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Chaves &#233; uma cidade localizada no interior norte de Portugal&#44; na fronteira com Espanha&#44; com uma popula&#231;&#227;o de 49&#160;000 habitantes&#44; apresentando apenas 9&#37; uma idade inferior a 15 anos&#44; sendo constitu&#237;da principalmente por trabalhadores agr&#237;colas&#46; A popula&#231;&#227;o de refer&#234;ncia para este estudo foram as pessoas que frequentam as Institui&#231;&#245;es de Cuidados de Sa&#250;de Prim&#225;rios em Chaves &#40;Centro de Sa&#250;de de Chaves n&#46;&#176;1 e n&#46;&#176; 2&#41;&#46; A inclus&#227;o dos pacientes foi consecutiva&#44; e foram selecionados todos os pacientes atendidos pela T&#233;cnica de Cardiopneumologia&#44; com um agendamento pr&#233;vio e em dias diferentes&#44; durante o per&#237;odo de estudo&#46; Durante os dias da semana&#44; os pacientes foram convidados a participar no estudo em ambos os Centros de Sa&#250;de&#46; Foi realizada uma entrevista presencial anterior &#224; sua visita com o m&#233;dico de cl&#237;nica geral&#46; Os crit&#233;rios de inclus&#227;o foram os seguintes&#58; idade superior a 17 anos&#44; sem dem&#234;ncia ou outras patologias que interfiram na realiza&#231;&#227;o de uma entrevista&#46; Foi aplicado um question&#225;rio validado<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> derivado de estudos espanh&#243;is e adaptado ao contexto portugu&#234;s&#46; Os entrevistados foram questionados sobre h&#225;bitos tab&#225;gicos&#44; tipo de tabaco consumido &#40;charutos&#44; cigarros e cachimbos&#41;&#44; depend&#234;ncia de nicotina&#44; processo de mudan&#231;a&#44; reca&#237;das e motiva&#231;&#227;o de cessa&#231;&#227;o tab&#225;gica&#46; Foram&#44; tamb&#233;m&#44; questionados sobre o consumo atual de tabaco &#40;diariamente ou ocasionalmente&#41; ou se eram ex-fumadores ou n&#227;o fumadores&#46; Os fumadores di&#225;rios foram definidos como indiv&#237;duos que fumavam regularmente&#44; ou seja&#44; pelo menos um cigarro por dia&#46; A fim de se verificar os dados fornecidos pelo participante sobre o consumo de tabaco&#44; foi realizada uma medida de mon&#243;xido de carbono &#40;CO&#41; no ar exalado e foi definido um corte de 6<span class="elsevierStyleHsp" style=""></span>ppm para distinguir os fumadores dos n&#227;o fumadores<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46; A exposi&#231;&#227;o ao FAT &#40;local e intensidade da exposi&#231;&#227;o&#41; e a perce&#231;&#227;o do impacto da lei sobre a exposi&#231;&#227;o ao FAT tamb&#233;m foram avaliados&#46; Para avaliar a preval&#234;ncia de exposi&#231;&#227;o ao FAT&#44; foram inclu&#237;das v&#225;rias perguntas sobre o local&#44; a frequ&#234;ncia e tempo de exposi&#231;&#227;o&#46; A preval&#234;ncia de exposi&#231;&#227;o durante a &#250;ltima semana &#40;de segunda a domingo&#41;&#44; foi avaliada pela pergunta &#171;quantas vezes voc&#234; acha que foi exposto ao fumo de tabaco dos fumadores &#40;em n&#227;o fumadores&#41; ou de outros fumadores &#40;em fumadores&#41; em &#40;casa&#47;trabalho&#47;lazer&#41;&#187;&#46; A exposi&#231;&#227;o em casa e no trabalho foi composta por 3 respostas poss&#237;veis&#58; diariamente&#44; &#224;s vezes e nunca&#44; e o tempo de exposi&#231;&#227;o nos locais de lazer inclu&#237;a a op&#231;&#227;o &#171;n&#227;o frequentou&#187;&#46; A exposi&#231;&#227;o foi avaliada atrav&#233;s do n&#250;mero de horas de exposi&#231;&#227;o por dia &#40;diariamente expostos&#41; ou por semana &#40;ocasionalmente expostos&#41;&#46; Para verificar uma mudan&#231;a na exposi&#231;&#227;o ao FAT&#44; como consequ&#234;ncia da lei&#44; foi formulada a seguinte pergunta&#58; <span class="elsevierStyleItalic">em compara&#231;&#227;o a 2007&#44; anteriormente &#224; lei antifumo&#44; hoje em dia a sua exposi&#231;&#227;o ao fumo do tabaco em &#91;casa&#47;trabalho&#47;bares ou caf&#233;s&#47;restaurantes&#47;discotecas&#93; &#233; &#91;superior&#47;semelhante a&#47;menos de&#93; em rela&#231;&#227;o ao per&#237;odo pr&#233;-lei&#63;</span> As op&#231;&#245;es &#171;n&#227;o frequentei&#187; e &#171;n&#227;o estava a trabalhar&#187; foram inclu&#237;das quando as perguntas foram relacionadas com os locais de lazer e trabalho&#44; respetivamente&#46; Foram&#44; tamb&#233;m&#44; recolhidas caracter&#237;sticas demogr&#225;ficas&#44; como sexo&#44; idade&#44; situa&#231;&#227;o de trabalho&#44; estado civil e n&#237;vel educacional&#46; A educa&#231;&#227;o foi classificada em 4 categorias de acordo com o n&#237;vel superior conclu&#237;do pelo participante&#46; N&#237;vel b&#225;sico inclu&#237;do pela popula&#231;&#227;o com menos de 5 anos de educa&#231;&#227;o&#44; um m&#237;nimo prim&#225;rio de 5 e um m&#225;ximo de 9&#44; 12 ou secund&#225;rio&#44; at&#233; pessoas que tinham completado um n&#237;vel profissional e do ensino superior&#44; incluindo diploma universit&#225;rio&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Todos os participantes assinaram o consentimento informado escrito&#46; Este estudo foi aprovado pelo Comit&#233; de &#201;tica da Administra&#231;&#227;o Regional de Sa&#250;de do Norte de Portugal &#40;ARSN&#41;&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">As vari&#225;veis quantitativas e qualitativas foram descritas atrav&#233;s de m&#233;dias ou de preval&#234;ncia e intervalos de confian&#231;a de 95&#37; &#40;IC 95&#37;&#41;&#46; A an&#225;lise bivariada foi realizada e o teste chi-quadrado&#47;teste exato de Fisher e o teste t-student&#47;Manny Whitnay U foram aplicados para comparar grupos onde eram adequados&#46; Para avaliar a correla&#231;&#227;o entre o tabagismo e a concentra&#231;&#227;o de CO&#44; foi aplicado o teste Kappa de Cohen&#46; Para interpretar os resultados&#44; foram utilizados os crit&#233;rios de Landis e Koch<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a>&#46; Os dados foram analisados com o programa Stata&#44; vers&#227;o 10&#46;0&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Resultados</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Participantes</span><p id="par0035" class="elsevierStylePara elsevierViewall">Foram entrevistados 287 indiv&#237;duos&#58; 141 homens e 146 mulheres&#46; As caracter&#237;sticas demogr&#225;ficas dos participantes est&#227;o expressas na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#46; Apenas 2&#37; dos entrevistados representavam a popula&#231;&#227;o com menos de 25 anos&#59; a faixa et&#225;ria foi de 19 a 86&#46; A maioria dos reformados era do sexo masculino&#44; e as mulheres tinham um maior n&#237;vel de escolaridade&#46; O trabalho dom&#233;stico foi exclusivo das mulheres&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Preval&#234;ncia de consumo de tabaco</span><p id="par0040" class="elsevierStylePara elsevierViewall">Na popula&#231;&#227;o estudada&#44; verificou-se uma preval&#234;ncia de 23&#44;6&#37; &#40;IC 95&#37; 18&#44;6-28&#44;6&#41; de fumadores&#44; 27&#44;8&#37; &#40;IC 95&#37; 22&#44;6-30&#44;1&#41; de ex-fumadores e 48&#44;6&#37; &#40;IC 95&#37; 42&#44;7-54&#44;4&#41; de n&#227;o fumadores&#46; A preval&#234;ncia de fumadores foi quase 2 vezes superior no sexo masculino em compara&#231;&#227;o com o sexo feminino &#40;31 vs&#46; 17&#37;&#41; e a percentagem de n&#227;o fumadores do sexo feminino foi o dobro do que nos homens &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Houve uma forte associa&#231;&#227;o entre os dados fornecidos pelo participante sobre o consumo de tabaco e as medidas de CO &#40;k<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;89&#44; 95&#37; IC 0&#44;83-0&#44;95&#41;&#46; Apenas 5 fumadores&#44; de 216&#44; tinham uma concentra&#231;&#227;o de CO menor de 6<span class="elsevierStyleHsp" style=""></span>ppm e 6&#44; dos 68 n&#227;o fumadores ou ex-fumadores&#44; tiveram acima de 6<span class="elsevierStyleHsp" style=""></span>ppm&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Preval&#234;ncia de exposi&#231;&#227;o ao fumo ambiental do tabaco</span><p id="par0050" class="elsevierStylePara elsevierViewall">Os resultados indicam que 46&#44;2&#37; &#40;IC 95&#37; 40&#44;3-51&#44;9&#41; da popula&#231;&#227;o foram expostos ao FAT&#44; e a preval&#234;ncia da exposi&#231;&#227;o foi maior nos locais de lazer &#40;como bares&#44; <span class="elsevierStyleItalic">pubs</span> e discotecas&#41;&#46; Os homens declararam uma maior exposi&#231;&#227;o do que as mulheres &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;026&#41; e os fumadores relataram maior exposi&#231;&#227;o passiva em rela&#231;&#227;o aos n&#227;o-fumadores &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; A preval&#234;ncia da exposi&#231;&#227;o diminui com a idade&#44; a maior exposi&#231;&#227;o verificou-se no grupo et&#225;rio entre os 18-44 anos&#44; que declarou estar mais exposta &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;005&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">A preval&#234;ncia de exposi&#231;&#227;o passiva no domic&#237;lio foi 3 vezes maior nas mulheres do que nos homens &#40;24 vs&#46; 8&#44;5&#37;&#41;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#46; Os participantes declararam estar expostos em casa em m&#233;dia de 20&#160;h por semana &#40;IC 95&#37; 16&#44;0-24&#44;1&#41;&#44; sem diferen&#231;as significativas em ambos os sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;45&#41;&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Tendo em conta que&#44; no m&#234;s anterior &#224; entrevista&#44; 79 participantes &#40;principalmente mulheres e popula&#231;&#227;o com mais de 64 anos&#41; n&#227;o frequentaram lugares de lazer&#44; a preval&#234;ncia de exposi&#231;&#227;o ao FAT entre os homens foi maior do que entre as mulheres &#40;46&#44;1 vs&#46; 19&#44;9&#41;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#46; O tempo m&#233;dio de exposi&#231;&#227;o nos tempos de lazer foi de 6&#44;5&#160;h &#40;IC 95&#37; 3&#44;5-9&#44;5&#41; por semana&#44; sem diferen&#231;as significativas entre sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;274&#41;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Na popula&#231;&#227;o ativa&#44; a preval&#234;ncia de exposi&#231;&#227;o no local de trabalho era de 14&#44;1&#37; &#40;IC 95&#37; 8&#44;3-19&#44;9&#41;&#44; sem diferen&#231;as significativas entre sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;536&#41; ou em rela&#231;&#227;o ao consumo de tabaco &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;940&#41;&#46; Os trabalhadores declararam estar expostos em m&#233;dia 22&#44;1&#160;h &#40;IC 95&#37; 8&#44;2-36&#44;0&#41;&#44; sem diferen&#231;as entre sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;114&#41;&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Compara&#231;&#227;o com o per&#237;odo pr&#233;-lei</span><p id="par0070" class="elsevierStylePara elsevierViewall">Setenta e nove por cento dos participantes afirmaram que n&#227;o ocorrera qualquer altera&#231;&#227;o na exposi&#231;&#227;o percebida no seu domic&#237;lio&#44; comparando com o per&#237;odo pr&#233;-lei&#46; Cerca de 4 em cada 10 trabalhadores ou estudantes verificaram uma diminui&#231;&#227;o na exposi&#231;&#227;o ao fumo no local de trabalho ou na escola&#46; Os restantes 6&#47;10 declararam n&#227;o haver nenhuma modifica&#231;&#227;o&#46; O maior impacto percecionado da implementa&#231;&#227;o da lei foi relatado em rela&#231;&#227;o aos restaurantes e caf&#233;s&#47;bares&#44; mas manteve-se inalterado nas casas noturnas &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discuss&#227;o</span><p id="par0075" class="elsevierStylePara elsevierViewall">Em Chaves&#44; 2 anos ap&#243;s a implementa&#231;&#227;o da Lei de Controlo do Tabaco&#44; quase 50&#37; dos adultos que frequentam os cuidados de sa&#250;de prim&#225;rios declararam estar ainda expostos ao FAT&#44; principalmente nos lugares de lazer&#46; Em lugares onde a lei proibiu o consumo de tabaco percecionou-se que a exposi&#231;&#227;o ao FAT diminuiu em compara&#231;&#227;o com o per&#237;odo pr&#233;-lei&#44; mas esta diminui&#231;&#227;o foi apenas significativa nos restaurantes&#46; A exposi&#231;&#227;o percebida no trabalho continua a estar inalterada&#44; assim como a exposi&#231;&#227;o em casas noturnas&#46; Estes dados confirmam a necessidade de uma lei mais abrangente&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Como noutros estudos<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#8211;12</span></a>&#44; os nossos resultados mostram que a idade &#233; principal determinante da autoperce&#231;&#227;o de exposi&#231;&#227;o ao FAT com uma associa&#231;&#227;o inversa em homens e mulheres&#46; Mas&#44; este facto&#44; n&#227;o estava presente quando se definiu o contexto de exposi&#231;&#227;o&#46; Assim&#44; entre as mulheres&#44; a exposi&#231;&#227;o em casa manteve-se inalterada&#44; apesar da idade e de essa associa&#231;&#227;o s&#243; aparecer em lugares p&#250;blicos&#46; Tal como se verifica noutros estudos&#44; os fumadores em Chaves declararam estar mais expostos ao FAT em compara&#231;&#227;o com os n&#227;o fumadores<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">No presente estudo&#44; 14&#37; dos trabalhadores relataram estar expostos ao fumo no local de trabalho&#46; Esta &#233; uma percentagem baixa&#44; provavelmente devido &#224; elevada percentagem de trabalhadores agr&#237;colas&#46; A percentagem de trabalhadores diferenciados &#233; menor do que na &#225;rea urbana&#44; e essa preval&#234;ncia &#233; condicionada por este facto&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Em compara&#231;&#227;o com o per&#237;odo de pr&#233;-lei&#44; a exposi&#231;&#227;o percebida em casa n&#227;o se alterou&#46; Os dados relativos &#224; exposi&#231;&#227;o em casa s&#227;o compar&#225;veis com estudos anteriores<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#44;14</span></a>&#46; Al&#233;m disso&#44; 2 estudos<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">15&#44;16</span></a>&#44; tamb&#233;m realizados em Portugal&#44; evidenciam que a percentagem de fumadores que fumam em casa n&#227;o mudou significativamente antes e depois da lei&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Em caf&#233;s e bares a redu&#231;&#227;o percebida de exposi&#231;&#227;o ao FAT ap&#243;s a aplica&#231;&#227;o da lei foi de 75&#37;&#46; Reis et al&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> demonstraram que quase 40&#37; dos caf&#233;s proibiram totalmente o consumo de tabaco dentro do estabelecimento&#44; e&#44; no Porto&#44; Precioso et al&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> estimaram que a percentagem de caf&#233;s que proibiram fumar dentro do estabelecimento foi cerca de 75&#37;&#46; Em Portugal&#44; a maioria dos restaurantes decidiu proibir fumar dentro do mesmo&#44; tendo a maior ades&#227;o sido verificada em restaurantes com mais de cem metros quadrados&#46; No entanto&#44; um estudo recente realizado em v&#225;rios restaurantes em Lisboa mostrou que&#44; nesses locais&#44; os n&#237;veis de polui&#231;&#227;o interior devida ao FAT s&#227;o altos<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a>&#46; No nosso estudo&#44; 95&#37; dos pacientes relataram uma menor exposi&#231;&#227;o passiva nessas instala&#231;&#245;es&#46; Como em Chaves&#44; em Braga tamb&#233;m foi encontrada uma menor ades&#227;o &#224; lei em clubes noturnos<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a>&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Neste estudo&#44; a preval&#234;ncia de fumadores &#40;23&#44;6&#37;&#41; foi semelhante &#224; obtida no Inqu&#233;rito Nacional de Sa&#250;de &#40;20&#44;8&#37;&#41; e no Eurobar&#243;metro &#40;24&#37;&#41;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a>&#46; No entanto&#44; em Chaves&#44; comparativamente aos dados da popula&#231;&#227;o portuguesa&#44; em geral&#44; a percentagem de ex-fumadores &#233; superior&#44; 27&#44;8 vs&#46; 12&#37;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a>&#46; &#201; prov&#225;vel que este grupo percentual de ex-fumadores esteja relacionado com o local do estudo&#44; uma vez que os ex-fumadores recorrem com mais frequ&#234;ncia a unidades de sa&#250;de&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Uma limita&#231;&#227;o do nosso estudo foi a sua realiza&#231;&#227;o numa popula&#231;&#227;o que recorre aos cuidados de sa&#250;de prim&#225;rios&#44; em ambiente cl&#237;nico&#46; A sub-representa&#231;&#227;o de jovens &#233; explicada pelo facto de o recrutamento ter sido feito numa instala&#231;&#227;o de sa&#250;de&#46; A popula&#231;&#227;o em geral que frequenta as unidades de sa&#250;de &#233; mais idosa&#44; tornando mais f&#225;cil conseguir um n&#250;mero representativo dessa faixa et&#225;ria&#46; &#201; prov&#225;vel que a preval&#234;ncia de exposi&#231;&#227;o ao FAT esteja subestimada&#44; porque as pessoas jovens neste estudo apenas s&#227;o 3&#37; da popula&#231;&#227;o&#44; enquanto em Chaves eles representam 13&#37; e s&#227;o o grupo que declararam maior exposi&#231;&#227;o ao FAT neste e em outros estudos<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#44;10</span></a>&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Pode estar presente um poss&#237;vel desequil&#237;brio de sele&#231;&#227;o&#44; pois este estudo foi limitado a volunt&#225;rios selecionados de pacientes que frequentam um centro de sa&#250;de num determinado momento&#46; Esse desequil&#237;brio pode adulterar os resultados&#44; pois o consumo de tabaco e a exposi&#231;&#227;o ao FAT s&#227;o casualmente associados a diversas patologias&#44; aumentado a probabilidade de recorrer &#224;s unidades de sa&#250;de&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Um problema que pode ocorrer quando se comparam per&#237;odos de pr&#233; e p&#243;s-lei &#233; a poss&#237;vel falha de mem&#243;ria&#46; Mas n&#227;o &#233; poss&#237;vel avaliar o verdadeiro impacto&#44; uma vez que n&#227;o existem estudos sobre a exposi&#231;&#227;o ao FAT&#46; Al&#233;m disso&#44; o tamanho da amostra n&#227;o garante poder estat&#237;stico para realizar a an&#225;lise espec&#237;fica&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Apesar das suas limita&#231;&#245;es<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&#44; os dados fornecidos pelo pr&#243;prio paciente foi o m&#233;todo utilizado para avaliar a exposi&#231;&#227;o ao FAT e consumo de tabaco&#46; Em rela&#231;&#227;o &#224; exposi&#231;&#227;o ao FAT&#44; foi aplicado um question&#225;rio validado&#44; proveniente de outros estudos espanh&#243;is&#44; e foi adaptado ao contexto portugu&#234;s&#46; Mas&#44; devido &#224; falta de consenso sobre como essa exposi&#231;&#227;o deve ser quantificada&#44; a compara&#231;&#227;o com outros estudos deve ser feita com cautela&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">No entanto&#44; este estudo tem tamb&#233;m algumas vantagens&#46; &#201; a primeira avalia&#231;&#227;o da exposi&#231;&#227;o ao FAT ap&#243;s a aplica&#231;&#227;o da lei do tabaco num contexto em geral&#46; Recolhemos informa&#231;&#245;es completas em diferentes lugares onde a exposi&#231;&#227;o pode ocorrer&#46; Este facto permite-nos ter uma imagem bastante clara da exposi&#231;&#227;o ao FAT ap&#243;s a promulga&#231;&#227;o da lei&#46; Devido &#224; implementa&#231;&#227;o de uma legisla&#231;&#227;o de controlo de tabaco&#44; os perfis de exposi&#231;&#227;o podem mudar&#44; e &#233; essencial identificar os diversos cen&#225;rios onde ocorre a exposi&#231;&#227;o ao FAT para avaliar com maior precis&#227;o o impacto da lei ao longo do tempo&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Finalmente&#44; o facto de ter sido avaliado o CO e o valor obtido ter uma alta correla&#231;&#227;o com o consumo de tabaco confirmado pelo participante significa que o erro de classificar o h&#225;bito tab&#225;gico &#233; provavelmente insignificante&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Conclus&#245;es</span><p id="par0135" class="elsevierStylePara elsevierViewall">Apesar de este trabalho ter sido desenvolvido apenas num contexto regional&#44; as suas conclus&#245;es&#44; especialmente aquelas referentes &#224; exposi&#231;&#227;o passiva em locais p&#250;blicos&#44; pode contribuir como um elemento de avalia&#231;&#227;o do impacto da implementa&#231;&#227;o da lei portuguesa&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Ap&#243;s a aplica&#231;&#227;o da lei que pro&#237;be fumar em Portugal&#44; a exposi&#231;&#227;o ao FAT ainda &#233; elevada&#44; com grandes diferen&#231;as entre locais de exposi&#231;&#227;o&#44; continuando a ser elevada nas discotecas&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Existem&#44; tamb&#233;m&#44; diferen&#231;as substanciais na exposi&#231;&#227;o consoante a idade e sexo&#44; com a popula&#231;&#227;o mais jovem a continuar muito exposta&#46; A popula&#231;&#227;o percecionou uma redu&#231;&#227;o da exposi&#231;&#227;o ao FAT ap&#243;s a promulga&#231;&#227;o da lei&#44; mas mais de 5 em cada 10 participantes perceberam que em lugares como o local de trabalho ou as discotecas as exposi&#231;&#227;o permanece inalterada&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">O ECOS Infotabaco<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> e outros diferentes estudos desenvolvidos em Portugal<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">23&#44;24</span></a> mostraram que a maioria da popula&#231;&#227;o portuguesa tem uma opini&#227;o favor&#225;vel sobre os locais livres de fumo&#46; Tendo em considera&#231;&#227;o estas informa&#231;&#245;es relevantes e os resultados deste estudo&#44; &#233; vi&#225;vel uma estrat&#233;gia global destinada a melhorar a prote&#231;&#227;o da popula&#231;&#227;o contra a exposi&#231;&#227;o ao FAT&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Responsabilidades &#233;ticas</span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Prote&#231;&#227;o de pessoas e animais</span><p id="par0155" class="elsevierStylePara elsevierViewall">Os autores declaram que para esta investiga&#231;&#227;o n&#227;o se realizaram experi&#234;ncias em seres humanos e&#47;ou animais&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Confidencialidade dos dados</span><p id="par0160" class="elsevierStylePara elsevierViewall">Os autores declaram que n&#227;o aparecem dados de pacientes neste artigo&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Direito &#224; 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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introdu&#231;&#227;o</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O fumo ambiental do tabaco &#40;FAT&#41; &#233; atualmente o principal poluente do meio interior e respons&#225;vel por uma elevada morbilidade e mortalidade&#46; Uma restri&#231;&#227;o parcial foi introduzida em Portugal&#44; em 2008&#44; a Lei 37&#47;2007&#44; para tentar controlar&#44; definir e regular ambientes livres de fumo&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Avaliar a exposi&#231;&#227;o e a perce&#231;&#227;o do impacto da Lei 37&#47;2007 sobre a exposi&#231;&#227;o ao FAT em adultos atendidos em 2 centros de sa&#250;de em Chaves &#40;Portugal&#41;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">M&#233;todo</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Um estudo transversal sobre o consumo de tabaco e a exposi&#231;&#227;o ao FAT foi realizado em Chaves &#40;norte de Portugal&#41; entre novembro de 2009 e fevereiro de 2010&#46; Todos os pacientes&#44; com mais de 17 anos&#44; atendidos em qualquer dos 2 Centros de Sa&#250;de de Chaves&#46; A recolha de dados dos pacientes foi feita em uma base aleat&#243;ria&#44; abrangendo todos os dias da semana&#46; Foi efetuada uma entrevista cara-a-cara e foi medido o mon&#243;xido de carbono exalado&#46; Preval&#234;ncias e m&#233;dias foram analisadas para um intervalo de confian&#231;a de 95&#37;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Dos centos oitenta e sete pacientes participantes na pesquisa&#44; 56&#37; eram do sexo masculino e apresentavam uma m&#233;dia de idades de 54 anos&#46; A preval&#234;ncia de fumadores foi de 24&#37;&#44; significativamente maior nos homens &#40;31 vs&#46; 17&#37;&#41;&#46; 46&#44;2&#37; referiram estar expostos ao fumo de tabaco em todos os lugares estudados &#40;53&#37; nos homens vs&#46; 40&#37; nas mulheres&#41;&#46; Os fumadores declararam estar mais expostos ao FAT em rela&#231;&#227;o aos n&#227;o fumadores&#46; 16&#44;2&#37; da popula&#231;&#227;o estavam expostos em casa&#44; 14&#37; no trabalho e 33&#37; nos lugares de lazer&#46; A maior diminui&#231;&#227;o da perce&#231;&#227;o de exposi&#231;&#227;o passiva encontrou-se nos restaurantes &#40;95&#37;&#41;&#46; Nas discotecas&#44; 68&#37; dos participantes afirmaram que a exposi&#231;&#227;o se manteve inalterada&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclus&#227;o</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A lei antitabaco pretende oferecer prote&#231;&#227;o contra o fumo do tabaco em v&#225;rios espa&#231;os p&#250;blicos fechados&#46; No entanto&#44; uma percentagem significativa da popula&#231;&#227;o permanece exposta&#46; Este estudo destaca os perigos de uma proibi&#231;&#227;o parcial&#46; Uma lei abrangente &#233;&#44; portanto&#44; necess&#225;ria em Portugal&#46;</p></span>"
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        "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Environmental tobacco smoke &#40;ETS&#41; is currently the main indoor pollutant and causes a high morbility and mortality&#46; A partial restriction came into force in Portugal&#44; in 2008&#44; law 37&#47;2007&#44; trying to control&#44; define and regulate smoke-free environments&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To assess exposure and perceived impact of the law 37&#47;2007 on exposure to ETS among adults attending to the two health care facilities of Chaves &#40;Portugal&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Method</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional survey on tobacco consumption and exposure to ETS was undertaken in Chaves &#40;Northern Portugal&#41; between November 2009 and February 2010&#46; All the patients&#44; over 17&#44; attending to any of the Chaves Primary Care Facilities were interviewed&#46; Patient enrolment was done on a rolling basis covering all days of the week&#46; A face to face interview was carried out and a carbon monoxide was measured&#46; Prevalence and means are shown with 95&#37; confidence intervals&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">287 patients participated in the survey&#44; 56&#37; were males and the mean age was 54 years&#46; Smoking prevalence was 23&#44;6&#37;&#44; significantly higher in males &#40;31&#37; vs 17&#37;&#41;&#46; 46&#44;2&#37; reported exposure tobacco smoke elsewhere &#40;53&#37; in males vs&#46; 40&#37; in females&#41;&#46; Smokers declared to be more exposed to ETS than non-smokers&#46; 16&#46;2&#37; of the population declared to be exposed at home&#44; 14&#37; at work and 33&#37; at leisure places&#46; The highest decrease in perception of passive exposure was found for restaurants &#40;95&#37;&#41;&#46; In nightclubs 68&#37; of the participants stated that exposure has remained unchanged&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The tobacco control law offered protection against tobacco smoke in several closed public spaces&#46; However&#44; a significant proportion of the population remains exposed&#46; This study highlights the ineffectiveness of a partial ban&#46; A comprehensive law is&#44; therefore&#44; required in Portugal&#46;</p></span>"
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Prim&#225;rios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">48&#44;2 &#40;39&#44;9-56&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&#44;6 &#40;38&#44;4-54&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Educa&#231;&#227;o b&#225;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&#44;4 &#40;20&#44;9-35&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;4 &#40;10&#44;4-22&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Educa&#231;&#227;o secund&#225;ria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&#44;0 &#40;10&#44;8-23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&#44;2 &#40;14&#44;5-27&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Estudo superiores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#44;4 &#40;2&#44;3-10&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;8 &#40;9&#44;8-21&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Situa&#231;&#227;o laboral</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#160;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Trabalhador ativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">47&#44;5 &#40;39&#44;2-55&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">47&#44;9 &#40;39&#44;7-56&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Desempregado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#44;5 &#40;3&#44;89-13&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;7 &#40;0&#44;1-5&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dom&#233;stica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22 &#40;15&#44;1-28&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Reformado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">41&#44;1 &#40;32&#44;9-49&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24 &#40;17&#44;0-31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Estudantes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;8 &#40;0&#44;1-0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#44;4 &#40;0&#44;4-0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Estado civil</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;194&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Casados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">82&#44;2 &#40;75&#44;9-88&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">76&#44;0 &#40;69&#44;0-83&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o casados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&#44;7 &#40;11&#44;4-24&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&#44;0 &#40;17&#44;0-31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Tabagismo</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#160;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Fumadores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">30&#44;7 &#40;23&#44;0-38&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;7 &#40;10&#44;5-22&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ex-fumadores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">40&#44;0 &#40;31&#44;8-48&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;0 &#40;9&#44;9-22&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o fumadores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">29&#44;3 &#40;21&#44;7-36&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">67&#44;4 &#40;59&#44;6-75&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Casa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Trabalho&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Lugares p&#250;blicos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Casa&#44; trabalho&#44; lugares p&#250;blicos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Total</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;4 &#40;12&#44;1-20&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;1 &#40;8&#44;3-19&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&#44;7 &#40;27&#44;3-38&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&#44;2 &#40;40&#44;3-51&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Homens</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#44;5 &#40;3&#44;3-13&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;9 &#40;7&#44;2-24&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&#44;1 &#40;37&#44;3-54&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">52&#44;9 &#40;44&#44;5-61&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>18-44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#44;3 &#40;2&#44;9-12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&#44;3 &#40;4&#44;8-32&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">73&#44;7 &#40;59&#44;4-87&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">73&#44;9 &#40;65&#44;7-92&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>45-64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#44;9 &#40;1&#44;3-16&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;3 &#40;2&#44;3-26&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">48&#44;2 &#40;34&#44;9-61&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">52&#44;7 &#40;39&#44;3-66&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;&#160;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#44;6 &#40;1&#44;7-19&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&#44;3&#40;9&#44;3-33&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">31&#44;9 &#40;18&#44;3-45&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Mulheres</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&#44;0 &#40;17&#44;0-31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#44;3 &#40;4&#44;7-19&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&#44;9 &#40;13&#44;3-26&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&#44;7 &#40;31&#44;7-47&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>18-44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&#44;4 &#40;11&#44;1-35&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&#44;5 &#40;9&#44;2-35&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&#44;8 &#40;32&#44;3-61&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">61&#44;7 &#40;47&#44;5-78&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>45-64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">25&#44;7 &#40;15&#44;3-36&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">N&#46;O&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#44;0 &#40;2&#44;9-17&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&#44;9 &#40;21&#44;7-44&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;&#160;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&#44;7 &#40;5&#44;6-35&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">N&#46;O&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">N&#46;O&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&#44;7 &#40;5&#44;6-35&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">N&#227;o fumadores</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#44;9 &#40;3&#44;4-17&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&#44;9 &#40;3&#44;4-24&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">27&#44;2 &#40;21&#44;2-33&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&#44;6 &#40;33&#44;1-46&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Homens</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#44;2 &#40;0&#44;7-9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;6 &#40;4&#44;7-26&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">40&#44;2 &#40;30&#44;3-50&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">44&#44;3 &#40;34&#44;3-54&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Mulheres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&#44;2 &#40;12&#44;1-26&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&#44;5 &#40;3&#44;9-22&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;7 &#40;9&#44;9-23&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">35&#44;8 &#40;27&#44;2-44&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Fumadores</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&#44;9 &#40;16&#44;1-37&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;4 &#40;7&#44;3-21&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&#44;7 &#40;38&#44;6-62&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">67&#44;0 &#40;55&#44;2-78&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Homens&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;3 &#40;4&#44;9-27&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&#44;4 &#40;1&#44;1-33&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58&#44;1 &#40;42&#44;9-73&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">71&#44;4 &#40;57&#44;3-85&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Mulheres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45&#44;8 &#40;25&#44;1-66&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#44;0 &#40;3&#44;4-23&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">37&#44;5 &#40;17&#44;3-57&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58&#44;3 &#40;37&#44;8-78&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Preval&#234;ncia da exposi&#231;&#227;o ao FAT em diferentes locais&#46; Resultados apresentados em &#37; &#40;intervalos de confian&#231;a 95&#37;&#41;&#46; Exposi&#231;&#227;o no local de trabalho&#44; apenas entre trabalhadores</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col">Perce&#231;&#227;o da exposi&#231;&#227;o em&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Casa</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Trabalho</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Caf&#233;s&#47;Bares</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Restaurantes</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Discotecas</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="11" align="left" valign="top"><span class="elsevierStyleItalic">Global</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Maior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Igual&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">224&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">78&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">84&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">57&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">67&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Menor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">42&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">201&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">75&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">245&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">95&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="11" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="11" align="left" valign="top"><span class="elsevierStyleItalic">Fumadores</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Maior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">N&#46;O&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Igual&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">73&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">54&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">37&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">57&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Menor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">93&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "pt" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Perce&#231;&#227;o da exposi&#231;&#227;o no de 2010 em casa&#44; local de trabalho&#44; caf&#233;s&#47;bares&#44; restaurantes e discotecas em compara&#231;&#227;o com o ano 2007 e em rela&#231;&#227;o ao consumo de tabaco</p>"
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Exposição ao fumo ambiental do tabaco em Chaves depois da implementação da Lei 37/2007. Estudo transversal em 2 centros de saúde
Exposure to environmental tobacco smoke in Chaves after the implementation of the law 37/2007. A cross-sectional study in two healthcare settings
C. Paradelaa,b, M. Pérez-Ríosa,c,d,
Corresponding author
monica.perez.rios@usc.es

Autor para correspondência.
, A. Ruano-Ravinaa,d, J.M. Barros-Diosa,d,e
a Departamento de Medicina Preventiva e Saúde Pública, Universidade de Santiago de Compostela, Espanha
b Cardiopneumologista, Centro de Saúde de Chaves n°1, Chaves, Portugal
c Serviço de Epidemiologia, Departamento de Saúde Pública, Região Autonoma de Saúde da Galiza, Santiago de Compostela, Espanha
d CIBER de Epidemiologia e Saúde Pública, Espanha
e Serviço de Medicina Preventiva, Hospital Universitário de Santiago de Compostela, Serviço de Saúde da Galizia, Santiago de Compostela, Espanha
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Introdu&#231;&#227;o</span><p id="par0005" class="elsevierStylePara elsevierViewall">Em 2006&#44; o relat&#243;rio do Cirurgi&#227;o Geral sobre &#171;As consequ&#234;ncias para a sa&#250;de da exposi&#231;&#227;o involunt&#225;ria ao fumo do tabaco&#187; concluiu que existe uma rela&#231;&#227;o causal entre a exposi&#231;&#227;o de n&#227;o fumadores ao fumo ambiental do tabaco &#40;FAT&#41; e diversas doen&#231;as&#44; como cancro do pulm&#227;o e doen&#231;a coron&#225;ria<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a>&#46; Hoje em dia&#44; a exposi&#231;&#227;o ao FAT &#233; a 3&#46;&#170; causa evit&#225;vel de morte em alguns pa&#237;ses&#44; ap&#243;s o consumo de tabaco e o &#225;lcool<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a>&#46; Em Espanha&#44; L&#243;pez et al&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> estimaram 1 228 &#243;bitos atribu&#237;dos &#224; exposi&#231;&#227;o ao FAT entre n&#227;o fumadores em 2002&#46; No entanto&#44; em v&#225;rios pa&#237;ses&#44; a carga de doen&#231;as relacionadas com a exposi&#231;&#227;o ao FAT continua desconhecida&#44; e at&#233; mesmo a sua preval&#234;ncia&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Em resposta &#224; globaliza&#231;&#227;o do uso do tabaco e em reconhecimento dos seus efeitos nefastos para a sa&#250;de dos fumadores e dos n&#227;o fumadores&#44; a Organiza&#231;&#227;o Mundial da Sa&#250;de &#40;OMS&#41; realizou em Fevereiro de 2006 a primeira sess&#227;o da Conven&#231;&#227;o-Quadro para o Controle do Tabaco&#44; em que foram desenvolvidas diretrizes para a prote&#231;&#227;o contra a exposi&#231;&#227;o ao FAT &#40;artigo 8&#46;&#176;&#41;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a>&#46; A Irlanda foi o primeiro pa&#237;s europeu a implementar restri&#231;&#245;es ao consumo de tabaco&#44; n&#227;o s&#243; em espa&#231;os fechados p&#250;blicos&#44; como em discotecas&#44; bares e restaurantes&#44; mas ainda nos locais de trabalho&#46; Desde ent&#227;o&#44; a legisla&#231;&#227;o que pro&#237;be fumar em espa&#231;os fechados foi aprovada em It&#225;lia&#44; Malta&#44; Noruega&#44; Espanha&#44; Su&#233;cia e Reino Unido&#46; Portugal introduziu&#44; em Janeiro de 2008&#44; uma lei n&#227;o abrangente contra o FAT&#44; a Lei 37&#47;2007 de 14 de agosto<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46; Alguns aspetos&#44; regulados por esta lei&#44; incluem a consciencializa&#231;&#227;o p&#250;blica&#44; educa&#231;&#227;o para a sa&#250;de&#44; a proibi&#231;&#227;o de produtos de tabaco e de publicidade e proibi&#231;&#227;o de venda de tabaco a menores&#46; A lei proibiu o fumo em locais de trabalho e em locais p&#250;blicos fechados&#46; Mas&#44; contra as recomenda&#231;&#245;es da OMS sobre a exist&#234;ncia de lugares &#171;100&#37; livres de fumo&#187;&#44; esta &#171;lei parcial&#187; permite a cria&#231;&#227;o de &#225;reas identificadas para fumadores&#44; principalmente em locais de lazer&#44; separadas por barreiras f&#237;sicas das zonas para n&#227;o fumadores&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">O objetivo deste estudo &#233; avaliar a exposi&#231;&#227;o ao FAT em Chaves &#40;Portugal&#41; ap&#243;s a implementa&#231;&#227;o da lei e avaliar o seu impacto sobre o autorrelato da exposi&#231;&#227;o ao FAT&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Material e m&#233;todos</span><p id="par0020" class="elsevierStylePara elsevierViewall">Foi realizado um estudo transversal sobre o consumo de tabaco e a exposi&#231;&#227;o ao FAT no Concelho de Chaves&#44; entre Novembro de 2009 e Fevereiro de 2010&#46; Chaves &#233; uma cidade localizada no interior norte de Portugal&#44; na fronteira com Espanha&#44; com uma popula&#231;&#227;o de 49&#160;000 habitantes&#44; apresentando apenas 9&#37; uma idade inferior a 15 anos&#44; sendo constitu&#237;da principalmente por trabalhadores agr&#237;colas&#46; A popula&#231;&#227;o de refer&#234;ncia para este estudo foram as pessoas que frequentam as Institui&#231;&#245;es de Cuidados de Sa&#250;de Prim&#225;rios em Chaves &#40;Centro de Sa&#250;de de Chaves n&#46;&#176;1 e n&#46;&#176; 2&#41;&#46; A inclus&#227;o dos pacientes foi consecutiva&#44; e foram selecionados todos os pacientes atendidos pela T&#233;cnica de Cardiopneumologia&#44; com um agendamento pr&#233;vio e em dias diferentes&#44; durante o per&#237;odo de estudo&#46; Durante os dias da semana&#44; os pacientes foram convidados a participar no estudo em ambos os Centros de Sa&#250;de&#46; Foi realizada uma entrevista presencial anterior &#224; sua visita com o m&#233;dico de cl&#237;nica geral&#46; Os crit&#233;rios de inclus&#227;o foram os seguintes&#58; idade superior a 17 anos&#44; sem dem&#234;ncia ou outras patologias que interfiram na realiza&#231;&#227;o de uma entrevista&#46; Foi aplicado um question&#225;rio validado<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> derivado de estudos espanh&#243;is e adaptado ao contexto portugu&#234;s&#46; Os entrevistados foram questionados sobre h&#225;bitos tab&#225;gicos&#44; tipo de tabaco consumido &#40;charutos&#44; cigarros e cachimbos&#41;&#44; depend&#234;ncia de nicotina&#44; processo de mudan&#231;a&#44; reca&#237;das e motiva&#231;&#227;o de cessa&#231;&#227;o tab&#225;gica&#46; Foram&#44; tamb&#233;m&#44; questionados sobre o consumo atual de tabaco &#40;diariamente ou ocasionalmente&#41; ou se eram ex-fumadores ou n&#227;o fumadores&#46; Os fumadores di&#225;rios foram definidos como indiv&#237;duos que fumavam regularmente&#44; ou seja&#44; pelo menos um cigarro por dia&#46; A fim de se verificar os dados fornecidos pelo participante sobre o consumo de tabaco&#44; foi realizada uma medida de mon&#243;xido de carbono &#40;CO&#41; no ar exalado e foi definido um corte de 6<span class="elsevierStyleHsp" style=""></span>ppm para distinguir os fumadores dos n&#227;o fumadores<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46; A exposi&#231;&#227;o ao FAT &#40;local e intensidade da exposi&#231;&#227;o&#41; e a perce&#231;&#227;o do impacto da lei sobre a exposi&#231;&#227;o ao FAT tamb&#233;m foram avaliados&#46; Para avaliar a preval&#234;ncia de exposi&#231;&#227;o ao FAT&#44; foram inclu&#237;das v&#225;rias perguntas sobre o local&#44; a frequ&#234;ncia e tempo de exposi&#231;&#227;o&#46; A preval&#234;ncia de exposi&#231;&#227;o durante a &#250;ltima semana &#40;de segunda a domingo&#41;&#44; foi avaliada pela pergunta &#171;quantas vezes voc&#234; acha que foi exposto ao fumo de tabaco dos fumadores &#40;em n&#227;o fumadores&#41; ou de outros fumadores &#40;em fumadores&#41; em &#40;casa&#47;trabalho&#47;lazer&#41;&#187;&#46; A exposi&#231;&#227;o em casa e no trabalho foi composta por 3 respostas poss&#237;veis&#58; diariamente&#44; &#224;s vezes e nunca&#44; e o tempo de exposi&#231;&#227;o nos locais de lazer inclu&#237;a a op&#231;&#227;o &#171;n&#227;o frequentou&#187;&#46; A exposi&#231;&#227;o foi avaliada atrav&#233;s do n&#250;mero de horas de exposi&#231;&#227;o por dia &#40;diariamente expostos&#41; ou por semana &#40;ocasionalmente expostos&#41;&#46; Para verificar uma mudan&#231;a na exposi&#231;&#227;o ao FAT&#44; como consequ&#234;ncia da lei&#44; foi formulada a seguinte pergunta&#58; <span class="elsevierStyleItalic">em compara&#231;&#227;o a 2007&#44; anteriormente &#224; lei antifumo&#44; hoje em dia a sua exposi&#231;&#227;o ao fumo do tabaco em &#91;casa&#47;trabalho&#47;bares ou caf&#233;s&#47;restaurantes&#47;discotecas&#93; &#233; &#91;superior&#47;semelhante a&#47;menos de&#93; em rela&#231;&#227;o ao per&#237;odo pr&#233;-lei&#63;</span> As op&#231;&#245;es &#171;n&#227;o frequentei&#187; e &#171;n&#227;o estava a trabalhar&#187; foram inclu&#237;das quando as perguntas foram relacionadas com os locais de lazer e trabalho&#44; respetivamente&#46; Foram&#44; tamb&#233;m&#44; recolhidas caracter&#237;sticas demogr&#225;ficas&#44; como sexo&#44; idade&#44; situa&#231;&#227;o de trabalho&#44; estado civil e n&#237;vel educacional&#46; A educa&#231;&#227;o foi classificada em 4 categorias de acordo com o n&#237;vel superior conclu&#237;do pelo participante&#46; N&#237;vel b&#225;sico inclu&#237;do pela popula&#231;&#227;o com menos de 5 anos de educa&#231;&#227;o&#44; um m&#237;nimo prim&#225;rio de 5 e um m&#225;ximo de 9&#44; 12 ou secund&#225;rio&#44; at&#233; pessoas que tinham completado um n&#237;vel profissional e do ensino superior&#44; incluindo diploma universit&#225;rio&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Todos os participantes assinaram o consentimento informado escrito&#46; Este estudo foi aprovado pelo Comit&#233; de &#201;tica da Administra&#231;&#227;o Regional de Sa&#250;de do Norte de Portugal &#40;ARSN&#41;&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">As vari&#225;veis quantitativas e qualitativas foram descritas atrav&#233;s de m&#233;dias ou de preval&#234;ncia e intervalos de confian&#231;a de 95&#37; &#40;IC 95&#37;&#41;&#46; A an&#225;lise bivariada foi realizada e o teste chi-quadrado&#47;teste exato de Fisher e o teste t-student&#47;Manny Whitnay U foram aplicados para comparar grupos onde eram adequados&#46; Para avaliar a correla&#231;&#227;o entre o tabagismo e a concentra&#231;&#227;o de CO&#44; foi aplicado o teste Kappa de Cohen&#46; Para interpretar os resultados&#44; foram utilizados os crit&#233;rios de Landis e Koch<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a>&#46; Os dados foram analisados com o programa Stata&#44; vers&#227;o 10&#46;0&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Resultados</span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Participantes</span><p id="par0035" class="elsevierStylePara elsevierViewall">Foram entrevistados 287 indiv&#237;duos&#58; 141 homens e 146 mulheres&#46; As caracter&#237;sticas demogr&#225;ficas dos participantes est&#227;o expressas na <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#46; Apenas 2&#37; dos entrevistados representavam a popula&#231;&#227;o com menos de 25 anos&#59; a faixa et&#225;ria foi de 19 a 86&#46; A maioria dos reformados era do sexo masculino&#44; e as mulheres tinham um maior n&#237;vel de escolaridade&#46; O trabalho dom&#233;stico foi exclusivo das mulheres&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Preval&#234;ncia de consumo de tabaco</span><p id="par0040" class="elsevierStylePara elsevierViewall">Na popula&#231;&#227;o estudada&#44; verificou-se uma preval&#234;ncia de 23&#44;6&#37; &#40;IC 95&#37; 18&#44;6-28&#44;6&#41; de fumadores&#44; 27&#44;8&#37; &#40;IC 95&#37; 22&#44;6-30&#44;1&#41; de ex-fumadores e 48&#44;6&#37; &#40;IC 95&#37; 42&#44;7-54&#44;4&#41; de n&#227;o fumadores&#46; A preval&#234;ncia de fumadores foi quase 2 vezes superior no sexo masculino em compara&#231;&#227;o com o sexo feminino &#40;31 vs&#46; 17&#37;&#41; e a percentagem de n&#227;o fumadores do sexo feminino foi o dobro do que nos homens &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Houve uma forte associa&#231;&#227;o entre os dados fornecidos pelo participante sobre o consumo de tabaco e as medidas de CO &#40;k<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;89&#44; 95&#37; IC 0&#44;83-0&#44;95&#41;&#46; Apenas 5 fumadores&#44; de 216&#44; tinham uma concentra&#231;&#227;o de CO menor de 6<span class="elsevierStyleHsp" style=""></span>ppm e 6&#44; dos 68 n&#227;o fumadores ou ex-fumadores&#44; tiveram acima de 6<span class="elsevierStyleHsp" style=""></span>ppm&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Preval&#234;ncia de exposi&#231;&#227;o ao fumo ambiental do tabaco</span><p id="par0050" class="elsevierStylePara elsevierViewall">Os resultados indicam que 46&#44;2&#37; &#40;IC 95&#37; 40&#44;3-51&#44;9&#41; da popula&#231;&#227;o foram expostos ao FAT&#44; e a preval&#234;ncia da exposi&#231;&#227;o foi maior nos locais de lazer &#40;como bares&#44; <span class="elsevierStyleItalic">pubs</span> e discotecas&#41;&#46; Os homens declararam uma maior exposi&#231;&#227;o do que as mulheres &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;026&#41; e os fumadores relataram maior exposi&#231;&#227;o passiva em rela&#231;&#227;o aos n&#227;o-fumadores &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#41;&#46; A preval&#234;ncia da exposi&#231;&#227;o diminui com a idade&#44; a maior exposi&#231;&#227;o verificou-se no grupo et&#225;rio entre os 18-44 anos&#44; que declarou estar mais exposta &#40;p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;005&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">A preval&#234;ncia de exposi&#231;&#227;o passiva no domic&#237;lio foi 3 vezes maior nas mulheres do que nos homens &#40;24 vs&#46; 8&#44;5&#37;&#41;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#46; Os participantes declararam estar expostos em casa em m&#233;dia de 20&#160;h por semana &#40;IC 95&#37; 16&#44;0-24&#44;1&#41;&#44; sem diferen&#231;as significativas em ambos os sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;45&#41;&#46;</p><p id="par0060" class="elsevierStylePara elsevierViewall">Tendo em conta que&#44; no m&#234;s anterior &#224; entrevista&#44; 79 participantes &#40;principalmente mulheres e popula&#231;&#227;o com mais de 64 anos&#41; n&#227;o frequentaram lugares de lazer&#44; a preval&#234;ncia de exposi&#231;&#227;o ao FAT entre os homens foi maior do que entre as mulheres &#40;46&#44;1 vs&#46; 19&#44;9&#41;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#46; O tempo m&#233;dio de exposi&#231;&#227;o nos tempos de lazer foi de 6&#44;5&#160;h &#40;IC 95&#37; 3&#44;5-9&#44;5&#41; por semana&#44; sem diferen&#231;as significativas entre sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;274&#41;&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Na popula&#231;&#227;o ativa&#44; a preval&#234;ncia de exposi&#231;&#227;o no local de trabalho era de 14&#44;1&#37; &#40;IC 95&#37; 8&#44;3-19&#44;9&#41;&#44; sem diferen&#231;as significativas entre sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;536&#41; ou em rela&#231;&#227;o ao consumo de tabaco &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;940&#41;&#46; Os trabalhadores declararam estar expostos em m&#233;dia 22&#44;1&#160;h &#40;IC 95&#37; 8&#44;2-36&#44;0&#41;&#44; sem diferen&#231;as entre sexos &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;114&#41;&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Compara&#231;&#227;o com o per&#237;odo pr&#233;-lei</span><p id="par0070" class="elsevierStylePara elsevierViewall">Setenta e nove por cento dos participantes afirmaram que n&#227;o ocorrera qualquer altera&#231;&#227;o na exposi&#231;&#227;o percebida no seu domic&#237;lio&#44; comparando com o per&#237;odo pr&#233;-lei&#46; Cerca de 4 em cada 10 trabalhadores ou estudantes verificaram uma diminui&#231;&#227;o na exposi&#231;&#227;o ao fumo no local de trabalho ou na escola&#46; Os restantes 6&#47;10 declararam n&#227;o haver nenhuma modifica&#231;&#227;o&#46; O maior impacto percecionado da implementa&#231;&#227;o da lei foi relatado em rela&#231;&#227;o aos restaurantes e caf&#233;s&#47;bares&#44; mas manteve-se inalterado nas casas noturnas &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discuss&#227;o</span><p id="par0075" class="elsevierStylePara elsevierViewall">Em Chaves&#44; 2 anos ap&#243;s a implementa&#231;&#227;o da Lei de Controlo do Tabaco&#44; quase 50&#37; dos adultos que frequentam os cuidados de sa&#250;de prim&#225;rios declararam estar ainda expostos ao FAT&#44; principalmente nos lugares de lazer&#46; Em lugares onde a lei proibiu o consumo de tabaco percecionou-se que a exposi&#231;&#227;o ao FAT diminuiu em compara&#231;&#227;o com o per&#237;odo pr&#233;-lei&#44; mas esta diminui&#231;&#227;o foi apenas significativa nos restaurantes&#46; A exposi&#231;&#227;o percebida no trabalho continua a estar inalterada&#44; assim como a exposi&#231;&#227;o em casas noturnas&#46; Estes dados confirmam a necessidade de uma lei mais abrangente&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Como noutros estudos<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#8211;12</span></a>&#44; os nossos resultados mostram que a idade &#233; principal determinante da autoperce&#231;&#227;o de exposi&#231;&#227;o ao FAT com uma associa&#231;&#227;o inversa em homens e mulheres&#46; Mas&#44; este facto&#44; n&#227;o estava presente quando se definiu o contexto de exposi&#231;&#227;o&#46; Assim&#44; entre as mulheres&#44; a exposi&#231;&#227;o em casa manteve-se inalterada&#44; apesar da idade e de essa associa&#231;&#227;o s&#243; aparecer em lugares p&#250;blicos&#46; Tal como se verifica noutros estudos&#44; os fumadores em Chaves declararam estar mais expostos ao FAT em compara&#231;&#227;o com os n&#227;o fumadores<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a>&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">No presente estudo&#44; 14&#37; dos trabalhadores relataram estar expostos ao fumo no local de trabalho&#46; Esta &#233; uma percentagem baixa&#44; provavelmente devido &#224; elevada percentagem de trabalhadores agr&#237;colas&#46; A percentagem de trabalhadores diferenciados &#233; menor do que na &#225;rea urbana&#44; e essa preval&#234;ncia &#233; condicionada por este facto&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Em compara&#231;&#227;o com o per&#237;odo de pr&#233;-lei&#44; a exposi&#231;&#227;o percebida em casa n&#227;o se alterou&#46; Os dados relativos &#224; exposi&#231;&#227;o em casa s&#227;o compar&#225;veis com estudos anteriores<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#44;14</span></a>&#46; Al&#233;m disso&#44; 2 estudos<a class="elsevierStyleCrossRefs" href="#bib0075"><span class="elsevierStyleSup">15&#44;16</span></a>&#44; tamb&#233;m realizados em Portugal&#44; evidenciam que a percentagem de fumadores que fumam em casa n&#227;o mudou significativamente antes e depois da lei&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">Em caf&#233;s e bares a redu&#231;&#227;o percebida de exposi&#231;&#227;o ao FAT ap&#243;s a aplica&#231;&#227;o da lei foi de 75&#37;&#46; Reis et al&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">17</span></a> demonstraram que quase 40&#37; dos caf&#233;s proibiram totalmente o consumo de tabaco dentro do estabelecimento&#44; e&#44; no Porto&#44; Precioso et al&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">18</span></a> estimaram que a percentagem de caf&#233;s que proibiram fumar dentro do estabelecimento foi cerca de 75&#37;&#46; Em Portugal&#44; a maioria dos restaurantes decidiu proibir fumar dentro do mesmo&#44; tendo a maior ades&#227;o sido verificada em restaurantes com mais de cem metros quadrados&#46; No entanto&#44; um estudo recente realizado em v&#225;rios restaurantes em Lisboa mostrou que&#44; nesses locais&#44; os n&#237;veis de polui&#231;&#227;o interior devida ao FAT s&#227;o altos<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">19</span></a>&#46; No nosso estudo&#44; 95&#37; dos pacientes relataram uma menor exposi&#231;&#227;o passiva nessas instala&#231;&#245;es&#46; Como em Chaves&#44; em Braga tamb&#233;m foi encontrada uma menor ades&#227;o &#224; lei em clubes noturnos<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a>&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">Neste estudo&#44; a preval&#234;ncia de fumadores &#40;23&#44;6&#37;&#41; foi semelhante &#224; obtida no Inqu&#233;rito Nacional de Sa&#250;de &#40;20&#44;8&#37;&#41; e no Eurobar&#243;metro &#40;24&#37;&#41;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a>&#46; No entanto&#44; em Chaves&#44; comparativamente aos dados da popula&#231;&#227;o portuguesa&#44; em geral&#44; a percentagem de ex-fumadores &#233; superior&#44; 27&#44;8 vs&#46; 12&#37;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">21</span></a>&#46; &#201; prov&#225;vel que este grupo percentual de ex-fumadores esteja relacionado com o local do estudo&#44; uma vez que os ex-fumadores recorrem com mais frequ&#234;ncia a unidades de sa&#250;de&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Uma limita&#231;&#227;o do nosso estudo foi a sua realiza&#231;&#227;o numa popula&#231;&#227;o que recorre aos cuidados de sa&#250;de prim&#225;rios&#44; em ambiente cl&#237;nico&#46; A sub-representa&#231;&#227;o de jovens &#233; explicada pelo facto de o recrutamento ter sido feito numa instala&#231;&#227;o de sa&#250;de&#46; A popula&#231;&#227;o em geral que frequenta as unidades de sa&#250;de &#233; mais idosa&#44; tornando mais f&#225;cil conseguir um n&#250;mero representativo dessa faixa et&#225;ria&#46; &#201; prov&#225;vel que a preval&#234;ncia de exposi&#231;&#227;o ao FAT esteja subestimada&#44; porque as pessoas jovens neste estudo apenas s&#227;o 3&#37; da popula&#231;&#227;o&#44; enquanto em Chaves eles representam 13&#37; e s&#227;o o grupo que declararam maior exposi&#231;&#227;o ao FAT neste e em outros estudos<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#44;10</span></a>&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Pode estar presente um poss&#237;vel desequil&#237;brio de sele&#231;&#227;o&#44; pois este estudo foi limitado a volunt&#225;rios selecionados de pacientes que frequentam um centro de sa&#250;de num determinado momento&#46; Esse desequil&#237;brio pode adulterar os resultados&#44; pois o consumo de tabaco e a exposi&#231;&#227;o ao FAT s&#227;o casualmente associados a diversas patologias&#44; aumentado a probabilidade de recorrer &#224;s unidades de sa&#250;de&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Um problema que pode ocorrer quando se comparam per&#237;odos de pr&#233; e p&#243;s-lei &#233; a poss&#237;vel falha de mem&#243;ria&#46; Mas n&#227;o &#233; poss&#237;vel avaliar o verdadeiro impacto&#44; uma vez que n&#227;o existem estudos sobre a exposi&#231;&#227;o ao FAT&#46; Al&#233;m disso&#44; o tamanho da amostra n&#227;o garante poder estat&#237;stico para realizar a an&#225;lise espec&#237;fica&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Apesar das suas limita&#231;&#245;es<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">22</span></a>&#44; os dados fornecidos pelo pr&#243;prio paciente foi o m&#233;todo utilizado para avaliar a exposi&#231;&#227;o ao FAT e consumo de tabaco&#46; Em rela&#231;&#227;o &#224; exposi&#231;&#227;o ao FAT&#44; foi aplicado um question&#225;rio validado&#44; proveniente de outros estudos espanh&#243;is&#44; e foi adaptado ao contexto portugu&#234;s&#46; Mas&#44; devido &#224; falta de consenso sobre como essa exposi&#231;&#227;o deve ser quantificada&#44; a compara&#231;&#227;o com outros estudos deve ser feita com cautela&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">No entanto&#44; este estudo tem tamb&#233;m algumas vantagens&#46; &#201; a primeira avalia&#231;&#227;o da exposi&#231;&#227;o ao FAT ap&#243;s a aplica&#231;&#227;o da lei do tabaco num contexto em geral&#46; Recolhemos informa&#231;&#245;es completas em diferentes lugares onde a exposi&#231;&#227;o pode ocorrer&#46; Este facto permite-nos ter uma imagem bastante clara da exposi&#231;&#227;o ao FAT ap&#243;s a promulga&#231;&#227;o da lei&#46; Devido &#224; implementa&#231;&#227;o de uma legisla&#231;&#227;o de controlo de tabaco&#44; os perfis de exposi&#231;&#227;o podem mudar&#44; e &#233; essencial identificar os diversos cen&#225;rios onde ocorre a exposi&#231;&#227;o ao FAT para avaliar com maior precis&#227;o o impacto da lei ao longo do tempo&#46;</p><p id="par0130" class="elsevierStylePara elsevierViewall">Finalmente&#44; o facto de ter sido avaliado o CO e o valor obtido ter uma alta correla&#231;&#227;o com o consumo de tabaco confirmado pelo participante significa que o erro de classificar o h&#225;bito tab&#225;gico &#233; provavelmente insignificante&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Conclus&#245;es</span><p id="par0135" class="elsevierStylePara elsevierViewall">Apesar de este trabalho ter sido desenvolvido apenas num contexto regional&#44; as suas conclus&#245;es&#44; especialmente aquelas referentes &#224; exposi&#231;&#227;o passiva em locais p&#250;blicos&#44; pode contribuir como um elemento de avalia&#231;&#227;o do impacto da implementa&#231;&#227;o da lei portuguesa&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">Ap&#243;s a aplica&#231;&#227;o da lei que pro&#237;be fumar em Portugal&#44; a exposi&#231;&#227;o ao FAT ainda &#233; elevada&#44; com grandes diferen&#231;as entre locais de exposi&#231;&#227;o&#44; continuando a ser elevada nas discotecas&#46;</p><p id="par0145" class="elsevierStylePara elsevierViewall">Existem&#44; tamb&#233;m&#44; diferen&#231;as substanciais na exposi&#231;&#227;o consoante a idade e sexo&#44; com a popula&#231;&#227;o mais jovem a continuar muito exposta&#46; A popula&#231;&#227;o percecionou uma redu&#231;&#227;o da exposi&#231;&#227;o ao FAT ap&#243;s a promulga&#231;&#227;o da lei&#44; mas mais de 5 em cada 10 participantes perceberam que em lugares como o local de trabalho ou as discotecas as exposi&#231;&#227;o permanece inalterada&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">O ECOS Infotabaco<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">20</span></a> e outros diferentes estudos desenvolvidos em Portugal<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">23&#44;24</span></a> mostraram que a maioria da popula&#231;&#227;o portuguesa tem uma opini&#227;o favor&#225;vel sobre os locais livres de fumo&#46; Tendo em considera&#231;&#227;o estas informa&#231;&#245;es relevantes e os resultados deste estudo&#44; &#233; vi&#225;vel uma estrat&#233;gia global destinada a melhorar a prote&#231;&#227;o da popula&#231;&#227;o contra a exposi&#231;&#227;o ao FAT&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Responsabilidades &#233;ticas</span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Prote&#231;&#227;o de pessoas e animais</span><p id="par0155" class="elsevierStylePara elsevierViewall">Os autores declaram que para esta investiga&#231;&#227;o n&#227;o se realizaram experi&#234;ncias em seres humanos e&#47;ou animais&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Confidencialidade dos dados</span><p id="par0160" class="elsevierStylePara elsevierViewall">Os autores declaram que n&#227;o aparecem dados de pacientes neste artigo&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Direito &#224; privacidade e consentimento escrito</span><p id="par0165" class="elsevierStylePara elsevierViewall">Os autores declaram que n&#227;o aparecem dados de pacientes neste artigo&#46;</p></span></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Conflito de interesses</span><p id="par0170" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflito de interesses&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introdu&#231;&#227;o</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O fumo ambiental do tabaco &#40;FAT&#41; &#233; atualmente o principal poluente do meio interior e respons&#225;vel por uma elevada morbilidade e mortalidade&#46; Uma restri&#231;&#227;o parcial foi introduzida em Portugal&#44; em 2008&#44; a Lei 37&#47;2007&#44; para tentar controlar&#44; definir e regular ambientes livres de fumo&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objetivo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Avaliar a exposi&#231;&#227;o e a perce&#231;&#227;o do impacto da Lei 37&#47;2007 sobre a exposi&#231;&#227;o ao FAT em adultos atendidos em 2 centros de sa&#250;de em Chaves &#40;Portugal&#41;&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">M&#233;todo</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Um estudo transversal sobre o consumo de tabaco e a exposi&#231;&#227;o ao FAT foi realizado em Chaves &#40;norte de Portugal&#41; entre novembro de 2009 e fevereiro de 2010&#46; Todos os pacientes&#44; com mais de 17 anos&#44; atendidos em qualquer dos 2 Centros de Sa&#250;de de Chaves&#46; A recolha de dados dos pacientes foi feita em uma base aleat&#243;ria&#44; abrangendo todos os dias da semana&#46; Foi efetuada uma entrevista cara-a-cara e foi medido o mon&#243;xido de carbono exalado&#46; Preval&#234;ncias e m&#233;dias foram analisadas para um intervalo de confian&#231;a de 95&#37;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Resultados</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Dos centos oitenta e sete pacientes participantes na pesquisa&#44; 56&#37; eram do sexo masculino e apresentavam uma m&#233;dia de idades de 54 anos&#46; A preval&#234;ncia de fumadores foi de 24&#37;&#44; significativamente maior nos homens &#40;31 vs&#46; 17&#37;&#41;&#46; 46&#44;2&#37; referiram estar expostos ao fumo de tabaco em todos os lugares estudados &#40;53&#37; nos homens vs&#46; 40&#37; nas mulheres&#41;&#46; Os fumadores declararam estar mais expostos ao FAT em rela&#231;&#227;o aos n&#227;o fumadores&#46; 16&#44;2&#37; da popula&#231;&#227;o estavam expostos em casa&#44; 14&#37; no trabalho e 33&#37; nos lugares de lazer&#46; A maior diminui&#231;&#227;o da perce&#231;&#227;o de exposi&#231;&#227;o passiva encontrou-se nos restaurantes &#40;95&#37;&#41;&#46; Nas discotecas&#44; 68&#37; dos participantes afirmaram que a exposi&#231;&#227;o se manteve inalterada&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclus&#227;o</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A lei antitabaco pretende oferecer prote&#231;&#227;o contra o fumo do tabaco em v&#225;rios espa&#231;os p&#250;blicos fechados&#46; No entanto&#44; uma percentagem significativa da popula&#231;&#227;o permanece exposta&#46; Este estudo destaca os perigos de uma proibi&#231;&#227;o parcial&#46; Uma lei abrangente &#233;&#44; portanto&#44; necess&#225;ria em Portugal&#46;</p></span>"
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        "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Environmental tobacco smoke &#40;ETS&#41; is currently the main indoor pollutant and causes a high morbility and mortality&#46; A partial restriction came into force in Portugal&#44; in 2008&#44; law 37&#47;2007&#44; trying to control&#44; define and regulate smoke-free environments&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To assess exposure and perceived impact of the law 37&#47;2007 on exposure to ETS among adults attending to the two health care facilities of Chaves &#40;Portugal&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Method</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional survey on tobacco consumption and exposure to ETS was undertaken in Chaves &#40;Northern Portugal&#41; between November 2009 and February 2010&#46; All the patients&#44; over 17&#44; attending to any of the Chaves Primary Care Facilities were interviewed&#46; Patient enrolment was done on a rolling basis covering all days of the week&#46; A face to face interview was carried out and a carbon monoxide was measured&#46; Prevalence and means are shown with 95&#37; confidence intervals&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">287 patients participated in the survey&#44; 56&#37; were males and the mean age was 54 years&#46; Smoking prevalence was 23&#44;6&#37;&#44; significantly higher in males &#40;31&#37; vs 17&#37;&#41;&#46; 46&#44;2&#37; reported exposure tobacco smoke elsewhere &#40;53&#37; in males vs&#46; 40&#37; in females&#41;&#46; Smokers declared to be more exposed to ETS than non-smokers&#46; 16&#46;2&#37; of the population declared to be exposed at home&#44; 14&#37; at work and 33&#37; at leisure places&#46; The highest decrease in perception of passive exposure was found for restaurants &#40;95&#37;&#41;&#46; In nightclubs 68&#37; of the participants stated that exposure has remained unchanged&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">The tobacco control law offered protection against tobacco smoke in several closed public spaces&#46; However&#44; a significant proportion of the population remains exposed&#46; This study highlights the ineffectiveness of a partial ban&#46; A comprehensive law is&#44; therefore&#44; required in Portugal&#46;</p></span>"
        "secciones" => array:5 [
          0 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "Introduction"
          ]
          1 => array:2 [
            "identificador" => "abst0035"
            "titulo" => "Objective"
          ]
          2 => array:2 [
            "identificador" => "abst0040"
            "titulo" => "Method"
          ]
          3 => array:2 [
            "identificador" => "abst0045"
            "titulo" => "Results"
          ]
          4 => array:2 [
            "identificador" => "abst0050"
            "titulo" => "Conclusion"
          ]
        ]
      ]
    ]
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Homens&#58; &#37; &#40;95&#37; Cl&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Mulheres&#58; &#37; &#40;95&#37; Cl&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">P&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">M&#233;dia de idades &#40;anos&#41;</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">55&#44;7 &#40;53&#44;1-58&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">51&#44;8 &#40;49&#44;4-54&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;028&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Grupo Idades</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>18-24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;8 &#40;0&#44;1-5&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;1 &#40;0-4&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>25-44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&#44;1 &#40;17&#44;0-31&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">30&#44;1 &#40;22&#44;6-37&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>45-64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&#44;7 &#40;31&#44;6-47&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">47&#44;9 &#40;39&#44;8-56&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#62;&#160;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">33&#44;3 &#40;25&#44;5-41&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&#44;9 &#40;13&#44;3-26&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">N&#237;vel de Estudos</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;012&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Prim&#225;rios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">48&#44;2 &#40;39&#44;9-56&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&#44;6 &#40;38&#44;4-54&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Educa&#231;&#227;o b&#225;sica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">28&#44;4 &#40;20&#44;9-35&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;4 &#40;10&#44;4-22&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Educa&#231;&#227;o secund&#225;ria&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&#44;2 &#40;14&#44;5-27&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Estudo superiores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">6&#44;4 &#40;2&#44;3-10&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;8 &#40;9&#44;8-21&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Situa&#231;&#227;o laboral</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#160;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Trabalhador ativo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">47&#44;5 &#40;39&#44;2-55&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">47&#44;9 &#40;39&#44;7-56&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Desempregado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#44;5 &#40;3&#44;89-13&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;7 &#40;0&#44;1-5&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Dom&#233;stica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22 &#40;15&#44;1-28&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Reformado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">41&#44;1 &#40;32&#44;9-49&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24 &#40;17&#44;0-31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Estudantes&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;8 &#40;0&#44;1-0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#44;4 &#40;0&#44;4-0&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Estado civil</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;194&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Casados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">82&#44;2 &#40;75&#44;9-88&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">76&#44;0 &#40;69&#44;0-83&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o casados&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&#44;7 &#40;11&#44;4-24&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&#44;0 &#40;17&#44;0-31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="4" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Tabagismo</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">&#60;&#160;0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Fumadores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">30&#44;7 &#40;23&#44;0-38&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;7 &#40;10&#44;5-22&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Ex-fumadores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">40&#44;0 &#40;31&#44;8-48&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;0 &#40;9&#44;9-22&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>N&#227;o fumadores&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">29&#44;3 &#40;21&#44;7-36&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">67&#44;4 &#40;59&#44;6-75&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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        "descripcion" => array:1 [
          "pt" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Caracter&#237;sticas socio-demogr&#225;ficas dos participantes e consumo tab&#225;gico por sexo</p>"
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        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
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        "tabla" => array:2 [
          "leyenda" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">N&#46;O&#46;&#58; Nenhuma observa&#231;&#227;o&#46;</p>"
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Casa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Trabalho&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Lugares p&#250;blicos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Casa&#44; trabalho&#44; lugares p&#250;blicos&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;1 &#40;8&#44;3-19&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&#44;7 &#40;27&#44;3-38&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&#44;2 &#40;40&#44;3-51&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Homens</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#44;5 &#40;3&#44;3-13&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;9 &#40;7&#44;2-24&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&#44;1 &#40;37&#44;3-54&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">52&#44;9 &#40;44&#44;5-61&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>18-44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#44;3 &#40;2&#44;9-12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&#44;3 &#40;4&#44;8-32&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">73&#44;7 &#40;59&#44;4-87&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">73&#44;9 &#40;65&#44;7-92&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>45-64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#44;9 &#40;1&#44;3-16&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;3 &#40;2&#44;3-26&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">48&#44;2 &#40;34&#44;9-61&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">52&#44;7 &#40;39&#44;3-66&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;&#160;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#44;6 &#40;1&#44;7-19&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">21&#44;3&#40;9&#44;3-33&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">31&#44;9 &#40;18&#44;3-45&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Mulheres</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&#44;0 &#40;17&#44;0-31&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#44;3 &#40;4&#44;7-19&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&#44;9 &#40;13&#44;3-26&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&#44;7 &#40;31&#44;7-47&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>18-44&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&#44;4 &#40;11&#44;1-35&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&#44;5 &#40;9&#44;2-35&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">46&#44;8 &#40;32&#44;3-61&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">61&#44;7 &#40;47&#44;5-78&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>45-64&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">25&#44;7 &#40;15&#44;3-36&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">N&#46;O&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">10&#44;0 &#40;2&#44;9-17&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">32&#44;9 &#40;21&#44;7-44&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8805;&#160;65&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&#44;7 &#40;5&#44;6-35&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">N&#46;O&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">N&#46;O&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&#44;7 &#40;5&#44;6-35&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">N&#227;o fumadores</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">12&#44;9 &#40;3&#44;4-17&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&#44;9 &#40;3&#44;4-24&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">27&#44;2 &#40;21&#44;2-33&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&#44;6 &#40;33&#44;1-46&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleItalic">Homens</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&#44;2 &#40;0&#44;7-9&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&#44;6 &#40;4&#44;7-26&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">40&#44;2 &#40;30&#44;3-50&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">44&#44;3 &#40;34&#44;3-54&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Mulheres&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&#44;2 &#40;12&#44;1-26&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">13&#44;5 &#40;3&#44;9-22&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;7 &#40;9&#44;9-23&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">35&#44;8 &#40;27&#44;2-44&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="5" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleItalic">Fumadores</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">26&#44;9 &#40;16&#44;1-37&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">14&#44;4 &#40;7&#44;3-21&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&#44;7 &#40;38&#44;6-62&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">67&#44;0 &#40;55&#44;2-78&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Homens&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;3 &#40;4&#44;9-27&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&#44;4 &#40;1&#44;1-33&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Mulheres&nbsp;\t\t\t\t\t\t\n
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          "pt" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Preval&#234;ncia da exposi&#231;&#227;o ao FAT em diferentes locais&#46; Resultados apresentados em &#37; &#40;intervalos de confian&#231;a 95&#37;&#41;&#46; Exposi&#231;&#227;o no local de trabalho&#44; apenas entre trabalhadores</p>"
        ]
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                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry  " colspan="11" align="left" valign="top"><span class="elsevierStyleItalic">Global</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Maior&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Igual&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">224&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">78&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">84&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">57&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">22&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">50&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">67&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Menor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">53&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">18&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">62&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">42&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">201&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">75&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">245&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">95&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="11" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="11" align="left" valign="top"><span class="elsevierStyleItalic">Fumadores</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Maior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">N&#46;O&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">11&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Igual&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">49&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">73&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">24&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">54&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">25&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">37&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">57&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Menor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">23&#44;9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">45&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">39&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">93&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">30&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="11" align="left" valign="top"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="11" align="left" valign="top"><span class="elsevierStyleItalic">N&#227;o fumadores</span></td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Maior&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">2&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">1&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">0&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">N&#46;O&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">8&#44;5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Igual&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">173&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">80&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">59&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">58&#44;4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">17&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">3&#44;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">34&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">72&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>Menor&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">36&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">16&#44;8&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">41&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">40&#44;6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">160&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">81&#44;2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">183&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">96&#44;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="char" valign="top">19&#44;1&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Perce&#231;&#227;o da exposi&#231;&#227;o no de 2010 em casa&#44; local de trabalho&#44; caf&#233;s&#47;bares&#44; restaurantes e discotecas em compara&#231;&#227;o com o ano 2007 e em rela&#231;&#227;o ao consumo de tabaco</p>"
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      "titulo" => "Bibliografia"
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        0 => array:2 [
          "identificador" => "bibs0005"
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            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "WHO Report on the Global Tobacco Epidemic&#44; 2008&#58;The MPOWER package&#46; Geneva&#59; 2008&#46;"
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              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Passive smoking and heart disease&#46; Epidemiology&#44; physiology&#44; and biochemistry"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;A&#46; Glantz"
                            1 => "W&#46;W&#46; Parmley"
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                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Circulation"
                        "fecha" => "1991"
                        "volumen" => "83"
                        "paginaInicial" => "1"
                        "paginaFinal" => "12"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1984876"
                            "web" => "Medline"
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                        "itemHostRev" => array:3 [
                          "pii" => "S0168827808000421"
                          "estado" => "S300"
                          "issn" => "01688278"
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              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mortality attributable to passive smoking in Spain&#44; 2002"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46;J&#46; L&#243;pez"
                            1 => "M&#46; P&#233;rez-R&#237;os"
                            2 => "A&#46; Schiaffino"
                            3 => "M&#46; Nebot"
                            4 => "A&#46; Montes"
                            5 => "C&#46; Ariza"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/tc.2006.019679"
                      "Revista" => array:6 [
                        "tituloSerie" => "Tob Control"
                        "fecha" => "2007"
                        "volumen" => "16"
                        "paginaInicial" => "373"
                        "paginaFinal" => "377"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18048612"
                            "web" => "Medline"
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              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "WHO&#46; WHO Framework Convention on Tobacco Control&#44; Geneva&#46; &#91;consultado 26 Oct 2012&#93;&#46; Disponible en&#58;<a href="http://whqlibdoc.who.int/publications/2003/9241591013.pdf">http&#58;&#47;&#47;whqlibdoc&#46;who&#46;int&#47;publications&#47;2003&#47;9241591013&#46;pdf</a>&#46; 2003&#46;"
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              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fumo ambiental e sa&#250;de"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "J&#46;M&#46; Calheiros"
                          ]
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                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Rev Port Clin Geral"
                        "fecha" => "2006"
                        "volumen" => "22"
                        "paginaInicial" => "245"
                        "paginaFinal" => "253"
                      ]
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                  ]
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              "etiqueta" => "6"
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                0 => array:1 [
                  "referenciaCompleta" => "Di&#225;rio da Rep&#250;blica&#44; 1<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleSup">a</span> serie &#8211; n&#46;&#176;156&#46; Lei n&#46;&#176; 37&#47;2007&#46;"
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              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exposure to second-hand smoke&#58; A population-based survey in Spain"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; P&#233;rez-R&#237;os"
                            1 => "M&#46;I&#46; Santiago-P&#233;rez"
                            2 => "B&#46; Alonso"
                            3 => "A&#46; Malvar"
                            4 => "X&#46; Hervada"
                          ]
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                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1183/09031936.00158006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2007"
                        "volumen" => "29"
                        "paginaInicial" => "818"
                        "paginaFinal" => "819"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17400884"
                            "web" => "Medline"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Breath carbon monoxide as an indication of smoking habit"
                      "autores" => array:1 [
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                          "autores" => array:2 [
                            0 => "E&#46;T&#46; Middleton"
                            1 => "A&#46;H&#46; Morice"
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                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2000"
                        "volumen" => "117"
                        "paginaInicial" => "758"
                        "paginaFinal" => "763"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10713003"
                            "web" => "Medline"
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ISSN: 08732159
Original language: Portuguese
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Pulmonology

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