Significados que le atribuyen las personas que viven con el VIH al tabaquismo

Autores/as

DOI:

https://doi.org/10.11606/issn.1806-6976.smad.2023.187514

Palabras clave:

Tabaquismo, HIV, Síndrome de Inmunodeficiencia Adquirida, Investigación Cualitativa

Resumen

Objetivo: comprender el significado del tabaquismo en la vida de las personas que viven con
el virus de la inmunodeficiencia humana. Metodología: investigación cualitativa que incluyó a
38 fumadores que viven con el virus de la inmunodeficiencia humana, atendidos en consultas
externas especializadas del interior de São Paulo. Los datos se obtuvieron a través de entrevistas
semiestructuradas y se analizaron utilizando el marco metodológico del Discurso Colectivo del
Sujeto. Resultados: la mayoría de los encuestados era de sexo masculino (63,1%), tenía una
edad media de 41,8 ± 10,4 años; el 10,5% consumía drogas ilícitas y el 44,7% alcohol y el 63,1%
no practicaba actividad física. Tres ideas centrales distintas surgieron de los discursos: I) Me da
placer, alivia el estrés y la ansiedad, es un compañero, pero causa daño, arrepentimiento y odio;
II) Está asociado con mi rutina, con la bebida, las drogas, el café y los amigos y III) Mi relación
con el cigarrillo tras el descubrimiento del virus de la inmunodeficiencia humana. Conclusión: el
consumo de tabaco se relacionó con condiciones emocionales y conductuales y con la infección
por el virus de la inmunodeficiencia humana. Reconocer los significados del tabaquismo puede
favorecer las estrategias de prevención y control del tabaquismo en este grupo poblacional.

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Referencias

Batista JDL, Albuquerque MFPM, Ximenes RAA, Miranda-Filho DB, Melo HRL, Maruza M, et al. Prevalence and socioeconomic factors associated with smoking in people living with HIV by sex, in Recife, Brazil. Rev Bras Epidemiol. 2013;16(2):432-4. https://doi.org/10.1590/S1415-790X2013000200018

Torres TS, Luz PM, Pedrosa MD, Velasque LS, Grinsztejn E, Santos VGV, et al. Factors Associated with Tobacco Smoking and Cessation among HIV-Infected Individuals under Care in Rio de Janeiro, Brazil. PloS One. 2014;9(12):1-15. https://doi.org/10.1371/journal.pone.0115900

Teixeira LSL, Ceccato MGB, Carvalho WS, Costa JO, Bonolo PF, Mendes JC, et al. Prevalence of smoking and associated factors in people living with HIV undergoing treatment. Rev Saúde Pública. 2020;54(108):1-13. https://doi.org/10.11606/s1518-8787.2020054001828

Browning KK, Wewers ME, Ferketich A, Diaz P. Tobacco use and cessation in HIV-infected individuals. Clin Chest Med. 2013;34(2):181-90. https://doi.org/10.1016/j.ccm.2013.01.005

Cioe PA. Smoking cessation interventions in HIV-infected adults in North America: a literature review. J Addict Behav Ther Rehabil. 2014;2(3):1-10. https://doi.org/10.4172/2324-9005.1000112

Cesar EC, Crespo MG, Fiorentino F, González FJC, Martínez EBH. VIH y tabaco. Prev Tab [Internet]. 2019 [cited 2021 May 15];21(2):59-64. Available from: https://issuu.com/separ/docs/2019._prev_tab_21-2?fr=sM2JlZTE2NjczNg

Nahvi S, Cooperman NA. Review: The need for smoking cessation among HIV-positive smokers. AIDS Educ Prev. 2009;21(3):14-27. https://doi.org/10.1521/aeap.2009.21.3_supp.14

Pacek LR, Holloway DA, Cropsey LK, Meade SC, Sweitzer MM, Davis MJ, et al. Experiences With Smoking Cessation Attempts and Prior Use of Cessation Aids in Smokers With HIV: findings from a focus group study conducted in Durham, North Carolina. Aids Educ Prevention. 2021;33(2):158-68. https://doi.org/10.1521/aeap.2021.33.2.158

Waweru P, Anderson R, Steel H, Venter WDF, Murdoch D, Feldman C, et al. The prevalence of smoking and the knowledge of smoking hazards and smoking cessation strategies among HIV positive patients in Johannesburg, South Africa. S Afr Med J. 2013;103(11):858-60. https://doi.org/10.7196/SAMJ.7388

Ministério da Saúde (BR), Instituto Nacional de Câncer José Alencar Gomes da Silva. Programa Nacional de Controle do Tabagismo: Tratamento do tabagismo [Internet]. 2021 [cited 2021 Jun 20]. Available from: https://www.inca.gov.br/programa-nacional-de-controle-do-tabagismo/tratamento

Cruz E. Motivação e Prevenção da Recaída. In: Fernandes FLA, Castellano MVCO, Romaldini JGB. Doença pulmonar obstrutiva crônica e tabagismo. São Paulo: Editora Atheneu; 2015. p.309-20.

Ministério da Saúde (BR). Cadernos de atenção básica, nº 40. Estratégia para o cuidado da pessoa com doença crônica: o cuidado da pessoa tabagista [Internet]. 2015 [cited 2021 May 15]. Available from: http://189.28.128.100/dab/docs/portaldab/publicacoes/caderno_40.pdf

Minayo MCS. O Desafio do Conhecimento — Pesquisa. Qualitativa em Saúde. 14 ed. São Paulo: Hucitec/Rio de Janeiro: ABRASCO; 2014.

Instituto Brasileiro de Geografia e Estatística (BR). Censos demográficos: cidades. [Homepage] Brasília: IBGE; 2020 [cited 2021 May 15]. Available from: https://cidades.ibge.gov.br/

Fontanella BJB, Ricas J, Turato ER. Saturation sampling in qualitative health research: theoretical contributions. Cad Saúde Pública. 2008;24(1):17-27. https://doi.org/10.1590/S0102-311X2008000100003

Ministério da Saúde (BR), Secretaria de Atenção à Saúde. Portaria nº 761, de 21 de junho de 2016. Valida as orientações técnicas do tratamento do tabagismo constantes no Protocolo Clínico e Diretrizes Terapêuticas - Dependência à Nicotina [Internet]. Diário Oficial da União, 22 jun. 2016 [cited 2021 May 15]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/sas/2016/prt0761_21_06_2016.html

Heatherton TF, Kozlowski TL, Frecker, CR, Fagerström K. The Fagerstrõm Test for Nicotine Dependence: A revision of the Fagerstrõm Tolerance Questionnaire. Br J Addict. 1991;86(9):1119-27. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x

Diclemente CC, Prochaska JO. Self-change and therapy change of smoking behavior: a comparison of processes of change in cessation and maintenance. Addict Behav. 1982;7(2):133-42. https://doi.org/10.1016/0306-4603(82)90038-7

Lefevre F, Lefevre AMC, Marques MCC. Discourse of the collective subject, complexity and self-organization. Ciênc Saúde Coletiva. 2009;14(4):1193-204. https://doi.org/10.1590/S1413-81232009000400025

Lefevre F, Lefevre AMC. Pesquisa de representação social: um enfoque qualiquantitativo. Brasília: Líber Livro; 2012. p.71-86.

Lefevre F, Lefevre AMC. O sujeito coletivo que fala. Interface. 2006;10(20):517-24. https://doi.org/10.1590/S1414-32832006000200017

Araújo AJ. Manual de Condutas e Prática em Tabagismo. Medicina baseada em evidências científicas e tabagismo. São Paulo: Editora AC Farmacêutica; 2012.

Borges MTT, Barbosa RHS. Gender signs on female smoking: a sociological approach to women’s cigarette smoking. Ciênc Saúde Coletiva. 2009;14(4):1129-39. https://doi.org/10.1590/S1413-81232009000400019

Fontanella BJB, Secco KND. Pregnancy and smoking: representations and experiences of patients of Family Health Units. J Bras Psiquiatr. 2012;61(3):168-75. https://doi.org/10.1590/S0047-20852012000300008

Sanchés-Hernández CM, Pillon SC. Smoking Among College Students: Characterization of Use in the Students’ Perspective. Rev. Latino-Am. Enfermagem. 2011;19:730-7. https://doi.org/10.1590/S0104-11692011000700010

Meirelles RHS. Smoking and COPD – addiction and disease – real fact. Rev Pulmão RJ [Internet]. 2009 [cited May 15 2021];1(1):13-9 Available from: http://www.sopterj.com.br/publicacoes-revista-pulmao-rj/revista-pulmao-rj-2009-volume-18-atualizacoes-tematicas/

Lombardi EMS, Prado FG, Santos PU, Fernandes ALF. Women and smoking: risks, impacts, and challenges. J Bras Pneumol. 2011;37(1):118-28. https://doi.org/10.1590/S1806-37132011000100017

Dázio EMR, Zago MMF, Fava SMCL. Use of alcohol and other drugs among male university students and its meanings. Rev Esc Enferm USP. 2016;50(05):785-91. https://doi.org/10.1590/s0080-623420160000600011

Panaino EF, Soares CB, Campos CMS. Context of the beginning of tobacco use in different social groups. Rev. Latino-Am. Enfermagem. 2014;22(3):379-85. https://doi.org/10.1590/0104-1169.3205.2427

Souza TA, Mattos FF. The social representation of smoking among adults and its implications for health: study conducted in a rural community in the state of Minas Gerais. Arq Odontol [Interrnet]. 2012 [cited 2021 May 15];48(3):159-65. Available from: http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1516-09392012000300006

Necho M, Belete A, Getachew Y. The prevalence and factors associated with alcohol use disorder among people living with HIV/AIDS in Africa: a systematic review and meta-analysis. Subst Abuse Treat Prev Pol. 2020;15(1):1-15. https://doi.org/10.1186/s13011-020-00301-6

Pereira MO, Assis BCS, Gomes NMR, Alves AR, Reinaldo AMS, Beinner MA. Motivation and difficulties to reduce or quit smoking. Rev Bras Enferm. 2020;73(1):1-7. https://doi.org/10.1590/0034-7167-2018-0188

Santos VF, Galvão MTG, Cunha GH, Lima ICV, Gir E. Alcohol effect on HIV-positive individuals: treatment and quality of life. Acta Paul Enferm. 2017;30(1):94-100. https://doi.org/10.1590/1982-0194201700014

Teixeira LSL, Ceccato MGB, Carvalho WS, Costa JO, Bonolo PF, Mendes JC, et al. Prevalence of smoking and associated factors in people living with HIV undergoing treatment. Rev Saúde Pública. 2020;54:108. https://doi.org/10.11606/s1518-8787.2020054001828

Freitas MIF, Bonolo PF, Miranda WD, Guimarães MDC. Interactions and the antiretroviral therapy adherence among people living with HIV/aids. Rev Min Enferm. 2017;21:e-1001. https://doi.org/10.5935/1415-2762.20170011

Hipolito RL, Oliveira CD, Gomes TMA, Costa LT. Social representations of quality of life in HIV/AIDS: the role of time since diagnosis. Rev Enferm UERJ. 2014;22(6):753-9. https://doi.org/10.12957/reuerj.2014.12840

Lemieux AM, Nakajima M, Saif-Ali R, Al-Habori M, Dokam A, Al'Abasi M. Anger, anxiety, and depressive affect as predictors of stress-induced cortisol production in khat and tobacco users. Addict Behav. 2018;82:195-201. https://doi.org/10.1016/j.addbeh.2018.02.033

Publicado

2023-06-21

Cómo citar

Devóglio, L. L., Paulino, G. B., Duarte, M. T. C., & Godoy, I. de. (2023). Significados que le atribuyen las personas que viven con el VIH al tabaquismo. SMAD, Revista Eletrônica Saúde Mental Álcool E Drogas (Edição Em Português), 19(3), 7-16. https://doi.org/10.11606/issn.1806-6976.smad.2023.187514