pesquisa Nacional de Saude__ of 2013, which included the Global Adult Tobacco Survey (GATS) module. ## Participants The survey used a complex probabilistic sample to collect data from 60 202 Brazilians 18 years or older. Primary and secondary outcomes: smoking prevalence and access to smoking cessation treatment. We also assessed past tobacco use, quit attempts and quit ratio among people with and without mental illness. Analyses were conducted in R and were weighted to account for the survey design and generate national estimates. ## Results In Brazil, the 2013 smoking prevalence among PLWMI was 28.4% and among people with no mental illness was 12.8%. Both groups had high rates of past-year quit attempts (51.6% vs 55.3%) but the lifetime quit ratio among PLWMI was much lower than those with no mental illness (37% vs 54%). Adjusted odds showed PLWMI were more likely to be current smokers (OR (9

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Author

Erica Cruvinel; Edward Liebman; Isabel Leite; Jinxiang Hu; Kimber P Richter

Publisher

BMJ

Published

2020

Language

EN

Field

Medicine (Health Sciences)