Artigo Original/Original Article
Asma e a nova lei do tabaco. O que mudou?
Asthma and the new anti-smoking legislation. What has changed?
Ágata Areias1, João Duarte1, Joana Figueiredo1, Rita Lucas1, Inês Matos1, João Pires1, Ana Glória Fonseca2, José Luís Castanheira3
1 Aluno do 6.º ano do Mestrado Integrado em Medicina, Departamento de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa / 6th year medical students, Public Health Department, Faculty of Medical Sciences, New University of Lisbon.
2 Docente convidada do Departamento Universitário de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa / Guest Professor of University Department of Public Health, Faculty of Medical Sciences, New University of Lisbon
3 Coordenador do Departamento Universitário de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa / Coordinator of the University Department of Public Health, Faculty of Medical Sciences, New University of Lisbon
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"etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Docente convidada do Departamento Universitário de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa / Guest Professor of University Department of Public Health, Faculty of Medical Sciences, New University of Lisbon" "etiqueta" => "2" "identificador" => "af0010" ] 2 => array:3 [ "entidad" => "Coordenador do Departamento Universitário de Saúde Pública, Faculdade de Ciências Médicas, Universidade Nova de Lisboa / Coordinator of the University Department of Public Health, Faculty of Medical Sciences, New University of Lisbon" "etiqueta" => "3" "identificador" => "af0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Asthma and the new anti-smoking legislation. What has changed?" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-05-08" "fechaAceptado" => "2008-09-12" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chave" "identificador" => "xpalclavsec570514" "palabras" => array:6 [ 0 => "Asma" 1 => "tabaco" 2 => "exposição" 3 => "fumo" 4 => "fumo passivo" 5 => "lei" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec570515" "palabras" => array:6 [ 0 => "Asthma" 1 => "tobacco" 2 => "exposure" 3 => "smoke" 4 => "second-hand smoke" 5 => "legislation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">Em Janeiro 2008, foi implementada, em Portugal, uma nova medida legislativa que condiciona o consumo de tabaco em espaços colectivos fechados. Como a exposição passiva ao fumo do tabaco provoca a exacerbação dos sintomas de asma, tornou-se pertinente conhecer a percepção dos doentes asmáticos sobre as repercussões desta nova lei no seu bem-estar.</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall">Foi realizado um estudo descritivo transversal, numa amostra de conveniência, constituída por 96 doentes asmáticos da consulta de Pneumologia do Hospital Pulido Valente e do Hospital de Santa Marta, de Lisboa. Os dados foram recolhidos a partir de um questionário padronizado com respostas voluntárias, anónimas e confidenciais. Para tratamento estatístico recorreu-se ao programa Epi Info<span class="elsevierStyleSup">TM</span> e foi aplicado o teste qui-quadrado para análise dos resultados (α<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>5%).</p><p id="sp0040" class="elsevierStyleSimplePara elsevierViewall">Dos doentes inquiridos, a percentagem dos que estiveram expostos a fumo de tabaco até Dezembro 2007 foi de 67,7%, com maior prevalência no grupo de indivíduos activos. Apesar de a maioria dos inquiridos não referir alterações no seu bem-estar, 39,6% referiu alterações positivas (melhoria na realização de actividades diárias, diminuição dos sintomas ou menor necessidade de recorrer a medicação SOS). Destes indivíduos, que indicaram alterações positivas, 81,6% deixaram de estar expostos após entrada da nova lei e 65,8% indicaram-na como factor responsável.</p><p id="sp0045" class="elsevierStyleSimplePara elsevierViewall">Os resultados deste estudo, apenas dois meses após a implementação legal, reforçam a importância da aplicação de medidas legais eficazes que evitem a exposição ao fumo de tabaco, como forma de redução da exacerbação dos sintomas e de melhoria do bem-estar dos doentes asmáticos.</p><p id="sp0050" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (1): 27-42</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">January 2008 saw new legislation implanted in Portugal restricting smoking in closed public spaces. As second-hand smoke worsens asthma symptoms, it is important to understand how asthma patients feel this new legislation impacts on their well-being.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">A descriptive cross-sectional study was conducted in a convenience sample formed of 96 asthma patients who had Pulmonology appointments at the Pulido Valente and Santa Marta Hospitals. All data was collected from a standardised questionnaire with volunteer, anonymous and confidential answers. Epi Info<span class="elsevierStyleSup">TM</span> software was used for statistical processing purposes, and the results analysed using the chi-squared test (α<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>5%).</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">67.7% of the patients polled were exposed to second-hand smoke until December 2007, with a higher percentage in those currently in work. A considerable percentage (39.6%) described positive changes (measured by improved performance of daily life activities, decrease in symptoms or lesser recourse to SOS medication), even though the majority did not recognise any improvement. 81.6% of those who noted positive changes said they were no longer exposed to second-hand smoke with the passing of the new legislation, and 65.8% stated that the smoking ban was the factor responsible for those changes.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">These results, only two months after the implementation of the legislative ban on smoking in public spaces, underline the importance of approving effective measures to create and enforce smoke-free environments, reducing worsening of symptoms and improving asthma patients’ well-being.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (1): 27-42</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia / Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Article information
ISSN: 08732159Original language: Portuguese
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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 5 | 8 |
| 2024 October | 29 | 32 | 61 |
| 2024 September | 36 | 29 | 65 |
| 2024 August | 37 | 36 | 73 |
| 2024 July | 29 | 30 | 59 |
| 2024 June | 26 | 27 | 53 |
| 2024 May | 21 | 31 | 52 |
| 2024 April | 27 | 27 | 54 |
| 2024 March | 30 | 27 | 57 |
| 2024 February | 19 | 23 | 42 |
| 2024 January | 26 | 23 | 49 |
| 2023 December | 17 | 24 | 41 |
| 2023 November | 15 | 22 | 37 |
| 2023 October | 21 | 27 | 48 |
| 2023 September | 17 | 33 | 50 |
| 2023 August | 18 | 16 | 34 |
| 2023 July | 28 | 37 | 65 |
| 2023 June | 13 | 15 | 28 |
| 2023 May | 34 | 23 | 57 |
| 2023 April | 17 | 19 | 36 |
| 2023 March | 17 | 30 | 47 |
| 2023 February | 26 | 21 | 47 |
| 2023 January | 23 | 28 | 51 |
| 2022 December | 20 | 29 | 49 |
| 2022 November | 32 | 29 | 61 |
| 2022 October | 29 | 32 | 61 |
| 2022 September | 27 | 44 | 71 |
| 2022 August | 26 | 40 | 66 |
| 2022 July | 21 | 35 | 56 |
| 2022 June | 27 | 36 | 63 |
| 2022 May | 31 | 38 | 69 |
| 2022 April | 23 | 30 | 53 |
| 2022 March | 22 | 25 | 47 |
| 2022 February | 20 | 29 | 49 |
| 2022 January | 26 | 44 | 70 |
| 2021 December | 19 | 48 | 67 |
| 2021 November | 24 | 32 | 56 |
| 2021 October | 32 | 49 | 81 |
| 2021 September | 33 | 32 | 65 |
| 2021 August | 27 | 29 | 56 |
| 2021 July | 27 | 32 | 59 |
| 2021 June | 16 | 30 | 46 |
| 2021 May | 29 | 32 | 61 |
| 2021 April | 34 | 53 | 87 |
| 2021 March | 40 | 27 | 67 |
| 2021 February | 47 | 24 | 71 |
| 2021 January | 19 | 24 | 43 |
| 2020 December | 35 | 17 | 52 |
| 2020 November | 34 | 20 | 54 |
| 2020 October | 27 | 28 | 55 |
| 2020 September | 74 | 37 | 111 |
| 2020 August | 36 | 23 | 59 |
| 2020 July | 58 | 27 | 85 |
| 2020 June | 62 | 23 | 85 |
| 2020 May | 62 | 22 | 84 |
| 2020 April | 56 | 20 | 76 |
| 2020 March | 53 | 7 | 60 |
| 2020 February | 38 | 18 | 56 |
| 2020 January | 45 | 20 | 65 |
| 2019 December | 48 | 17 | 65 |
| 2019 November | 50 | 22 | 72 |
| 2019 October | 51 | 15 | 66 |
| 2019 September | 51 | 28 | 79 |
| 2019 August | 55 | 14 | 69 |
| 2019 July | 43 | 24 | 67 |
| 2019 June | 42 | 29 | 71 |
| 2019 May | 42 | 36 | 78 |
| 2019 April | 53 | 22 | 75 |
| 2019 March | 40 | 17 | 57 |
| 2019 February | 45 | 16 | 61 |
| 2019 January | 45 | 19 | 64 |
| 2018 December | 23 | 12 | 35 |
| 2018 November | 9 | 3 | 12 |
| 2018 October | 11 | 10 | 21 |
| 2018 September | 16 | 7 | 23 |
| 2018 August | 41 | 23 | 64 |
| 2018 July | 31 | 22 | 53 |
| 2018 June | 51 | 20 | 71 |
| 2018 May | 39 | 18 | 57 |
| 2018 April | 40 | 24 | 64 |
| 2018 March | 28 | 36 | 64 |
| 2018 February | 17 | 19 | 36 |
| 2018 January | 27 | 8 | 35 |
| 2017 December | 31 | 18 | 49 |
| 2017 November | 39 | 23 | 62 |
| 2017 October | 24 | 17 | 41 |
| 2017 September | 43 | 11 | 54 |
| 2017 August | 35 | 14 | 49 |
| 2017 July | 25 | 9 | 34 |
| 2017 June | 25 | 17 | 42 |
| 2017 May | 34 | 10 | 44 |
| 2017 April | 9 | 1 | 10 |
| 2017 March | 15 | 17 | 32 |
| 2017 February | 12 | 14 | 26 |
| 2017 January | 10 | 6 | 16 |
| 2016 December | 12 | 6 | 18 |
| 2016 November | 11 | 3 | 14 |
| 2016 October | 14 | 10 | 24 |
| 2016 September | 4 | 1 | 5 |
| 2016 August | 3 | 1 | 4 |
| 2016 July | 4 | 4 | 8 |
| 2016 June | 0 | 5 | 5 |
| 2016 May | 3 | 13 | 16 |
| 2016 April | 1 | 3 | 4 |
| 2016 March | 1 | 3 | 4 |
| 2016 February | 3 | 8 | 11 |
| 2016 January | 6 | 5 | 11 |
| 2015 December | 6 | 5 | 11 |
| 2015 November | 4 | 1 | 5 |
| 2015 October | 2 | 1 | 3 |
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